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TU_44_2921 - A Fellow's Fate: Employment Outcomes of Radiation Oncology Fellowship Graduates

Tuesday, October 23
1:00 PM - 2:30 PM
Location: Innovation Hub, Exhibit Hall 3

A Fellow’s Fate: Employment Outcomes of Radiation Oncology Fellowship Graduates
O. Mohamad1, K. Doke2, S. Marcrom3, A. M. Chen4, T. J. Royce5, and J. J. Meyer6; 1University of Texas – Southwestern Medical Center, Department of Radiation Oncology, Dallas, TX, 2University of Kansas Medical Center, Kansas City, KS, 3University of Alabama at Birmingham, Birmingham, AL, 4Department of Radiation Oncology, University of Kansas School of Medicine, Kansas City, KS, 5Harvard Radiation Oncology Program, Boston, MA, 6Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD

Purpose/Objective(s): Radiation oncology (RO) fellowship training in the United States (US) has rapidly expanded over the last decade. Fellows’ employment outcomes, however, have not been assessed. In this report, we reviewed RO fellows’ employment outcomes since 2006.

Materials/Methods: Names of RO fellows who trained at US programs during 2006-2017 were collected from 94 (100%) RO training programs. Employment outcomes were determined through web searches including the ASTRO directory and direct contact with programs and individuals. A two-tailed binomial test with p-value of <0.05 was considered statistically significant.

Results: 145 fellows from 19 US-based fellowship programs were identified; 86 (59%) graduated from US residencies, and 59 (41%) from international residencies. 11 were still in training, 2 switched specialties (into internal medicine or dermatology), and information on 1 was unavailable, leaving 131 for analysis. Among all fellowship graduates, 69% were affiliated with an academic university system (vs. 31% in community practices; p<0.0001) and 85% practiced in a different location from their fellowship training (vs. 15% employed by the same institution; p<0.0001). Similar results were obtained for fellows from US residency programs (66% in academic systems, p=0.0049; 82% practiced in different institutions from fellowship training, p<0.0001) and those from international residency programs (73% in academic systems, p=0.0018; 90% at institutions different from fellowship training, p<0.0001). Of all graduates who did fellowships in protons, pediatrics or brachytherapy, 63% held jobs using these skills vs. 37% who did not (p=0.0559), compared to 71% of US residency graduates (vs. 29%; p=0.0115) and 48% of international graduates (vs. 52%; p=1.00). Of 51 fellows who graduated from international residencies, 33 (65%) practice internationally (79% in academic systems) vs. 18 (35%) within the US (61% in academic systems). Of the 18 international fellows in US jobs, 11 (61%) were Canadian residency graduates.

Conclusion: With no ACGME accreditation for RO fellowships, fellowship data is difficult to capture. Reviewing employment outcomes of radiation oncology fellows, we found that more than two-thirds of fellowship graduates were employed by academic university systems and one third of proton/pediatric or brachytherapy fellowship graduates held jobs where they did not appear to be practicing with a focus on these skills. Further study of the motivation for further training in RO would be of interest.

Author Disclosure: O. Mohamad: None. K. Doke: None. A.M. Chen: None. J.J. Meyer: Research Grant; Peregrine Pharmaceuticals, Inc. clinical trials support; D-fine Inc. Honoraria; UpToDate, Inc.

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