yup it looks like most OHSU int med graduates that apply for cardiology matched only at their home program, U florida, U washington or U new mexico in the last few years.
i wonder if its matching problems or just not enough that want to get into cards? are there many that end up unmatched from their program? maybe current residents from there could comment.
From my perspective (as an R1, 3 months in), OHSU is not the sort of place that attracts gunners which means 2 things:
1. Fewer people that want to do cards in general - I think there are 2 or 3 in the R2 and 3 classes and I don't know anyone in my class who's convinced they want to do it.
2. Those that do want to do cards tend to want to go to a program w/ a similar attitude so a lot of them stay close.
The other thing that's interesting is that, at least for my class, >60% of the class is married, most to non-physicians and about 1/2 of those have children. The upper level classes are similar in marrieds but not as many kids. This means that a lot of folks have put down roots here (or never had them anywhere else) and so when it comes time for fellowships they don't want to leave. Since it's OHSU or nothing around here (except for a GIM fellowship at Kaiser), people stay at OHSU, even those who don't want academic careers. I
One other thing to think about is that, statistically, >1/2 of the people graduating in IM go on to work as internists. That said, ~1/3 or more of those people matched in their R3 year and so, while they're technically going on to work as a hospitalist, they're really just doing that for a year waiting for the fellowship to start. As the hospitalist business keeps ramping up and med school debt does too, I think you'll see a lot more people from all kinds of programs who do that for a year or 2 b/w residency and fellowship.
I honestly think that, w/ the exception of the big (pick a number here but let's say 5 or possibly 10) programs in the country, where you're from has less to do with where you match for a fellowship than how well you did and the kind of person you are.
Good luck,
BE now (PE)
