Study of the Clinical Oncology Workforce:

Results of the 2007 Program Director Survey

AAMC Center for Workforce Studies April 18, 2008 –slides updated following call

Prepared by the AAMC Center for Workforce Studies April 2008

Distribution of respondents

Program Count% of

Respondents

Medical Oncology 19 15.3%

Hematology/ Oncology

101 81.5%

Unreported4 3.2%

Total 124 100%

Emails sent to 159 Program Directors• 124 responses (78% response rate)

Prepared by the AAMC Center for Workforce Studies April 2008

30% of respondents indicated they are very likely or somewhat likely to increase the number of positions

Skipped, 43, 36%

Don’t know, 6, 5%Not

Increasing, 34, 27%

Very Unlikely, 4,

3%

Somewhat likely, 29,

23%

Very likely, 8, 6%

Prepared by the AAMC Center for Workforce Studies April 2008

Respondents estimate a 9.5% growth in the number of first year positions from AY07 to AY13*

433 434

462464

474

466

474

410

420

430

440

450

460

470

480

2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

*Respondents ‘somewhat likely’ and ‘very likely’ to increase anticipate only a 5% increase in number of positions

Prepared by the AAMC Center for Workforce Studies April 2008

Source of Funding for Increases for 37 programs Somewhat or Very Likely to Expand

Source N %

Home Institution 27 73%

Private Philanthropy 13 35%

Do Not Know 9 24%

Federal Govt 8 22%

Industry 8 22%

State Govt 3 8%

Cut Funding in Other Areas 1 3%

Other: our program can accommodate 2 more fellows, funding is the issue 1 3%

N=37 (Very Likely/Somewhat Likely to expand)

Prepared by the AAMC Center for Workforce Studies April 2008

Those with plans to increase less concerned with costs of expansion, clinical sites and clinical faculty

Increasing Not IncreasingFinancial Support for Fellows 54% 53%

Costs of Expansion 36% 49%

Research Faculty 21% 14%

Res Training 14% 13%

Lab Space 7% 8%

Clinical Sites 0% 7%

Clinical Faculty 0% 11%

Amb Preceptors 7% 5%

Patient Mix 0% 2%

Very Significant Problem

Prepared by the AAMC Center for Workforce Studies April 2008

Initial Practice Setting of Recent Graduates 2005 2007

Academic 38% 39%

Private Practice 57% 56%

Government 3% 3%

Industry 2% 1%

Other 1% 0%

Unknown 2% 0%

Prepared by the AAMC Center for Workforce Studies April 2008

Number IM residents entering fellowship training increasing

Total Number Completing Internal Medicine Residency, 1997-2006

46%

60%

54%

0

1000

2000

3000

4000

5000

6000

7000

AY1997 AY1998 AY1999 AY2000 AY2001 AY2002 AY2003 AY2004 AY2005 AY2006

Estimated # Entering General Practice

Entering Subspecialty Training

Source: JAMA Med Ed Issues, 1998-2007Prepared by: Center for Workforce Studies, Oct 2007

Prepared by the AAMC Center for Workforce Studies April 2008

First Year Fellows by Specialty

Card

Gastro

Hem/Onc

Intervent Card

0

100

200

300

400

500

600

700

800

900

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Nu

mb

er

Fir

st

Ye

ar

Fe

llow

s

Source: ABIM Website

Prepared by the AAMC Center for Workforce Studies April 2008

Most Programs report 89% of fellows arrive directly from a

US internal medicine residency and 11% of fellows

arrive after some time practicing medicine

Prepared by the AAMC Center for Workforce Studies April 2008

Themes from Comments• Funding for fellows remains a struggle/challenge

• Some programs considering turning to industry for sponsorship

• Low funding rate by NIH discourages academic careers

• Salary gap between academics and private practice detering academic pursuits

Prepared by the AAMC Center for Workforce Studies April 2008

Summary• 30% of respondents plan to increase enrollment

between now and 2013-14

• Respondents project a 9.5% growth in the number of first year positions from AY07 to AY13 – could be closer to 5% if you only count programs that are ‘somewhat likely’ and ‘very likely’ to increase

• Number and quality of applicants per position increasing

• Ratios entering private practice and academics very consistent with earlier survey

• Funding for increases most likely to come from home institutions

2007 ERAS and Match Statistics 971 H/O Applicants

• 229.9 Average Number of Applicants per Program

• 541 Men and 430 Women

664 residents submitted ROL for H/O Match

424 Available H/O Positions

• 416 Positions Filled (98%, O and H 100% filled)

• 248 Unmatched

Prepared by the AAMC Center for Workforce Studies April 2008

2008 Match InformationRank Order List Closes 06/04/08

Match Day 06/18/08

2008 Positions available in Match (2007)

• 44 Oncology (38)

• 22 Heme* (19)

• 426 Hem/Onc (424)* A couple oncology programs have oncology slots in hematology match, listed

differently, done for administrative ease