Academic gastroenterology (GI) fellowship programs often gear trainee recruitment to those displaying potential for academic careers.
A study, led by Dr Amy S. Oxentenko and colleagues in the USA, was conducted to find out whether predictive factors exist, which would determine whether GI fellows pursue academia versus private practice.
An educational file review was conducted on all GI fellows from the Mayo Clinic-Rochester from 1990 through to 2003, with demographic variables extracted.
|65% of fellows accepted academic positions |
|Journal of Clinical Gastroenterology |
The outcome of interest was whether the first job after fellowship was in academics or private practice.
The team discovered that of 92 fellows completing training, 60 accepted academic positions (65%) (P=0.005, 95% confidence interval: 0.55-0.74), whereas 32 (35%) pursued private practice.
Those of Asian descent were significantly more likely to enter academics versus those of African American (P=0.02) or Hispanic (P=0.01) descent.
There were no significant trends of more women than men (85% vs. 62%), or military than non-military (86% vs. 63%) going into academics.
Neither were there significantly more bachelors of arts than science degrees (70% vs. 50%) and people with advanced fellowship training than not (74% vs. 61%) going into academics.
There was no significant difference in career choices between fellows entering the National Institutes of Health training tract versus the Clinical Scholar or Clinical Investigator tracts.
There were no significant associations between age, marital status, hometown population, foreign medical degree, research mentor factors or type of research during fellowship and practice choice.
Dr Oxentenko concluded that, "Although there seem to be predictive variables in determining whether GI fellows enter private practice or academia, the initial practice choice likely results from multiple combined factors".