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Home > Vascular Annual Meeting > SS29. An Increasing Demand for Integrated Vascular...

SS29. An Increasing Demand for Integrated Vascular Residency Training Far Outweighs the Limited Supply of Positions

Andres Schanzer, Jeffrey Nahmias, Kathleen Korenda, Mohammad Eslami, Elias Arous, Louis Messina
University of Massachusetts Medical School, Worcester, MA

OBJECTIVES: The integrated vascular residency training paradigm (0+5) was first approved by the ACGME in 2006 with the first residents beginning in 2007. We sought to evaluate the demand for these new positions and to better understand applicant pool demographics.

METHODS: The AAMC was petitioned for data on applicants to traditional and integrated vascular training programs (years 2006-2009). In addition, 111 applications received at a single academic institution for the year 2009 were reviewed in depth.

RESULTS: The number of traditional fellowship applicants and the corresponding number of positions remained stable (Table 1). In contrast, the number of integrated applicants increased dramatically, with 152 applicants seeking to match into 18 available positions in 2009 (88% of integrated, 11% of traditional won’t match, p<.001). The most notable difference between integrated and traditional applicants is the number of foreign medical graduates (68.7% vs. 26.7% in 2008, p<.001, Table 2). Of the 111 integrated applicants applying for our single position (72% entire 2009 applicant pool, Table 3), 88.3% are residing in the U.S. Furthermore, 25.2% of applicants completed ≥1 year at a U.S. institution for research or a general surgery prelim year. Integrated applicants’ mean USMLE Step 1 and 2 scores were 89.1 and 89.5. On average, an integrated applicant had published 2.8 peer-reviewed publications.

CONCLUSIONS: The number of talented and motivated integrated applicants far outweighs the number of available positions. Growing interest in more efficient and comprehensive training will continue to augment demand. As educators, vascular surgeons should seize this opportunity and aggressively expand the number of available positions.

AUTHOR DISCLOSURES: A. Schanzer, None; J. Nahmias, None; K. Korenda, None; M. Eslami, None; E. Arous, None; L. Messina, None.

Tables 1-3.