Evidence map›Paper›PMID 40902736›Full record

ArticleJournal of pain and symptom management2025

Emergency Physicians and Hospice and Palliative Medicine: A Growing Trend in Fellowship Training.

Alexander Zirulnik, Caroline Meehan, Daniel Markwalter, Jennifer Gabbard, Alyssa Tilly, Paul Zimmerman, Jensy Stafford, Justin Brooten

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Alexander ZirulnikDepartment of Emergency Medicine (A.Z., J.B.), Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA; Department of Internal Medicine, Section of Gerontology (A.Z., J.B., J.G.), Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. Electronic address: azirulni@wakehealth.edu.
Caroline MeehanDepartment of Emergency Medicine (C.M.,), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Palliative Care & Geriatric Medicine (C.M.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Daniel MarkwalterDepartment of Emergency Medicine (D.M.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Palliative Care & Hospice Program (D.M., A.T., P.Z.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jennifer GabbardDepartment of Internal Medicine, Section of Gerontology (A.Z., J.B., J.G.), Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Alyssa TillyPalliative Care & Hospice Program (D.M., A.T., P.Z.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Paul ZimmermanPalliative Care & Hospice Program (D.M., A.T., P.Z.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jensy StaffordHopeHealth Hospice (J.S.), Brown University, Providence, Rhode Island.
Justin BrootenDepartment of Emergency Medicine (A.Z., J.B.), Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA; Department of Internal Medicine, Section of Gerontology (A.Z., J.B., J.G.), Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Funding

CTSA K12 Program at Wake ForestK12TR004931 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Nicholette D. Allred · 2024 to 2026
$2.3M
Implementation Strategies to Promote Advance Care Planning among Persons Living with ADRD and those with Mild Cognitive Impairment in Outpatient Primary Care PracticesK23AG070234 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jennifer Lynn Gabbard · 2022 to 2026
$879k
NCATS NIH HHS K12 TR004931NIA NIH HHS K23 AG070234
6 · The paper itself

Abstract

contextEmergency Medicine (EM) has played a foundational role in Hospice and Palliative Medicine (HPM) since the subspecialty's formal recognition. Yet, little is known about the growth of EM-trained physicians pursuing HPM fellowship.

objectivesTo quantify trends in EM applicants and successful fellowship match outcomes to HPM fellowships from 2016 to 2023 and compare them with other primary specialties.

methodsA retrospective analysis of National Resident Matching Program (NRMP) data was conducted for all HPM fellowship applicants from 2016 to 2023. Trends in active applicants, successful match rates, and year-over-year growth were evaluated by specialty.

resultsFrom 2016 to 2023, EM applicants to HPM fellowships increased by 400%, from 11 to 55 applicants, far outpacing overall growth across specialties (89%). Successful EM match rates remained high (average 85.4%), peaking at 92.9% in 2022. EM also showed the fastest growth in matched applicants, with an average annual increase of 27.2%.

conclusionEM is one of the fastest-growing sources of applicants to HPM fellowships, reflecting rising recognition of palliative care's value in acute care. This trend has important implications for workforce planning, specialty integration, and the future of dual-trained EM-HPM clinicians.

Indexed as

Emergency MedicineFellowships and ScholarshipsHospice CarePalliative CarePalliative MedicinePhysiciansHumansInternship and ResidencyRetrospective StudiesapplicantsEmergency medicinefellowshiphospice and palliative medicinematchmatch ratesresidencytrainingworkforce planning

Identifiers

PMID40902736
PMCPMC12768106

What OpenQuestion holds

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Registered trials

None linked

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.