AAMC Center for Workforce Studies April 18, 2008 –slides updated following call
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Transcript of AAMC Center for Workforce Studies April 18, 2008 –slides updated following call
Study of the Clinical Oncology Workforce:
Results of the 2007 Program Director Survey
AAMC Center for Workforce Studies April 18, 2008 –slides updated following call
Prepared by the AAMC Center for Workforce Studies April 2008
Distribution of respondents
Program Count% of
Respondents
Medical Oncology 19 15.3%
Hematology/ Oncology
101 81.5%
Unreported4 3.2%
Total 124 100%
Emails sent to 159 Program Directors• 124 responses (78% response rate)
Prepared by the AAMC Center for Workforce Studies April 2008
30% of respondents indicated they are very likely or somewhat likely to increase the number of positions
Skipped, 43, 36%
Don’t know, 6, 5%Not
Increasing, 34, 27%
Very Unlikely, 4,
3%
Somewhat likely, 29,
23%
Very likely, 8, 6%
Prepared by the AAMC Center for Workforce Studies April 2008
Respondents estimate a 9.5% growth in the number of first year positions from AY07 to AY13*
433 434
462464
474
466
474
410
420
430
440
450
460
470
480
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14
*Respondents ‘somewhat likely’ and ‘very likely’ to increase anticipate only a 5% increase in number of positions
Prepared by the AAMC Center for Workforce Studies April 2008
Source of Funding for Increases for 37 programs Somewhat or Very Likely to Expand
Source N %
Home Institution 27 73%
Private Philanthropy 13 35%
Do Not Know 9 24%
Federal Govt 8 22%
Industry 8 22%
State Govt 3 8%
Cut Funding in Other Areas 1 3%
Other: our program can accommodate 2 more fellows, funding is the issue 1 3%
N=37 (Very Likely/Somewhat Likely to expand)
Prepared by the AAMC Center for Workforce Studies April 2008
Those with plans to increase less concerned with costs of expansion, clinical sites and clinical faculty
Increasing Not IncreasingFinancial Support for Fellows 54% 53%
Costs of Expansion 36% 49%
Research Faculty 21% 14%
Res Training 14% 13%
Lab Space 7% 8%
Clinical Sites 0% 7%
Clinical Faculty 0% 11%
Amb Preceptors 7% 5%
Patient Mix 0% 2%
Very Significant Problem
Prepared by the AAMC Center for Workforce Studies April 2008
Initial Practice Setting of Recent Graduates 2005 2007
Academic 38% 39%
Private Practice 57% 56%
Government 3% 3%
Industry 2% 1%
Other 1% 0%
Unknown 2% 0%
Prepared by the AAMC Center for Workforce Studies April 2008
Number IM residents entering fellowship training increasing
Total Number Completing Internal Medicine Residency, 1997-2006
46%
60%
54%
0
1000
2000
3000
4000
5000
6000
7000
AY1997 AY1998 AY1999 AY2000 AY2001 AY2002 AY2003 AY2004 AY2005 AY2006
Estimated # Entering General Practice
Entering Subspecialty Training
Source: JAMA Med Ed Issues, 1998-2007Prepared by: Center for Workforce Studies, Oct 2007
Prepared by the AAMC Center for Workforce Studies April 2008
First Year Fellows by Specialty
Card
Gastro
Hem/Onc
Intervent Card
0
100
200
300
400
500
600
700
800
900
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Nu
mb
er
Fir
st
Ye
ar
Fe
llow
s
Source: ABIM Website
Prepared by the AAMC Center for Workforce Studies April 2008
Most Programs report 89% of fellows arrive directly from a
US internal medicine residency and 11% of fellows
arrive after some time practicing medicine
Prepared by the AAMC Center for Workforce Studies April 2008
Themes from Comments• Funding for fellows remains a struggle/challenge
• Some programs considering turning to industry for sponsorship
• Low funding rate by NIH discourages academic careers
• Salary gap between academics and private practice detering academic pursuits
Prepared by the AAMC Center for Workforce Studies April 2008
Summary• 30% of respondents plan to increase enrollment
between now and 2013-14
• Respondents project a 9.5% growth in the number of first year positions from AY07 to AY13 – could be closer to 5% if you only count programs that are ‘somewhat likely’ and ‘very likely’ to increase
• Number and quality of applicants per position increasing
• Ratios entering private practice and academics very consistent with earlier survey
• Funding for increases most likely to come from home institutions
2007 ERAS and Match Statistics 971 H/O Applicants
• 229.9 Average Number of Applicants per Program
• 541 Men and 430 Women
664 residents submitted ROL for H/O Match
424 Available H/O Positions
• 416 Positions Filled (98%, O and H 100% filled)
• 248 Unmatched
Prepared by the AAMC Center for Workforce Studies April 2008
2008 Match InformationRank Order List Closes 06/04/08
Match Day 06/18/08
2008 Positions available in Match (2007)
• 44 Oncology (38)
• 22 Heme* (19)
• 426 Hem/Onc (424)* A couple oncology programs have oncology slots in hematology match, listed
differently, done for administrative ease