Creation and Evaluation of a Clinical Informatics Match: Initial Findings

Jonathan D. Hron; Christoph U. Lehmann; S. Wesley Long; Natalie M. Pageler; Joseph Kannry; Bruce Levy; Michael G. Leu

doi:10.1055/s-0043-1777000

Applied Clinical Informatics, Inhaltsverzeichnis

Appl Clin Inform 2023; 14(05): 973-980
DOI: 10.1055/s-0043-1777000

Research Article

Creation and Evaluation of a Clinical Informatics Match: Initial Findings

Jonathan D. Hron

¹Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, United States

²Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, United States

,

Christoph U. Lehmann

³Clinical Informatics Center, University of Texas Southwestern Medical Center, Dallas, Texas, United States

,

S. Wesley Long

⁴Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, United States

,

Natalie M. Pageler

⁵Division of Clinical Informatics, Department of Pediatrics, Stanford School of Medicine, Palo Alto, California, United States

,

Joseph Kannry

⁶Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States

,

Bruce Levy

⁷Steele Institute for Health Innovations, Geisinger Commonwealth School of Medicine, Danville, Pennsylvania, United States

,

Michael G. Leu

⁸Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, United States

⁹Division of Clinical Informatics, Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States

¹⁰IT Services, UW Medicine Information Technology Services, Seattle, Washington, United States

¹¹Information Technology Department, Seattle Children's Hospital, Seattle, Washington, United States

› Institutsangaben

Abstract

Background Clinical Informatics (CI) fellowship programs utilize the Electronic Residency Application Service (ERAS) to gather applications but until recently used an American Medical Informatics Association (AMIA) member-developed, simultaneous offer–acceptance process to match fellowship applicants to programs. In 2021, program directors collaborated with the AMIA to develop a new match to improve the process.

Objective Describe the results of the first 2 years of the match and address opportunities for improvement.

Methods We obtained applicant data for fellowship applicants in 2021 and 2022 from the ERAS and match data for the same years from the AMIA. We analyzed our data using descriptive statistics.

Results There were 159 unique applicants over the 2-year period. Applicants submitted 2,178 applications with a median of 10 per applicant (interquartile range [IQR] 3–20). One hundred and four applicants (65.4%) participated in the match and ranked a median of seven programs (2–12). Forty-two programs in 2021 and 47 programs in 2022 offered a combined total 153 positions in the match. Participating programs ranked a median of eight applicants per year (IQR 5–11). Of participating applicants, 95 (91.3%) successfully matched and of those 66 (69.5%) received their top choice. Thirty-two programs (76.2%) matched at least one candidate in 2021 and 33 programs (70.2%) matched at least one candidate in 2022. In both years, 24 programs filled all available slots (57.1% in 2021 and 51.1% in 2022).

Conclusion Applicants were extremely successful in the new match, which successfully addressed most of the challenges of the simultaneous offer–acceptance process identified by program directors. However, applicant attrition resulted in a quarter of programs going unmatched. Although many programs still filled slots outside the match, fellowship slots may remain unfilled while the CI practice pathway remains open.

Keywords

accreditation and licensure - clinical informatics - education - physician - workforce

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References
1 Detmer DE, Munger BS, Lehmann CU. Clinical informatics board certification: history, current status, and predicted impact on the clinical informatics workforce. Appl Clin Inform 2010; 1 (01) 11-18
2 Safran C, Shabot MM, Munger BS. et al; AMIA Board of Directors. Program requirements for fellowship education in the subspecialty of clinical informatics. J Am Med Inform Assoc 2009; 16 (02) 158-166
3 American Medical Informatics Association. Clinical Informatics Becomes a Board-certified Medical Subspecialty Following ABMS Vote. 2011. Accessed October 9, 2023 at: https://amia.org/news-publications/clinical-informatics-becomes-board-certified-medical-subspecialty-following-abms
4 Longhurst CA, Pageler NM, Palma JP. et al. Early experiences of accredited clinical informatics fellowships. J Am Med Inform Assoc 2016; 23 (04) 829-834
5 Lehmann CU, Gundlapalli AV, Williamson JJ. et al. Five years of clinical informatics board certification for physicians in the United States of America. Yearb Med Inform 2018; 27 (01) 237-242
6 Pageler NM, Elkin PL, Kannry J, Leu MG, Levy B, Lehmann CU. a clinical informatics program directors' proposal to the American Board of Preventive Medicine. Appl Clin Inform 2020; 11 (03) 483-486
7 Gale D, Shapley LS. College admissions and the stability of marriage. Am Math Mon 1962; 69 (01) 9
8 Wu Y, Taravati P, Yanagihara RT. et al. Inefficiencies in residency matching associated with Gale-Shapley algorithms. J Acad Ophthalmol 2021; 13 (02) e175-e182
9 American Board of Preventive Medicine. The American Board of Preventive Medicine Announces a Three-Year Extension of the Practice Pathway for Clinical Informatics 2022. Accessed March 9, 2023 at: https://www.theabpm.org/2022/03/02/the-american-board-of-preventive-medicine-announces-a-three-year-extension-of-the-practice-pathway-for-clinical-informatics/
10 Turer RW, Levy BP, Hron JD. et al. An open letter arguing for closure of the practice pathway for clinical informatics medical subspecialty certification. Appl Clin Inform 2022; 13 (01) 301-303
11 AAMC. ERAS Statistics. Accessed March 9, 2023 at: https://www.aamc.org/data-reports/interactive-data/eras-statistics-data
12 Bell DS, Baldwin K, Bell EJ. et al. Characteristics of the National Applicant Pool for Clinical Informatics Fellowships (2016–2017). AMIA Annu Symp Proc 2018; 2018: 225-231 Accessed August 15, 2019 at: http://www.ncbi.nlm.nih.gov/pubmed/30815060
13 Bell DS, Baldwin K, Bell III EJ. Characteristics of the National Applicant Pool for Clinical Informatics Fellowships (2018–2020). AMIA Annu Symp Proc 2023; 2022: 241-248
14 Kim E, Lehmann C, Hersh W, Fuller C, Levy B. A debate on the extension of the Practice Pathway for ABMS clinical informatics board certification for physicians in the United States. Paper presented at: American Medical Informatics Association Annual Symposium; November 8, 2022; Washington DC.