Alexander Zirulnik, Caroline Meehan, Daniel Markwalter, Jennifer Gabbard, Alyssa Tilly, Paul Zimmerman, Jensy Stafford, Justin Brooten
{"title":"急诊医师与安宁疗护与缓和医学：研究员培训的成长趋势。","authors":"Alexander Zirulnik, Caroline Meehan, Daniel Markwalter, Jennifer Gabbard, Alyssa Tilly, Paul Zimmerman, Jensy Stafford, Justin Brooten","doi":"10.1016/j.jpainsymman.2025.08.036","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Emergency Physicians and Hospice and Palliative Medicine: A Growing Trend in Fellowship Training.\",\"authors\":\"Alexander Zirulnik, Caroline Meehan, Daniel Markwalter, Jennifer Gabbard, Alyssa Tilly, Paul Zimmerman, Jensy Stafford, Justin Brooten\",\"doi\":\"10.1016/j.jpainsymman.2025.08.036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":16634,\"journal\":{\"name\":\"Journal of pain and symptom management\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pain and symptom management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jpainsymman.2025.08.036\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pain and symptom management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jpainsymman.2025.08.036","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Emergency Physicians and Hospice and Palliative Medicine: A Growing Trend in Fellowship Training.
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.
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.
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