RVUs<\/a>). But perhaps a larger part makes them ill-prepared and na\u00efve when it comes to the end of fellowship.<\/p>\nIncreasingly, fellows are entering into 2+ years of subspecialty fellowships and advanced training. People argue that this is necessary because the individual fields within cardiology have become so complex that more time is needed to create better doctors. However, using expert consensus to justify this extension of training is contradictory to our field, where we rely so heavily on data and shun anecdotal medicine. Most leaders and master clinicians within cardiology did not do subspecialty fellowships but rather developed their skills as faculty members.<\/p>\n
In addition, this situation involves a clear conflict of interest that would be unacceptable in any RCT: Faculty who want fellows to stay on benefit from having trainees under their purview. The counterargument of course is that the trainees also benefit from this apprenticeship — but how long can we justify that reasoning, while deferring major (both personal and professional) life decisions?<\/p>\n
The phrase \u201cboomerang generation\u201d is applied to today\u2019s young adults in U.S. and European society, because so many have chosen to cohabitate with their parents after a brief period of living on their own. I fear that we are creating our own boomerang generation of medical graduates who are underprepared for entering the workforce and who thereby extend the time they spend under the supervision of their mentors.<\/p>\n
Like any species, we survive by sending our young into the world to make their own way. But, almost universally, formal training in how to search for a job is absent. Looking for a job itself is like the Wild West, with very few positions actually being advertised and no uniform time line for interviews and recruitment.<\/p>\n
I know — this is real life. During my own job search, I did enjoy the anarchy, somewhat. But graduates are entering into a job market in complete disarray, having lived for the past decade in a protective bubble of matching systems and stability within training programs.<\/p>\n
We need to train fellows how to graduate. We need to teach practical lessons — what is needed to get a job and how to enter into a job market. Fellows need some preparation, with objective guidance and mentorship. And I feel we currently are not doing that.<\/p>\n
What changes would you make to help fellows make the jump into the job market? Or do you think that the system works well as is?<\/em><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":"
Our training programs have a uniform deficiency — they do not prepare fellows on how to leave. I know this well, as I am currently transitioning from cardiology fellow to faculty member. Fellows typically enter medical school in their twenties and over the next ten years become institutionalized into full-time understudies. Part of this is […]<\/p>\n","protected":false},"author":280,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[195],"class_list":["post-33281","post","type-post","status-publish","format-standard","hentry","category-general","tag-fellowship-training-2"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/33281","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/280"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=33281"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/33281\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=33281"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=33281"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=33281"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}