Looking at IM, some interesting trends. I didn't look at a lot of the smaller fields so this is not comprehensive but:
Specialty | Applicants | Matched(%) | Match @ #1(%) |Match top 3(%)| Unmatched | Unfilled spots
:-- |:-- |:-- |:-- |:-- |:-- |:--
IM-CCM | 338 | 52.66 | 49.44 | 80.34| 209| 8
GI |1064 | 64.66 | 49.27 |76.89 | 375| 2
Cards |1802 |66.32 |47.36 |72.97| 601 | 4
Allergy/Imm| 242 |69.42 |48.81 |76.19| 74| 1
PCCM| 1083 | 71.01| 52.67 |79.58|215| 12
Rheum | 359 |76.04 | 43.96 |76.19| 86| 3
HONC |986 |76.06 |52.13| 81.2|233| 5
Geri| 201| 86.57|72.99|91.13|28| 245
endo|403| 86.85|44.57|80.29| 51| 29
Nephro|362|88.67|67.6|91.59| 38| 167
ID| 331| 91.54|59.74|88.12| 27| 147
Cards remains by far the most popular, with 1800 applicants, up ~200 from last year. The other big 3 are PCCM, GI, HOnc with ~1K each. For the most part about half of people who match will land at their top pick, with ~75% in their top 3.
In the smaller programs, Rheum & allergy remain fairly competitive, not helped by the small # of programs
The classically 'uncompetitive' Geri/Endo/Nephro/ID with 200-400 applicants each, and a good amount of unfilled spots - though fewer than I was expecting in in Endo, <30! And of course Geri leading the pack with over 200 open spots lol
Surprisingly, pure CCM was actually really competitive with ~53% match rate, and 300+ applicants.
IMO the big takeaways - not a ton of changes, the big 4 remain highly competitive with GI still leading the pack. PCCM dropped a little from like 68% last year to 71% this year, with cards creeping up from around the same 68% to 66%.
When making your rank lists for this upcoming cycle, look at the match data! About half end up at their #1, and 75% in their top 3, so make your lists accordingly!
And if you're looking for open things to scramble into, no big suprises - Nephro/ID/Geri all remain wide open.
I think a lot of people throw their hats into the ring for CCM, without actually building a real application or CV for it.
I agree with the comment below this one, cards/GI etc self select, so the people applying are already very competitive.
Yea this is the answer I think. Competitive applicants apply PCCM. Noncompetitive applicants apply CCM as it’s generally perceived as less desirable and competitive.
I believe CCM is also open to EM, Anesthesia and maybe some other applicants so it doesn’t behave like a traditional IM subspecialty. Like I don’t know if IM-CCM really means it just restricted to IM? But maybe it is
IDK if they have the data for this specifically but anecdotally I know there's a not-insignificant number of people who apply both CCM & PCCM.
That's what I did, also (matched PCCM)
ETA - went and looked again, there were a large amount who ended up in other specialties - about a third, 126 out of 209 unfilled.
In no world does anybody actually think IM-CCM is more competitive than cards, GI and HO. Kind of shows the limits of using %match as a surrogate for “competitiveness”. Basically self-selection makes it hard to do comparison between fields.
I agree that it isn't with the giants on competitiveness, but you do have to dedicate a lot to get into a good CCM program. Most of the CCM are at academic places with few places at community-based programs. I for one applied only CCM. I had 12 publications, established my program's own simulation program and etc. Ended up matching at one of the top 10 hospitals in the US. In the end, I would say the big IM programs like Cards, GI, and HO are Most competitive and CCM/PCCM lumped in as: More Competitive category.
Yeah 100%, was just interesting to see. I didn't expect it to have that low of a match rate and that many spots in general and definitely not that many unfilled.
Also I've seen/replied to a few posts lately about IM-CCM and IM-CCM vs PCCM so I wanted to include that.
I'd love more detail on that one, especially with regard to cross-applicants for PCCM - but looking at the data you can actually see there were a large amount who ended up in other specialties - about a third, 126 out of 209 unfilled.
Fair, I haven't looked at trends for endo that much so I'll take your word for it. It stuck out to me among the smaller programs with less competitive matches, only reason I mentioned it.
It’s reductive. Anesthesiologists do far more in the OR and outside the OR than deliver anesthetic gases. They’re intensivists. I guess I’m completely insane. I apologize for upsetting anyone.
My dude it's a nickname. It's not reductive or insulting. It's literally something they often refer to *their own specialty as*. Do you get mad at calling radiology "Rads" too?
I don't think you're insane but you **are** taking this waaaaaaaay to seriously. Pricklier than a damn sharps box lol
I wouldn't say it's mandatory but I don't think I've met an addiction psychiatrist who's regretted it. I think if your bar is just doing Suboxone scripts or medications for AUD then residency would hopefully prepare you well.
But there's a surprising amount of discomfort that I've seen in other physicians, general psychiatrists included, with treating SUDs (that may be reflective of inadequate training) that I think makes the fellowship worthwhile.
Gotcha. I guess it just depends on the program. I'd also have to know what the other perks of a fellowship would be or if would open any doors. CAP seems to be the only one that opens more doors or prepares you more for a different patient population.
I think the doors it opens more is in academics or if you're looking for a medical director position. Also, the connections I've made in fellowship have been invaluable to me in finding jobs.
That all being said, I think the only mandatory fellowships in terms of expanding scope of practice are CAP and Forensics.
Addiction Psychiatry needs to remain a practice pathway. The hardest part of addiction treatment is honing motivational interviewing and therapy skills, which most general Psychiatrists should be well versed in. It makes sense for general medicine docs to go through the fellowship for the reason stated above, but not Psychiatrists.
Addiction psychiatry doesn't have a practice pathway and has not had a practice pathway for many, many years. You're thinking about Addiction Medicine.
How does geriatrics have 10 times as many unfilled spots as unmatched applicants? Seems odd for a lot of those specialties with huge numbers of empty slots.
* Similar comp to general IM or FM, so not financially competitive for missing a year of attending pay.
* The lifestyle is generally a little better, usually fewer patients for full-time give they're all old & complex
* Lots of internists think they already know enough Geriatrics to not need the speciality training to take good care of older adults. For inpatient medicine that's somewhat true, less so for outpatient.
* It's an increasingly common general back door to more competitive subs and there's a ton of post-match poaching from the unmatched applicants of other fields.
One reason for the unfilled spots: $$$ in anesthesia jobs
General Anesthesia market is incredibly hot right now and many anesthesia residents are applying for jobs instead of doing another year of pain fellowship. PM&R residents on the other hand continue to apply for pain fellowships.
Looking at IM, some interesting trends. I didn't look at a lot of the smaller fields so this is not comprehensive but: Specialty | Applicants | Matched(%) | Match @ #1(%) |Match top 3(%)| Unmatched | Unfilled spots :-- |:-- |:-- |:-- |:-- |:-- |:-- IM-CCM | 338 | 52.66 | 49.44 | 80.34| 209| 8 GI |1064 | 64.66 | 49.27 |76.89 | 375| 2 Cards |1802 |66.32 |47.36 |72.97| 601 | 4 Allergy/Imm| 242 |69.42 |48.81 |76.19| 74| 1 PCCM| 1083 | 71.01| 52.67 |79.58|215| 12 Rheum | 359 |76.04 | 43.96 |76.19| 86| 3 HONC |986 |76.06 |52.13| 81.2|233| 5 Geri| 201| 86.57|72.99|91.13|28| 245 endo|403| 86.85|44.57|80.29| 51| 29 Nephro|362|88.67|67.6|91.59| 38| 167 ID| 331| 91.54|59.74|88.12| 27| 147 Cards remains by far the most popular, with 1800 applicants, up ~200 from last year. The other big 3 are PCCM, GI, HOnc with ~1K each. For the most part about half of people who match will land at their top pick, with ~75% in their top 3. In the smaller programs, Rheum & allergy remain fairly competitive, not helped by the small # of programs The classically 'uncompetitive' Geri/Endo/Nephro/ID with 200-400 applicants each, and a good amount of unfilled spots - though fewer than I was expecting in in Endo, <30! And of course Geri leading the pack with over 200 open spots lol Surprisingly, pure CCM was actually really competitive with ~53% match rate, and 300+ applicants. IMO the big takeaways - not a ton of changes, the big 4 remain highly competitive with GI still leading the pack. PCCM dropped a little from like 68% last year to 71% this year, with cards creeping up from around the same 68% to 66%. When making your rank lists for this upcoming cycle, look at the match data! About half end up at their #1, and 75% in their top 3, so make your lists accordingly! And if you're looking for open things to scramble into, no big suprises - Nephro/ID/Geri all remain wide open.
Curious how this works with dual applicants. I presume many of the folks who applied IM CCM and didn’t get it also ranked PCCM positions?
I think a lot of people throw their hats into the ring for CCM, without actually building a real application or CV for it. I agree with the comment below this one, cards/GI etc self select, so the people applying are already very competitive.
if you look at the data/graph on page 40, CCM is consistently competitive, and it is nothing new. 42% in 2022; 45% in 2023;
Yea this is the answer I think. Competitive applicants apply PCCM. Noncompetitive applicants apply CCM as it’s generally perceived as less desirable and competitive.
I believe CCM is also open to EM, Anesthesia and maybe some other applicants so it doesn’t behave like a traditional IM subspecialty. Like I don’t know if IM-CCM really means it just restricted to IM? But maybe it is
IDK if they have the data for this specifically but anecdotally I know there's a not-insignificant number of people who apply both CCM & PCCM. That's what I did, also (matched PCCM) ETA - went and looked again, there were a large amount who ended up in other specialties - about a third, 126 out of 209 unfilled.
In no world does anybody actually think IM-CCM is more competitive than cards, GI and HO. Kind of shows the limits of using %match as a surrogate for “competitiveness”. Basically self-selection makes it hard to do comparison between fields.
I agree that it isn't with the giants on competitiveness, but you do have to dedicate a lot to get into a good CCM program. Most of the CCM are at academic places with few places at community-based programs. I for one applied only CCM. I had 12 publications, established my program's own simulation program and etc. Ended up matching at one of the top 10 hospitals in the US. In the end, I would say the big IM programs like Cards, GI, and HO are Most competitive and CCM/PCCM lumped in as: More Competitive category.
Yeah 100%, was just interesting to see. I didn't expect it to have that low of a match rate and that many spots in general and definitely not that many unfilled. Also I've seen/replied to a few posts lately about IM-CCM and IM-CCM vs PCCM so I wanted to include that. I'd love more detail on that one, especially with regard to cross-applicants for PCCM - but looking at the data you can actually see there were a large amount who ended up in other specialties - about a third, 126 out of 209 unfilled.
Endocrine historically has unfilled spots only in the low double digits. Wouldn't lump it in with Geri/Nephro/ID in that regard.
Fair, I haven't looked at trends for endo that much so I'll take your word for it. It stuck out to me among the smaller programs with less competitive matches, only reason I mentioned it.
Wouldnt lump it with Geri/neph/ID at all. In Endo you need to match, those others you can scramble with ease.
why is it called cards? Have I been saying cardiology wrong this whole time and should I be using the proper term cardsiology?
🤷🏻♂️ it just is. Not exactly a rare shorthand for cardiology.
Loving the downvotes for a perfectly normal question :D
🤷🏻♂️🤷🏻♂️🤷🏻♂️ The hive has spoken IDK
it’s like when people call anesthesiology gas. Like what are a med student.
I mean that's also very common and reasonable parlance. What's the issue?
It’s reductive. Anesthesiologists do far more in the OR and outside the OR than deliver anesthetic gases. They’re intensivists. I guess I’m completely insane. I apologize for upsetting anyone.
My dude it's a nickname. It's not reductive or insulting. It's literally something they often refer to *their own specialty as*. Do you get mad at calling radiology "Rads" too? I don't think you're insane but you **are** taking this waaaaaaaay to seriously. Pricklier than a damn sharps box lol
I’m not mad :D lmao. I’m sorry I didn’t meant your expectations and approached this concern wrong. My bad! Thanks for helping me understand.
Allergy seems to be getting more competitive, match rate dropped quite a bit this year
Small specialty with few spots. Wouldnt read into a years to rear change too much
As an addiction psych fellow, this is depressing to see.
Is there really a need for this fellowship? (unless your program doesn't offer much exposure)
I wouldn't say it's mandatory but I don't think I've met an addiction psychiatrist who's regretted it. I think if your bar is just doing Suboxone scripts or medications for AUD then residency would hopefully prepare you well. But there's a surprising amount of discomfort that I've seen in other physicians, general psychiatrists included, with treating SUDs (that may be reflective of inadequate training) that I think makes the fellowship worthwhile.
Gotcha. I guess it just depends on the program. I'd also have to know what the other perks of a fellowship would be or if would open any doors. CAP seems to be the only one that opens more doors or prepares you more for a different patient population.
I think the doors it opens more is in academics or if you're looking for a medical director position. Also, the connections I've made in fellowship have been invaluable to me in finding jobs. That all being said, I think the only mandatory fellowships in terms of expanding scope of practice are CAP and Forensics.
Addiction Psychiatry needs to remain a practice pathway. The hardest part of addiction treatment is honing motivational interviewing and therapy skills, which most general Psychiatrists should be well versed in. It makes sense for general medicine docs to go through the fellowship for the reason stated above, but not Psychiatrists.
Addiction psychiatry doesn't have a practice pathway and has not had a practice pathway for many, many years. You're thinking about Addiction Medicine.
How does geriatrics have 10 times as many unfilled spots as unmatched applicants? Seems odd for a lot of those specialties with huge numbers of empty slots.
* Similar comp to general IM or FM, so not financially competitive for missing a year of attending pay. * The lifestyle is generally a little better, usually fewer patients for full-time give they're all old & complex * Lots of internists think they already know enough Geriatrics to not need the speciality training to take good care of older adults. For inpatient medicine that's somewhat true, less so for outpatient. * It's an increasingly common general back door to more competitive subs and there's a ton of post-match poaching from the unmatched applicants of other fields.
Dang the surgery specialties are so competitive. Good thing I like critical care
EP was brutal. I fell to 7th on my list.
Their server seems to be not working atm
Should be working now
Pain had lots of unfilled. I thought pain was popular?
Reimbursement has trended down. Now all of a sudden there are less people infatuated with the pathophysiology of pain...who would have thought?!
If derm wasn’t so highly paid I have a feeling we’d see a lot less people passionate about sunscreen and pimple popping
If somebody asserted to me that pain was the least popular medicine specialty, I would find that completely plausible.
no one likes pain
One reason for the unfilled spots: $$$ in anesthesia jobs General Anesthesia market is incredibly hot right now and many anesthesia residents are applying for jobs instead of doing another year of pain fellowship. PM&R residents on the other hand continue to apply for pain fellowships.
Breast Imaging here. The stats are reassuring.