Academic and Geographic Employment Outcomes for Graduating Residents in Radiation Oncology: 2015-2022.

Autor:	Sindhu KK; Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: kunal.sindhu@mountsinai.org., Hsieh K; Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York., Sindhu TM; Department of Radiology, Montefiore Medical Center, Bronx, New York., Rowley JP; Department of Radiation Oncology, Maimonides Medical Center, Brooklyn, New York.
Jazyk:	angličtina
Zdroj:	Practical radiation oncology [Pract Radiat Oncol] 2024 May-Jun; Vol. 14 (3), pp. 200-211. Date of Electronic Publication: 2024 Jan 17.
DOI:	10.1016/j.prro.2023.12.013
Abstrakt:	Purpose: Little is known about how the academic and geographic employment outcomes of new radiation oncology (RO) graduates have changed over time. In this study, we sought to trace the evolution of these outcomes for all RO residents who graduated between 2015 and 2022. Methods and Materials: Using publicly available data sources, we identified the first permanent, clinical employment positions accepted by graduating members of the RO residency classes of 2015 to 2022. We additionally determined the medical school and residency program attended by each graduate. We then classified each clinical employment position by its rural-urban continuum code and core-based statistical area, and whether it was academic or nonacademic. Results: Of 1478 RO graduates identified, 1396 first accepted clinical positions in the United States after residency. A majority accepted positions in the largest metropolitan areas (N = 878, 62.9%) and in nonacademic settings (N = 719, 51.5%). The proportion of graduates who accepted academic positions climbed steadily from 2015 to 2020 before dropping by 31% in 2021 and partially rebounding in 2022. Women and graduates of large-sized academic programs were more likely to have accepted academic positions. In contrast, graduates of small-sized residency programs were more likely than those of large-sized residency programs to have accepted positions in nonmetropolitan areas. At least 288 of the examined individuals (20.6%) had switched jobs at least once at the time of this analysis. Conclusions: Most new RO graduates in this study accepted clinical positions in large metropolitan areas. A slight majority accepted nonacademic positions. While the RO job market was able to absorb the vast majority of these new graduates between 2015 and 2022, there is no guarantee that this equilibrium will hold in the future. Additional studies aiming to refine projections of future RO demand are needed. Competing Interests: Disclosures Kristin Hsieh is supported by the 2023 American Society of Radiation Oncology AstraZeneca Radiation Oncology Research Training Fellowship Program. The remaining authors declare no conflicts of interest. (Copyright © 2024 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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