Understanding The Pathology Job Market: An Analysis Of .
Understanding the Pathology JobMarket:An Analysis of 2,330 Pathology JobAdvertisements from 2013-2017Debra L. Zynger, MDProfessorDirector of Urologic PathologyDepartment of PathologyThe Ohio State University Medical CenterNat Pernick, MDPresidentPathologyOutlines.com, Inc.June 27, 2019
Background There has been a downward trend in thenumber of pathology residency applicants
Background 37% of pathologyresidency spots filledby US MDs– Lowest of any specialty Downward trend overthe past 5 years– Only specialty with adownward trendNational Resident Matching Program. Results and Data: Main Residency Match. http://www.nrmp.org/
20% of pathology applicants: pathology is not their1st choice of specialty1st choice for 95% of US MD applicants1st choice for 74% of nonUS MD applicants83% of matched applicants into pathology appliedto only pathology
Associated with a highest career choice regret during the 2nd year of residency:Pathology33%Anesthesiology 21%Dyrbye LN, Burke SE, Hardeman RR, Herrin J, Wittlin NM, Yeazel M, Dovidio JF, Cunningham B, White RO,Phelan SM, Satele DV, Shanafelt TD, van Ryn M. Association of Clinical Specialty With Symptoms of Burnoutand Career Choice Regret Among US Resident Physicians. JAMA. 2018 Sep 18;320(11):1114-1130.
Background It has been suggested that decreaseddedicated pathology courses in the 1st and2nd years of medical school is a contributor todecreased recruitment– No correlation between pathology coursework timeand choice of pathology– Fields with no dedicated courses such as PhysicalMedicine and Rehabilitation are increasingcompetitiveness and fields such as Dermatology,Radiation Oncology, Plastic Surgery, Urology andENT remain competitiveNational Resident Matching Program. http://www.nrmp.org/. Auriemma MJ, Whitehair CL. PM R. 2018 Mar;10(3):286-292.13.Jayakumar KL, Lipoff JB. J Am Acad Dermatol. 2019 Mar;80(3):788-790. Ford JC. Hum Pathol. 2005 Jun;36(6):600-4. Lee et al.Can J Pathol. 2012;4:11-7.
Background The United States pathology job markethas been a source of concern, controversyand confusion which may be impactingrecruitment into the field
Results: Radiology residency positions have increased since 1998 despite a downturn inthe job market. This expansion coincides with a decreasing percentage of positions filled bydomestic graduates. A similar trend has been seen in pathology, a notoriously oversupplied specialty. Conversely, other specialties have maintained their proportion ofdomestic graduates by way of limited supply or implicit demand.Oversupply of PathologistsThe saturation of labor in pathology has been chronicled since the 1990s. The NRMP trendin pathology resembles radiology. Post Graduate Year 1 (PGY-1) pathology positionsincreased by 17 per year between 2001 (363) and 2015 (605). USMGs matching inpathology remained below 65% during the same time period. Many trainees in pathologyundertake two or more fellowships. The American Society for Clinical Pathology 2014Fellowship Job Market Survey reported that fellowship was sought by 96% of residents, with40% of residents and 45% of fellows planning multiple fellowships.Sharafinski ME Jr, Nussbaum D, Jha S. Supply/Demand in Radiology: A Historical Perspective andComparison to other Labor Markets. Acad Radiol. 2016 Feb;23(2):245-51.
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Background There is a paucity of data on the jobmarket with information predominately fromgraduating trainee surveys
Aim Investigate the pathology job marketutilizing a large repository of pathology jobadvertisements
Methods Job advertisements for pathologists postedat www.PathologyOutlines.com from 2013to 2017 were reviewed Locum tenens, residency, fellowship andnon-pathologist positions were excluded
Results 2013 to 2017:2330 job advertisements posted 92% within the United States 7% within CanadaZynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
Results Job ads were posted throughout the year butmost frequently in 4th quarter of the calendaryear (October-December):Q4 (30%) Q3 Q2 Q1 (22%)Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
Results2013-2017Academic53% (1229/2330)Private47% (1101/2330) Gratzinger et al: 38% of survey respondentsaccepted an academic position ASCP Survey: 40% PGY4 plan on academiaZynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.Gratzinger D, Johnson KA, Brissette MD, et al. The Recent Pathology Residency Graduate Job SearchExperience: A Synthesis of 5 Years of College of American Pathologists Job Market Surveys. Arch Pathol LabMed. 2018 Apr;142(4):490-495.ASCP 2018 Fellowship & Job Market Survey.
STSOUTHNortheast29%Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
Results Academic job ads were more commonthan private ads in Midwest and Northeast:academicMidwest 26%Northeast 1%Midwest23%Northeast29%Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
ResultsCer fica on Required 78% required AP 46% required CP 37% required AP/CP Combined AP/CPrequired in 12%academic vs 65%private80%60%40%20%0%AP (AP or AP/CP)CP (CP or AP/CP)AP/CPAP/CP required70%53%35%18%0%AcademicPrivateAP anatomic pathology certification, CP clinical pathology certificationZynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
Results 82% job ads required a subspecialtyZynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.ASCP 2018 Fellowship & Job Market Survey.
Results2013-2017Required intestinal pathology*DermatopathologyMolecular pathologyBreast pathologyGynecologic pathology15%14%11%7%7%6%5%*3 most common non-surgical pathology fellowships completed by trainees. (Gratzinger et al. Arch Pathol Lab Med.2018 Apr;142(4):490-495.)Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
ResultsChange in Subspecialty 015GI path20162017Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
ResultsAcademic vs Private cademicMolecularGI pathPrivateZynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
ResultsJobs Posted Per Year700525350175020132014201520162017Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job AdvertisementsFrom 2013 Through 2017. Arch Pathol Lab Med. 2019 Jan;143(1):9-10.
Conclusion Our analysis supports a stable pathology job marketduring the past 5 year period within the United States There was no evidence of increasing “word-of-mouth”offerings that were not posted or of a shrinking jobmarket There may be an imbalance between number ofpositions open in academia and number of candidatesseeking academic positions Most jobs require subspecialty expertise There are notable differences in desired subspecialtiesbetween academia and private practice
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Gynecologic pathology 5% *3 most common non-surgical pathology fellowships completed by trainees. (Gratzinger et al. Arch Pathol Lab Med. 2018 Apr;142(4):490-495.) Zynger DL, Pernick N. Understanding the Pathology Job Market: An Analysis of 2330 Pathology Job Advertisements From 2013 Through 2017. Ar
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