晚期心力衰竭和移植心脏病学匹配培训岗位空缺率的增加。

IF 2.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Jason Silvestre MD , Ahmed Brgdar MD , Jay Chen MD , Thomas G Di Salvo MD
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引用次数: 0

摘要

晚期心力衰竭和移植心脏病学(AHFTC)是解决日益增长的心力衰竭负担和对机械循环支持和心脏移植等先进治疗方法日益增长的需求的重要亚专业。尽管临床需求上升,但对AHFTC研究员培训的兴趣似乎在下降。本研究评估了2020年至2025年AHFTC匹配中申请人、培训职位、匹配率和空缺职位的趋势。在此期间,我们对所有AHFTC奖学金申请人进行了全国性的横断面分析。主要结果包括每年申请和培训职位的人数,匹配率和空缺职位的百分比。采用线性回归分析时间趋势。在2020年至2025年期间,有470名申请者竞争737个培训职位,总体填补率为58%。匹配的研究对象包括52%的美国对抗疗法毕业生和48%的非美国对抗疗法毕业生。每年的培训职位增加了10%(从115个增加到127个),而申请人数减少了24%(从84个减少到64个)。申请职位比从0.7下降到0.5 (P < 0.001),空缺职位从30%上升到52% (P < 0.001)。与首选专业匹配的申请人比例从67%增加到83% (P < 0.001)。这些发现突出了AHFTC培训能力与申请人兴趣之间日益增长的不匹配。为了保留未来的劳动力,以应对日益增加的心力衰竭负担,需要努力激发对AHFTC培训的兴趣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increasing Rate of Unfilled Training Positions in the Advanced Heart Failure and Transplant Cardiology Match
Advanced Heart Failure and Transplant Cardiology (AHFTC) is a vital subspecialty addressing the growing burden of heart failure and the increasing need for advanced therapies such as mechanical circulatory support and heart transplantation. Despite rising clinical demand, interest in AHFTC fellowship training appears to be declining. This study evaluated trends in applicants, training positions, match rates, and unfilled positions in the AHFTC match from 2020 to 2025. We performed a national, cross-sectional analysis of all AHFTC fellowship applicants during this period. Primary outcomes included the annual number of applicants and training positions, match rates, and the percentage of unfilled positions. Temporal trends were analyzed using linear regression. Between 2020 and 2025, 470 applicants competed for 737 training positions, resulting in an overall fill rate of 58%. Matched fellows included 52% US allopathic and 48% non-US allopathic graduates. The number of training positions per year increased by 10% (115 to 127) while the number of applicants per year decreased by 24% (84 to 64). The applicant-to-position ratio decreased significantly from 0.7 to 0.5 (p < 0.001), and unfilled positions rose from 30% to 52% (p < 0.001). The proportion of applicants matching at their first-choice program increased from 67% to 83% (p < 0.001). These findings highlight a growing mismatch between AHFTC training capacity and applicant interest. To preserve the future workforce needed to address the rising burden of heart failure, efforts are needed to stimulate interest in AHFTC training.
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来源期刊
American Journal of Cardiology
American Journal of Cardiology 医学-心血管系统
CiteScore
4.00
自引率
3.60%
发文量
698
审稿时长
33 days
期刊介绍: Published 24 times a year, The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. AJC is an independent, scientific, peer-reviewed journal of original articles that focus on the practical, clinical approach to the diagnosis and treatment of cardiovascular disease. AJC has one of the fastest acceptance to publication times in Cardiology. Features report on systemic hypertension, methodology, drugs, pacing, arrhythmia, preventive cardiology, congestive heart failure, valvular heart disease, congenital heart disease, and cardiomyopathy. Also included are editorials, readers'' comments, and symposia.
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