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Title: Academic Career Selection and Retention in Radiation Oncology: The Joint Center for Radiation Therapy Experience

Abstract

Purpose: The United States healthcare system has witnessed declining reimbursement and increasing documentation requirements for longer than 10 years. These have decreased the time available to academic faculty for teaching and mentorship. The impact of these changes on the career choices of residents is unknown. The purpose of this report was to determine whether changes have occurred during the past decade in the proportion of radiation oncology trainees from a single institution entering and staying in academic medicine. Methods and Materials: We performed a review of the resident employment experience of Harvard Joint Center for Radiation Therapy residents graduating during 13 recent consecutive years (n = 48 residents). The outcomes analyzed were the initial selection of an academic vs. nonacademic career and career changes during the first 3 years after graduation. Results: Of the 48 residents, 65% pursued an academic career immediately after graduation, and 44% remained in academics at the last follow-up, after a median of 6 years. A later graduation year was associated with a decrease in the proportion of graduates immediately entering academic medicine (odds ratio, 0.78; 95% confidence interval, 0.65-0.94). However, the retention rate at 3 years of those who did immediately enter academics increased withmore » a later graduation year (p = 0.03). Conclusion: During a period marked by notable changes in the academic healthcare environment, the proportion of graduating Harvard Joint Center for Radiation Therapy residents pursuing academic careers has been declining; however, despite this decline, the retention rates in academia have increased.« less

Authors:
 [1];  [2];  [3];  [4];  [4];  [3]
  1. Harvard Radiation Oncology Residency Program, Boston, MA (United States). E-mail: tbalboni@partners.org
  2. Department of Statistics, University of Connecticut, Storrs, CT (United States)
  3. Department of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute, and Harvard Medical School, Boston, MA (United States)
  4. Department of Radiation Oncology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA (United States)
Publication Date:
OSTI Identifier:
20951631
Resource Type:
Journal Article
Resource Relation:
Journal Name: International Journal of Radiation Oncology, Biology and Physics; Journal Volume: 68; Journal Issue: 1; Other Information: DOI: 10.1016/j.ijrobp.2006.11.044; PII: S0360-3016(06)03600-5; Copyright (c) 2007 Elsevier Science B.V., Amsterdam, Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; COST RECOVERY; DRUGS; EDUCATION; EMPLOYMENT; MEDICAL PERSONNEL; RADIOTHERAPY; RETENTION; REVIEWS

Citation Formats

Balboni, Tracy A., Chen, M.-H., Harris, Jay R., Recht, Abram, Stevenson, Mary Ann, and D'Amico, Anthony V.. Academic Career Selection and Retention in Radiation Oncology: The Joint Center for Radiation Therapy Experience. United States: N. p., 2007. Web. doi:10.1016/j.ijrobp.2006.11.044.
Balboni, Tracy A., Chen, M.-H., Harris, Jay R., Recht, Abram, Stevenson, Mary Ann, & D'Amico, Anthony V.. Academic Career Selection and Retention in Radiation Oncology: The Joint Center for Radiation Therapy Experience. United States. doi:10.1016/j.ijrobp.2006.11.044.
Balboni, Tracy A., Chen, M.-H., Harris, Jay R., Recht, Abram, Stevenson, Mary Ann, and D'Amico, Anthony V.. Tue . "Academic Career Selection and Retention in Radiation Oncology: The Joint Center for Radiation Therapy Experience". United States. doi:10.1016/j.ijrobp.2006.11.044.
@article{osti_20951631,
title = {Academic Career Selection and Retention in Radiation Oncology: The Joint Center for Radiation Therapy Experience},
author = {Balboni, Tracy A. and Chen, M.-H. and Harris, Jay R. and Recht, Abram and Stevenson, Mary Ann and D'Amico, Anthony V.},
abstractNote = {Purpose: The United States healthcare system has witnessed declining reimbursement and increasing documentation requirements for longer than 10 years. These have decreased the time available to academic faculty for teaching and mentorship. The impact of these changes on the career choices of residents is unknown. The purpose of this report was to determine whether changes have occurred during the past decade in the proportion of radiation oncology trainees from a single institution entering and staying in academic medicine. Methods and Materials: We performed a review of the resident employment experience of Harvard Joint Center for Radiation Therapy residents graduating during 13 recent consecutive years (n = 48 residents). The outcomes analyzed were the initial selection of an academic vs. nonacademic career and career changes during the first 3 years after graduation. Results: Of the 48 residents, 65% pursued an academic career immediately after graduation, and 44% remained in academics at the last follow-up, after a median of 6 years. A later graduation year was associated with a decrease in the proportion of graduates immediately entering academic medicine (odds ratio, 0.78; 95% confidence interval, 0.65-0.94). However, the retention rate at 3 years of those who did immediately enter academics increased with a later graduation year (p = 0.03). Conclusion: During a period marked by notable changes in the academic healthcare environment, the proportion of graduating Harvard Joint Center for Radiation Therapy residents pursuing academic careers has been declining; however, despite this decline, the retention rates in academia have increased.},
doi = {10.1016/j.ijrobp.2006.11.044},
journal = {International Journal of Radiation Oncology, Biology and Physics},
number = 1,
volume = 68,
place = {United States},
year = {Tue May 01 00:00:00 EDT 2007},
month = {Tue May 01 00:00:00 EDT 2007}
}