Original Article

Recent Trends and Challenges in Employment for Emergency Medicine Trainees: A Survey of Graduating Residents’ Perspectives

Authors: Josh Greenstein, MD, Jennifer Kaminsky, MD, Anthony Elias, DO, Aron Friedlander, BS, Barry Hahn, MD, Abbas Husain, MD

Abstract

Objectives: The landscape of the emergency medicine (EM) workforce has undergone significant changes recently, posing challenges for residents who are about to graduate from EM training programs. The objective of this study was to survey graduating residents’ perceptions of the recent EM job market.

Methods: We conducted a cross-sectional survey study involving EM residents from programs in New York and New Jersey between August 2021 and November 2021. The survey consisted of 12 multiple-choice questions that focused on graduating EM residents’ perceptions of the EM job market, its impact on their job search, and their interest in pursuing fellowship training.

Results: During the study period, 436 survey results were collected from 26 EM residency programs. Of the 418 respondents, 233 (56%) expressed their intention to start their job search earlier than their counterparts in previous years, as highlighted by the survey. Among respondents, 141 (76%) postgraduate year (PGY)-2, 139 (79%) PGY-3, and 47 (85%) PGY-4 residents anticipated a challenging job search. Nearly 90% of respondents believed that the coronavirus disease 2019 pandemic would affect both academic and nonacademic medical centers in terms of job openings. A total of 248 (59%) were interested in pursuing a fellowship after residency. Most residents preferred job opportunities on the East and West Coasts of the United States.

Conclusions: The findings highlight the increasing competitiveness and challenges residents face in securing their first job, the declining interest in pursuing fellowships as residents progress in their training, and the geographic preferences for job opportunities.

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References

1. US Bureau of Labor Statistics. Occupational employment and wage statistics. https://www.bls.gov/oes/current/oes291214.htm. Accessed July 1, 2021.
 
2. Marco CA, Courtney DM, Ling LJ, et al. The emergency medicine physician workforce: projections for 2030. Ann Emerg Med 2021;78:726–737.
 
3. Association of American Medical Colleges. ERAS® statistics. https://www.aamc.org/data-reports/data/eras-statistics-data. Accessed July 1, 2021.
 
4. Haas MRC, Hopson LR, Zink BJ. Too big too fast? Potential implications of the rapid increase in emergency medicine residency positions. AEM Educ Train 2019;22:S13–S21.
 
5. Reiter M, Allen BW. The emergency medicine workforce: shortage resolving, future surplus expected. J Emerg Med 2020;58:198–202.
 
6. Marco CA, Nelson LS, Baren JM, et al. American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2016–2017). Ann Emerg Med 2017;69:640–652.
 
7. Carr RM, Lane-Fall MB, South E, et al. Academic careers and the COVID19 pandemic: reversing the tide. Sci Transl Med 2021;13:eabe7189.
 
8. National Resident Matching Program. Results and data: 2022 main residency Match. https://www.nrmp.org/wp-content/uploads/2022/05/2022-Main-Match-Results-and-Data_Final.pdf. Published May 2022. Accessed May 28, 2023.
 
9. National Resident Matching Program. Results and data: 2023 main residency Match. https://www.nrmp.org/wp-content/uploads/2023/05/2023-Main-Match-Results-and-Data-Book-FINAL.pdf. Published May 2023. Accessed May 28, 2023.
 
10. Pang J. COVID-19’s impact on the job market for new physicians. https://www.chwsny.org/wp-content/uploads/2023/05/AAMC_2023_COVID19-Demand_Final.pdf. Published May 4, 2023. Accessed February 28, 2024.
 
11. American College of Emergency Physicians. 2023–2024 emergency physician compensation report. https://www.acepnow.com/article/2023-2024-emergency-physician-compensation-report/. Published August 29, 2023. Accessed February 28, 2024.
 
12. Turner BC, Tsai MH, Black IH, et al. Observations: clinical revenue directly attributable to anesthesiology residents. J Grad Med Educ 2014;6:384.
 
13. National Resident Matching Program. Results of the 2022 NRMP applicant survey. https://www.nrmp.org/wp-content/uploads/2022/09/NRMP-2022-Applicant-Survey-Report-Final.pdf. Published 2022. Accessed May 22, 2023.
 
14. National Resident Matching Program. Results of the 2015 NRMP applicant survey by preferred specialty and applicant type. https://www.nrmp.org/wp-content/uploads/2021/07/Applicant-Survey-Report-2015.pdf. Published September 2015. Accessed May 22, 2023.
 
15. Gettel CJ, Courtney DM, Agrawal P, et al. Emergency medicine physician workforce attrition differences by age and gender. Acad Emerg Med 2023; 30:1092–1100.
 
16. National Resident Matching Program. Match data & report archives. https://www.nrmp.org/report-archives. Accessed February 28, 2024.