Emergency Physicians and Hospice and Palliative Medicine: A Growing Trend in Fellowship Training.

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-09-01 DOI:10.1016/j.jpainsymman.2025.08.036

Alexander Zirulnik, Caroline Meehan, Daniel Markwalter, Jennifer Gabbard, Alyssa Tilly, Paul Zimmerman, Jensy Stafford, Justin Brooten

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引用次数: 0

Abstract

Context: Emergency Medicine (EM) has played a foundational role in Hospice and Palliative Medicine (HPM) since the subspecialty's formal recognition. Yet, little is known about the growth of EM-trained physicians pursuing HPM fellowship.

Objectives: To quantify trends in EM applicants and successful fellowship match outcomes to HPM fellowships from 2016 to 2023 and compare them with other primary specialties.

Methods: A retrospective analysis of National Resident Matching Program (NRMP) data was conducted for all HPM fellowship applicants from 2016 to 2023. Trends in active applicants, successful match rates, and year-over-year growth were evaluated by specialty.

Results: From 2016 to 2023, EM applicants to HPM fellowships increased by 400%, from 11 to 55 applicants, far outpacing overall growth across specialties (89%). Successful EM match rates remained high (average 85.4%), peaking at 92.9% in 2022. EM also showed the fastest growth in matched applicants, with an average annual increase of 27.2%.

Conclusion: EM is one of the fastest-growing sources of applicants to HPM fellowships, reflecting rising recognition of palliative care's value in acute care. This trend has important implications for workforce planning, specialty integration, and the future of dual-trained EM-HPM clinicians.

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急诊医师与安宁疗护与缓和医学：研究员培训的成长趋势。

背景：急诊医学（EM）在临终关怀和姑息医学（HPM）中扮演着基础性的角色。然而，人们对追求HPM奖学金的em培训医生的增长情况知之甚少。目的：量化2016年至2023年EM申请者和成功的奖学金匹配结果与HPM奖学金的趋势，并将其与其他主要专业进行比较。方法：回顾性分析2016-2023年所有HPM奖学金申请人的国家居民匹配计划（NRMP）数据。活跃申请者的趋势、成功匹配率和逐年增长都是根据专业来评估的。结果：从2016年到2023年，申请HPM奖学金的新兴市场申请人增加了400%，从11人增加到55人，远远超过了各专业的总体增长（89%）。新兴市场的比赛成功率仍然很高（平均85.4%），2022年达到92.9%的峰值。新兴市场的匹配申请者增长最快，平均年增长率为27.2%。结论：EM是HPM奖学金申请增长最快的来源之一，反映了人们对姑息治疗在急性护理中的价值的认识不断提高。这一趋势对劳动力规划、专业整合以及EM-HPM双重培训的临床医生的未来具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.