ABIM Research Pathway questions

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DarkProtoman

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How does the ABIM Research Pathway differ from the standard ABIM residency? I'm very interested in medical research? Should I do the ABIM Research Pathway during my IM residency? Or should I do the ABIM Research Pathway during my subspecialty fellowship? Or both? Thanks!
 
the specifics vary somewhat from institution to institution, but generally speaking, in most places, you will go through the first two years of residency with the lowly categoricals, then switch over and do 2-3 years of research.

Whether or not you should do it depends on how interested you are in doing research as a career. When I was interviewing, it seemed like a lot of people said they wanted to do research as a career, when all they really want to do is get enough research done to get into a fellowship. However, you don't have to go into a research pathway to get the necessary research for fellowships. Also, you can do research after residency without having done the research pathway for residency. If you are certain you want to do research for a career, it would probably be a good strategic move to go into the research pathway, but don't think you have closed any doors for yourself by not doing it.
 
the specifics vary somewhat from institution to institution, but generally speaking, in most places, you will go through the first two years of residency with the lowly categoricals, then switch over and do 2-3 years of research.

Whether or not you should do it depends on how interested you are in doing research as a career. When I was interviewing, it seemed like a lot of people said they wanted to do research as a career, when all they really want to do is get enough research done to get into a fellowship. However, you don't have to go into a research pathway to get the necessary research for fellowships. Also, you can do research after residency without having done the research pathway for residency. If you are certain you want to do research for a career, it would probably be a good strategic move to go into the research pathway, but don't think you have closed any doors for yourself by not doing it.

I am serious about doing research...after earning my BSc, I plan on earning an MSc/MPhil before applying to med school. And becoming a medical professor.
 
I am serious about doing research...after earning my BSc, I plan on earning an MSc/MPhil before applying to med school. And becoming a medical professor.
I'm starting a Research Track IM residency in a couple of months. You're a loooong ways off from residency, so things may change before you get there. But at the moment, there are ABIM Research Tracks for both general IM and subspecialty IM. As DarkProtoman described, the general IM track essentially lets you substitute 2-3 years of research for the 3rd clinical year of the IM residency. You still need to pass the boards the same as every other IM resident, though. This track is much less common than the subspecialty track, because there are vanishingly few basic scientist-GIM docs, and few (if any) GIM divisions are basic-science oriented.

The more common track is through a subspecialty. You do two years of IM, then 1-2 years of clinical fellowship (depending on the subspecialty). After that, you are committed to 3 years of lab work in order to be qualified for board certification. However, you are guaranteed 90% protected time during these years (max one-half day of clinic per week). The idea is that by then you will have independent funding and be ready for appointment to a very-junior faculty spot in your subspecialty. This is often referred to as the "short-track", because it lops off the usual 3rd year of IM residency and puts you right into a fellowship - although at 6-8 years it's not exactly short, and not necessarily any shorter than a standard IM residency + subspecialty fellowship.

Short-track programs are often wrapped up within "physician-scientist training programs" (PSTP) to make them work more smoothly. Fellowship slots are filled a year ahead of start dates, so short-trackers would need to apply for fellowship during intern year! These programs therefore often integrate residency and fellowship applications so that you are interviewed by your fellowship of interest simultaneously with your residency interview, with some sort of preferred access to fellowship programs at the institution you match at. Most academic IM departments have some flavor of PSTP, often with other enticements like career mentoring and guaranteed funding support during the lab years. Confusingly, PSTPs typically neither require short-tracking, nor are the only avenue to short-tracking. The goal is to provide a seamless bridge between MD or MD/PhD graduation and junior faculty.

The differences between the traditional track and the short-track are really pretty subtle. The traditional path is 3 years of IM residency + 3-5 years of fellowship, of which the last 2-3 are spent in lab if you want to launch a research career. But the two parts are separate - you do your IM residency, can be boarded in IM, and apply separately to fellowships. You can take time off, work for a while, go to a different city, whatever. Fellowship programs vary widely in how strongly they support research with positions, money, and protected time. The short-track is usually one big gulp - all at the same place, no intervening application process, usually PSTP infrastructure, with IM and subspecialty certification intertwined. I decided on the Research Track largely for this security - it's easy enough to fall off the physician-scientist path, and while short-tracking removes some flexibility it also removes several failure points (more accurately, compresses them all into the residency match).
 
I'm starting a Research Track IM residency in a couple of months. You're a loooong ways off from residency, so things may change before you get there. But at the moment, there are ABIM Research Tracks for both general IM and subspecialty IM. As DarkProtoman described, the general IM track essentially lets you substitute 2-3 years of research for the 3rd clinical year of the IM residency. You still need to pass the boards the same as every other IM resident, though. This track is much less common than the subspecialty track, because there are vanishingly few basic scientist-GIM docs, and few (if any) GIM divisions are basic-science oriented.

The more common track is through a subspecialty. You do two years of IM, then 1-2 years of clinical fellowship (depending on the subspecialty). After that, you are committed to 3 years of lab work in order to be qualified for board certification. However, you are guaranteed 90% protected time during these years (max one-half day of clinic per week). The idea is that by then you will have independent funding and be ready for appointment to a very-junior faculty spot in your subspecialty. This is often referred to as the "short-track", because it lops off the usual 3rd year of IM residency and puts you right into a fellowship - although at 6-8 years it's not exactly short, and not necessarily any shorter than a standard IM residency + subspecialty fellowship.

Short-track programs are often wrapped up within "physician-scientist training programs" (PSTP) to make them work more smoothly. Fellowship slots are filled a year ahead of start dates, so short-trackers would need to apply for fellowship during intern year! These programs therefore often integrate residency and fellowship applications so that you are interviewed by your fellowship of interest simultaneously with your residency interview, with some sort of preferred access to fellowship programs at the institution you match at. Most academic IM departments have some flavor of PSTP, often with other enticements like career mentoring and guaranteed funding support during the lab years. Confusingly, PSTPs typically neither require short-tracking, nor are the only avenue to short-tracking. The goal is to provide a seamless bridge between MD or MD/PhD graduation and junior faculty.

The differences between the traditional track and the short-track are really pretty subtle. The traditional path is 3 years of IM residency + 3-5 years of fellowship, of which the last 2-3 are spent in lab if you want to launch a research career. But the two parts are separate - you do your IM residency, can be boarded in IM, and apply separately to fellowships. You can take time off, work for a while, go to a different city, whatever. Fellowship programs vary widely in how strongly they support research with positions, money, and protected time. The short-track is usually one big gulp - all at the same place, no intervening application process, usually PSTP infrastructure, with IM and subspecialty certification intertwined. I decided on the Research Track largely for this security - it's easy enough to fall off the physician-scientist path, and while short-tracking removes some flexibility it also removes several failure points (more accurately, compresses them all into the residency match).

Yeah, my main interests are heme/onc and clinical and laboratory immunology...would a good plan be to do a categorical IM residency at a top institution like MGH, JHU, UCSF, then do an ABIM Research Pathway heme/onc fellowship at, say The Mayo Clinic, and do research in the interface b/w heme/onc and immuno? Or should I do a a categorical IM residency, a regular heme/onc fellowship, and then a research postdoc --maybe I could do research of a high enough quality to earn a PhD by public works from Middlesex University --http://www.mdx.ac.uk/research/degrees/routes.asp--?--? BTW, could you give me some sample MCQs from the ABIM exam in internal medicine?
 
I just found out about the ABIM research track, and though I'm a lowly M1, I am very interested (and committed) to working in academic medicine in the future (I honestly cannot picture myself anywhere besides a university, and I have some research cred to back me up, which I will develop further in school). However, my research interests are in social sciences/health policy, and I am doing MD only (with a previous masters degree) - would I be eligible for this program, or is it only for basic science oriented people? Thanks.
 
I just found out about the ABIM research track, and though I'm a lowly M1, I am very interested (and committed) to working in academic medicine in the future (I honestly cannot picture myself anywhere besides a university, and I have some research cred to back me up, which I will develop further in school). However, my research interests are in social sciences/health policy, and I am doing MD only (with a previous masters degree) - would I be eligible for this program, or is it only for basic science oriented people? Thanks.

This is a good question. Interest in academic and evidence-based health policy has risen dramatically over the past few years, and will be especially important with the current health reform efforts. It is no coincidence that policy articles are published in now almost every issue of the NEJM and JAMA. In the near future, large health policy research centers like Harvard, Hopkins, UNC-Chapel Hill, UW, etc will likely be more interested in supporting individuals desiring to investigate critical questions about our costs, access, primary care, and general health care system (or lack thereof). Currently, most programs that offer this type of ABIM research training frame this as "translational" our "outcomes" research, and often incorporate it as part of a general medicine fellowship with fast-track.

The bottom line is that anything is possible, but it is way too early for you to be worrying about this. So many things will change by the time you apply for residency (including your interests, grades, attitudes, possibly our health care system, or even NIH funding for ABIM research programs at all). For now, enjoy your lack of patient responsibility and the weekend partying of first year my friend 😎
 
This is a good question. Interest in academic and evidence-based health policy has risen dramatically over the past few years, and will be especially important with the current health reform efforts. It is no coincidence that policy articles are published in now almost every issue of the NEJM and JAMA. In the near future, large health policy research centers like Harvard, Hopkins, UNC-Chapel Hill, UW, etc will likely be more interested in supporting individuals desiring to investigate critical questions about our costs, access, primary care, and general health care system (or lack thereof). Currently, most programs that offer this type of ABIM research training frame this as "translational" our "outcomes" research, and often incorporate it as part of a general medicine fellowship with fast-track.

The bottom line is that anything is possible, but it is way too early for you to be worrying about this. So many things will change by the time you apply for residency (including your interests, grades, attitudes, possibly our health care system, or even NIH funding for ABIM research programs at all). For now, enjoy your lack of patient responsibility and the weekend partying of first year my friend 😎

haha, thanks for the info - I know it's too early, but I just wanted to gauge how hard I should be working in my first couple of years if I want to pursue one of these programs down the road, and therefore how much time is left for weekend partying lol j/k I'm not a partier at all, but I do get my fun - right now college football, later, American Idol 🙂
 
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