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Journal of Cancer Education

, Volume 34, Issue 6, pp 1219–1224 | Cite as

Identification of Factors Associated with Hematology-Oncology Fellow Academic Success and Career Choice

  • Ariela L. MarshallEmail author
  • Ruchi Gupta
  • Diane Grill
  • Susan Mann
  • Kimberly Freidline
  • Grzegorz Nowakowski
  • Carrie Thompson
  • Timothy Hobday
Article

Abstract

Factors affecting hematology-oncology trainees’ academic success and career choices have not been well characterized. We performed a retrospective study of 57 hematology-oncology fellows trained at Mayo Clinic between 2008 and 2017 in an attempt to identify factors associated with success during fellowship and with career choice (academic versus private). Sex, age, residency quality, and letters of recommendation indicating a “top” applicant were not associated with hematology or oncology in-training examination (ITE) scores, research productivity (abstracts/publications during fellowship), or career choice (academic versus private). Fellows with higher United States Medical Licensing Examination (USMLE) scores were more likely to perform well on ITE, but examination scores did not predict academic productivity or academic versus private career choice. More academically productive fellows were more likely to choose academic careers. Both ITE scores and productivity were associated with receipt of national and/or institutional awards. Finally, fellows who were non-US citizens and/or international medical graduates (IMG) had higher academic productivity both pre-fellowship and during fellowship and as per the observations above were more likely to choose academic careers. In conclusion, predictors of superior knowledge differ from predictors of academic productivity/career choice, and it is important to take multiple factors into account when selecting candidates most likely to succeed during fellowship.

Keywords

Hematology Oncology Fellowship Medical education Outcomes 

References

  1. 1.
    Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in hematology and Medical oncology. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/155_hematology_oncology_2017-07-01.pdf?ver=2017-04-27-154137-833 Accessed 7/22/2018
  2. 2.
    Marshall AL, Jenkins S, Mikhael J, Gitlin SD (2018) Determinants of hematology-oncology trainees’ postfellowship career pathways with a focus on nonmalignant hematology. Blood Adv 2(4):361–369CrossRefGoogle Scholar
  3. 3.
    Huang J, Patel S, Scruggs R, Levin D (2017) In pursuit of fellowship: results from a 2016 Survey of US Trainees. Curr Probl Diagn Radiol.  https://doi.org/10.1067/j.cpradiol.2017.10.013 CrossRefGoogle Scholar
  4. 4.
    Thompson RH, Lohse CM, Husmann DA, Leibovich BC, Gettman MT (2017) Predictors of a successful urology resident using medical student application materials. Urology 108:22–28CrossRefGoogle Scholar
  5. 5.
    Spurlock DR Jr, Holden C, Hartranft T (2010) Using United States Medical Licensing Examination (USMLE) results to predict later in-training examination performance among general surgery residents. J Surg Educ 67(6):452–456CrossRefGoogle Scholar
  6. 6.
    Tolan AM, Kaji AH, Quach C, Hines OJ, de Virgilio C (2010) The electronic residency application service application can predict accreditation council for graduate medical education competency-based surgical resident performance. J Surg Educ 67(6):444–448CrossRefGoogle Scholar
  7. 7.
    Armstrong A, Alvero R, Nielsen P, Deering S, Robinson R, Frattarelli J, Sarber K, Duff P, Ernest J (2007) Do U.S. medical licensure examination step 1 scores correlate with council on resident education in obstetrics and gynecology in-training examination scores and American board of obstetrics and gynecology written examination performance? Mil Med 172(6):640–643CrossRefGoogle Scholar
  8. 8.
    Thundiyil JG, Modica RF, Silvestri S, Papa L (2010) Do United States Medical Licensing Examination (USMLE) scores predict in-training test performance for emergency medicine residents? J Emerg Med 38(1):65–69CrossRefGoogle Scholar
  9. 9.
    Fening K, Vander Horst A, Zirwas M (2011) Correlation of USMLE Step 1 scores with performance on dermatology in-training examinations. J Am Acad Dermatol 64(1):102–106CrossRefGoogle Scholar
  10. 10.
    Collichio FA, Hess BJ, Muchmore EA, Duhigg L, Lipner RS, Haist S, Hawley JL, Morrison CA, Clayton CP, Raymond MJ, Kayoumi KM, Gitlin SD (2017) Medical knowledge assessment by hematology and medical oncology in-training examinations are better than program director assessments at predicting subspecialty certification examination performance. J Cancer Educ 32(3):647–654CrossRefGoogle Scholar
  11. 11.
    Gitlin SD, Yuan Z, Little RJ, Todd Iii RF (2005) Factors that influence successful training and faculty career development in the hematology/oncology patient-oriented clinical research. J Cancer Educ 20(2):72–78CrossRefGoogle Scholar
  12. 12.
    Leng SW, Opalek A. International Medical Graduates’ contributions to the United States health workforce. https://www.faimer.org/research/faimer-short-report-workforce.pdf Accessed 6/24/2018
  13. 13.
  14. 14.
    Zupetic I, Yousem IJ, Liu L, Aygun N, Yousem DM (2017) Factors determining scientific paper productivity by neuroradiology fellows. Acad Radiol 24(3):359–364CrossRefGoogle Scholar
  15. 15.
    Norcini JJ, Boulet JR, Dauphinee WD, Opalek A, Krantz ID, Anderson ST (2010) Evaluating the quality of care provided by graduates of international medical schools. Health Aff (Millwood) 29(8):1461–1468CrossRefGoogle Scholar
  16. 16.
    Kanna B, Gu Y, Akhuetie J, Dimitrov V (2009) Predicting performance using background characteristics of international medical graduates in an inner-city university-affiliated internal medicine residency training program. BMC Med Educ 9:42CrossRefGoogle Scholar
  17. 17.
    Thackeray EW, Halvorsen AJ, Ficalora RD, Engstler GJ, McDonald FS, Oxentenko AS (2012) The effects of gender and age on evaluation of trainees and faculty in gastroenterology. Am J Gastroenterol 107(11):1610–1614CrossRefGoogle Scholar
  18. 18.
    Norcini JJ, van Zanten M, Boulet JR (2008) The contribution of international medical graduates to diversity in the US physician workforce: graduate medical education. J Health Care Poor Underserved 19(2):493–499CrossRefGoogle Scholar

Copyright information

© American Association for Cancer Education 2018

Authors and Affiliations

  1. 1.Division of Hematology, Department of Internal MedicineMayo ClinicRochesterUSA
  2. 2.Department of Laboratory Medicine and PathologyMayo ClinicRochesterUSA
  3. 3.Division of Biomedical Statistics and InformaticsMayo ClinicRochesterUSA
  4. 4.Department of OncologyMayo ClinicRochesterUSA

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