As the new academic year begins, nephrology fellows beginning their adult nephrology training can look back at the application process with a unique perspective compared with previous years’ fellows. They are the first class to enter the fellowship through the National Resident Match Program. The match has been considered a success in the fellowship community (Kohan and Rosenberg, 2009).
As one applicant cycle has closed, however, fellowship directors begin thinking about the recruitment process for future years. Given the projected shortage of nephrologists (Rosenberg, 2007), fellowship directors wonder if the pool of high-quality applicants will continue to grow. Pediatric nephrology fellowship directors face the same concern about the number of high-quality applicants.
Resident physicians are influenced by many factors as they consider whether to enter nephrology: developing a good understanding of the kidney’s complexities, being exposed to the field early in their educational training, and addressing the personal challenges of balancing family versus fellowship.