updated statistics on IM subspecialties

[sunset823]

I looked at the IM subspecialty FAQ and saw some very interesting numbers on the # of fellows and demographics in various IM subspecialties. Those were from 03-04, and I tracked down the latest set of numbers and thought I would share. Hopefully it will help those of you applying this year! (I'm only an M1, but I like statistics, a lot, and these are very different from 5 years ago).


In the year 2007-2008:

Cardiology:
No. of programs: 177
Total no. of fellows: 2,372
Number female: 446 (18.8%)
Number USMG: 1550 (65.3%)
Number IMG: 726 (30.6%)
Number Canadian: 8 (0.3%)
Number DO: 88 (3.7%)

Interventional Cardiology:
No. of programs: 130
Total no. of fellows: 231
Number female: 13 (5.6%)
Number USMG: 128 (55.4%)
Number IMG: 94 (40.7%)
Number Canadian: 1 (0.4%)
Number DO: 8 (3.5%)

Clinical Cardiac Electrophysiology:
No. of programs: 96
Total no. of fellows: 157
Number female: 19 (12.1%)
Number USMG: 91 (58%)
Number IMG: 57 (36.3%)
Number Canadian: 4 (2.5%)
Number DO: 5 (3.2%)

Critical Care Medicine:
No. of programs: 30
Total no. of fellows: 148
Number female: 28 (18.9%)
Number USMG: 44 (29.7%)
Number IMG: 91 (61.5%)
Number Canadian: 0
Number DO: 13 (8.8%)

Endocrinology:
No. of programs: 122
Total no. of fellows: 536
Number female: 361 (67.4%)
Number USMG: 320 (59.7%)
Number IMG: 181 (33.8%)
Number Canadian: 2 (0.4%)
Number DO: 33 (6.2%)

Gastroenterology:
No. of programs: 154
Total no. of fellows: 1212
Number female: 358 (29.5%)
Number USMG: 791 (65.3%)
Number IMG: 354 (29.2%)
Number Canadian: 5 (0.4%)
Number DO: 62 (5.1%)

Geriatric medicine:
No. of programs: 102
Total no. of fellows: 246
Number female: 136 (55.3%)
Number USMG: 71 (28.9%)
Number IMG: 169 (68.7%)
Number Canadian: 1 (0.4%)
Number DO: 5 (2.0%)

Hematology:
No. of programs: 9
Total no. of fellows: 43
Number female: 15 (34.9%)
Number USMG: 20 (46.5%)
Number IMG: 20 (46.5%)
Number Canadian: 0
Number DO: 3 (7.0%)

Oncology:
No. of programs: 17
Total no. of fellows: 131
Number female: 44 (33.6%)
Number USMG: 54 (41.2%)
Number IMG: 68 (51.9%)
Number Canadian: 0
Number DO: 9 (6.9%)

Hematology and oncology:
No. of programs: 127
Total no. of fellows: 1329
Number female: 576 (43.3%)
Number USMG: 789 (58.7%)
Number IMG: 493 (37.1%)
Number Canadian: 8 (0.6%)
Number DO: 48 (3.6%)

Infectious diseases:
No. of programs: 142
Total no. of fellows: 740
Number female: 353 (47.7%)
Number USMG: 394 (53.2%)
Number IMG: 310 (41.9%)
Number Canadian: 1 (0.1%)
Number DO: 35 (4.7%)

Nephrology
No. of programs: 139
Total no. of fellows: 808
Number female: 285 (35.3%)
Number USMG: 356 (44.1%)
Number IMG: 387 (47.9%)
Number Canadian: 11 (1.4%)
Number DO: 54 (6.7%)

Pulmonary disease:
No. of programs: 27
Total no. of fellows: 70
Number female: 15 (21.4%)
Number USMG: 8 (11.4%)
Number IMG: 61 (87.1%)
Number Canadian: 0
Number DO: 1 (1.4%)

Pulmonary disease and critical care:
No. of programs: 131
Total no. of fellows: 1247
Number female: 343 (27.5%)
Number USMG: 634 (50.8%)
Number IMG: 532 (42.7%)
Number Canadian: 7 (0.6%)
Number DO: 74 (5.9%)

Rheumatology:
No. of programs: 109
Total no. of fellows: 408
Number female: 238 (58.3%)
Number USMG: 236 (57.8%)
Number IMG: 142 (34.8%)
Number Canadian: 2 (0.5%)
Number DO: 28 (6.9%)

Allergy and immunology:
No. of programs: 71
Total no. of fellows: 280
Number female: 157 (56.1%)
Number USMG: 228 (81.4%)
Number IMG: 41 (14.6%)
Number Canadian: 1 (0.4%)
Number DO: 10 (3.6%)

Source: Graduate Medical Education 2007-2008. JAMA 300(10) (September 10, 2008) pp 1228-1243

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[sunset823]

Taking the statistics above, and looking at only those specialties with over 400 residents, and assuming that 'desirability' of a specialty can be represented by percentage of US allo grads in specialty, it shakes out as follows:

Allergy/Immunology >> Cardiology = Gastroenterology > Endocrinology > Hematology/Oncology > Rheumatology > Infectious Disease > Pulmonary/Critical Care > Nephrology

 

[panipuri]

good info..
keep it up

 

[panipuri]

http://www.nrmp.org/data/resultsanddatasms2009.pdf

see table 1, table 2
table 6 shows for past 5 years.

if u see us allo and % of seats filled in each subspecialty
this is the desirability of us allo grads..concluded from table 6

Allergy and Immunology >> GI > Cards > Haem Onc > ID > PCC > Rheumat > Endo > Nephro

if u see stats theres increase by marginal % for the lower desirable subspecialties in last 5 years- mainly because of lifestyle
but still the top 3 remains the same

 

[panipuri]

if you go by physician salary

http://www.alliedphysicians.com/salary-surveys/physicians/#top

take the middle column >3yrs

GI =Cards > pcc > nephro > haemonc > rheumat > allergy >endo > id = hospitalist/internist

 

[panipuri]

job satisfaction
http://www.gpscholar.uthscsa.edu/gpscholar/FacultyScholars/cr/genmed/library/aimvol162pg1577.pdf

id> allergy > endo > nephro > rheumat > haemonc > cardio > int med > GI > pcc

 

[panipuri]

the above link may not be workin

very satisfied
http://archinte.ama-assn.org/cgi/content-nw/full/162/14/1577/TABLEIOI10404T3


dissatisfied
http://archinte.ama-assn.org/cgi/content-nw/full/162/14/1577/TABLEIOI10404T5

 

[panipuri]

2010 nrmp results
http://www.nrmp.org/data/resultsanddatasms2010.pdf

competition based on us allopathic graduates

allergy>> GI> Card>> hem onc> pulm-critical care> endo> id> rheumat>> nephro

 

[Gastrapathy]

2010 nrmp results
http://www.nrmp.org/data/resultsanddatasms2010.pdf

competition based on us allopathic graduates

allergy>> GI> Card>> hem onc> pulm-critical care> endo> id> rheumat>> nephro

The percentages are actually pretty close across the board. What this doesn't reflect is the self-selected nature of these numbers. People don't compete if they don't think they have a shot. You can't use these numbers to assess how competitive it is for the different subs because they are totally different applicant pools.

 

[gutonc]

The percentages are actually pretty close across the board. What this doesn't reflect is the self-selected nature of these numbers. People don't compete if they don't think they have a shot. You can't use these numbers to assess how competitive it is for the different subs because they are totally different applicant pools.

Agreed for the most part. But this is certainly true for residency as well, yet we all just assume that Derm >>Ortho>>IM>>FM and consider that the gospel truth. But, just as we all knew that one dude in med school with a 210 on Step 1 and who had to repeat Biochem and his Peds rotation but still thought he was a lock for Rad Onc, there are plenty of people out there who have no business applying to Cards or GI but are convinced that they're just misunderstood in residency and they'll totally score a spot.

These of course are the exceptions that prove the rule.

 

[jdh71]

The percentages are actually pretty close across the board. What this doesn't reflect is the self-selected nature of these numbers. People don't compete if they don't think they have a shot. You can't use these numbers to assess how competitive it is for the different subs because they are totally different applicant pools.

I think it also kind of implies that all of us would like to do allergy, but we settle for nephro instead. Everyone that matched this year out of my class matched to something they wanted to do, not something they "settled" on, and no one applied to allergy.

Although, if you interested in Nephro, now's a great time to be interested . . . some very impressive matches out of my class.

 

[panipuri]

yes i agree
but if you see table 6 instead of table 2
u will realize how many seats are occupied by us allopathic grads
it suggest the amount of competitiveness
and if u see the percentage it matches the above grading

 

[mrdowntoearth]

Why do we all care about competition? this discussion just to stroke your own ego if you're one of those people who matched at "most competitive spots". Let's all focus on what we want to do and how to be a successful physician in the future...

 

[Gastrapathy]

Why do we all care about competition? this discussion just to stroke your own ego if you're one of those people who matched at "most competitive spots". Let's all focus on what we want to do and how to be a successful physician in the future...

There is a little more to it than that. It is helpful to know whether a desired career path is easy or difficult to obtain. This can affect time management choices (do the research or not bother, etc) and can help people decide between fields. It would be cruel to encourage someone to do "what they want to do" if they aren't going to get in.

On yeah, and when I got in to GI, I printed the stats and handed them out to everyone I could find. My ego loved it.

 

[panipuri]

on the other hand if you see the applicant pool from us allopathic grads..this will suggest the interests of graduates...

cardio > gi >hemeonc > pulmcritc care >nephro=id > endo = allergy > rheum

 

[DBMD]

Oh man - bad news for me! I want ID!

 

[panipuri]

actually its good news for you...u dnt want stellar cv to match into it..

of course you are not making decision in order to prove to world that u matched in competitive one...
go to subspecialty in which u have passion for..