Evidence map›Paper›PMID 41392059›Full record

ArticleSpinal cord2026

Trends in the supply of spinal cord injury medicine physicians in the united states: an evolving human resource shortfall.

Jason Silvestre, Michael G Fehlings, Charles A Reitman, James P Lawrence, Robert A Ravinsky

Abstract read
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In one paragraph

Article in Spinal cord, 2026. 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. Review
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.

Jason SilvestreMedical University of South Carolina, Charleston, SC, USA. jasonsilvestremd@gmail.com.ORCID 0000-0002-5831-0760
Michael G FehlingsUniversity of Toronto, Toronto, CA, Canada.ORCID 0000-0002-5722-6364
Charles A ReitmanMedical University of South Carolina, Charleston, SC, USA.
James P LawrenceMedical University of South Carolina, Charleston, SC, USA.
Robert A RavinskyMedical University of South Carolina, Charleston, SC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional study.

objectivesGiven recent epidemiological data which indicate a rising incidence of traumatic and non-traumatic spinal cord injury, we sought to analyze changes in the annual number of training positions, applicants, and unfilled training positions in United States spinal cord injury medicine (SCIM) training.

settingFellowship programs participating in the SCIM Match.

methodsData were obtained from the National Resident Matching Program from 2016 to 2024. Annual trends were analyzed with linear regression.

resultsThe annual number of SCIM training programs (19-22, 15.8% increase, P < 0.001) and training positions (28-32, 14.3% increase, P < 0.001) increased over the study period. There was no significant change in the annual number of applicants (16-19, 18.8% increase, P = 0.878). The annual training position-to-applicant ratio ranged from 1.2-1.8 with no significant change over the study period (P = 0.555). The rate of unfilled training positions did not change over the study period (50.0-43.8%, P = 0.523). The annual match rate ranged between 87.0-100% with no clear trend over the study period (P = 0.423). There were no differences in the percentage of applicants matching at their first-choice (62.5-73.7%, P = 0.780) second-choice (12.5-10.5%, P = 0.333), and third-choice (12.5-0%, P = 0.966) fellowships over the study period.

conclusionsThere has been an increase in the number of SCIM training programs and positions, but this has not been matched by an increased number of interested applicants. Policy efforts are needed to increase interest in SCIM and meet anticipated growth in clinical needs.

Indexed as

Internship and ResidencyPhysiciansSpinal Cord InjuriesCross-Sectional StudiesFellowships and ScholarshipsHumansUnited States

Identifiers

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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.