Increase in integrated spots

[irwarrior]

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There was an increase this year of integrated interventional spots from 202 spots in 2025 to 238 spots in 2026. So 36 more spots opened up. This is likely due to more and more programs converting independent spots to integrated spots.

 

[SeisK]

36 / 3 =12. So on average this will result in 12 more lateral DR transfers per year. Academic departments are not paying any attention to the broader need for IRs, they’re reacting to being annoyed at how many lateral transfers out there are, how choosy independent applicants can be, and the most immediate way to get trainees to subsidize their lifestyle for them

I believe we’re also graduating too many IRs per year as it is.

 

[irwarrior]

Currently it is more like a 20 percent drop out ie would be about 8 spots transfer out (though majority are DR transfers some are to other fields). Are you seeing a 1/3 transfer rate? What do you think is the magic number for VIR graduates per year? In the current state with VIR integrated and IR independent it is nearly 300 graduates.