Evidence map›Paper›PMID 39567954›Full record

ArticleBMC medical education2024

Understanding characteristics of internal medicine residents matching into pulmonary critical care medicine fellowships.

Benjamin R Stultz, Thomas J Beckman, Andrew J Halvorsen, Michael W Cullen, Diana J Kelm

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Benjamin R StultzDepartment of Internal Medicine, Mayo Clinic, Rochester, MN, United States.
Thomas J BeckmanDepartment of Internal Medicine, Mayo Clinic, Rochester, MN, United States.
Andrew J HalvorsenDepartment of Internal Medicine, Mayo Clinic, Rochester, MN, United States.
Michael W CullenDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States.
Diana J KelmDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, United States. Kelm.Diana@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternal medicine (IM) residents face significant challenges when pursing subspecialty fellowships. This study determined the factors that differentiate IM residents entering pulmonary and critical care medicine (PCCM) fellowships from those pursuing other careers.

methodsWe completed a retrospective study of 12 classes of IM residents at a single institution completing residency between 2010 and 2021. Data included pre-residency characteristics, global residency performance, and PCCM-specific experiences. Logistic regression models examined associations between these variables and the primary outcome of matching into a PCCM fellowship within one year of completing IM residency.

resultsAmong 522 residents, 10.3% matched into PCCM. Completing a pulmonary elective significantly increased the odds of matching into PCCM (OR 7.78, 99% CI 3.10-19.53, p < 0.0001). Residents who match into PCCM were more likely to have < 3 publications than 3 + (OR 3.51 (1.20-10.25), p = 0.003)." A stated intent to enter PCCM was positively associated with matching into PCCM in the univariable, but not the multivariable, model.

conclusionsMatriculating into PCCM fellowship was significantly associated with completing a pulmonary elective during residency. PCCM-bound residents were less likely to achieve high numbers of publications, suggesting these residents' preferences for clinical learning and practice over scholarship. This study provides insights into characteristics of residents who match into PCCM and guides mentors as they counsel residents considering PCCM.

Indexed as

Career ChoiceCritical CareFellowships and ScholarshipsInternal MedicineInternship and ResidencyPulmonary MedicineAdultEducation, Medical, GraduateFemaleHumansMaleRetrospective StudiesFellowship matchPulmonary critical care medicineResident characteristicsResident mentoring

Identifiers

PMID39567954
PMCPMC11577943

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.