At the 2017 American Society of Nephrology (ASN) Training Program Directors (TPD) meeting in New Orleans, preliminary information about the nephrology fellowship match predicted that the recent trend of unfilled positions would continue for the present. Despite that information, there was an unambiguous optimism owing to the improvement in job opportunities for new graduates over the past year.
The most recent ASN annual exit survey of nephrology fellows reported that “perceptions of local nephrology job opportunities were much improved compared to earlier years for both US medical graduates and international medical graduates.” Furthermore, new “fellows’ anticipated salaries in 2017 were higher than in previous years.”
The other important information from the survey included concerns that persist, mostly related to lifestyle issues. Weekend duties, overnight calls, location, salary, practice setting, and length of each workday were very important in work selection. Overall, it seemed that 2014 and 2015 were the worst years for nephrology fellowship, with the lowest number of jobs for new graduates. Not surprisingly, during these years, existing nephrology trainees were least likely to advise medical students to enter nephrology as a career. Overall, it seems to be the start of the end of a bleak period for those involved with nephrology fellowship.