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Purpose <p>Recent literature has highlighted emerging inadequacies in the gastroenterology workforce. Currently, few studies have assessed the training pathway for pediatric gastroenterology. This study analyzes the number of applicants, training positions, and unfilled training positions for pediatric gastroenterology training in the United States (US).</p> Methods <p>This was a cross-sectional study of all applicants for pediatric gastroenterology fellowship training from 2009 to 2025. Match outcomes were calculated using National Resident Matching Program data and annual trends were assessed with linear regression. Comparisons were made with Chi-squared tests. Alpha was set at 0.05.</p> Results <p>Over the study period, growth in the number of training positions (103% increase, <i>P</i> &lt; 0.001) and programs (75.0% increase, <i>P</i> &lt; 0.001) exceeded growth in the number of applicants (29.3% increase, <i>P</i> = 0.015). As a result, the applicant-to-training position ratio decreased (1.37 to 0.87, <i>P</i> &lt; 0.001) while the number of unfilled training positions increased (475% increase, <i>P</i> = 0.049). Annual match rates increased (68.3% to 93.4%, <i>P</i> &lt; 0.001) over the study period while the representation of US allopathic medical school graduates (67.9% to 48.5%, <i>P</i> = 0.048) decreased. Match rates for US allopathic medical school graduates exceeded those for non-US allopathic medical school graduates (90.9% vs 72.5%, <i>P</i> &lt; 0.001). The percentage of applicants who matched at their first—(40.2% to 51.9%, <i>P</i> = 0.039) and second—(8.5% to 16.0%, <i>P</i> = 0.041) choice fellowships increased over the study period while the percentage of unmatched applicants decreased (31.7% to 6.6%, <i>P</i> &lt; 0.001).</p> Conclusion <p>Growth in the supply of pediatric gastroenterology training positions has exceeded demand, which has led to an increase in unfilled training positions. Future surveillance of match outcomes is needed to ensure an adequate pediatric gastroenterologist workforce.</p>

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A 17-Year Analysis of Pediatric Gastroenterology Fellowship Match Outcomes in the United States

  • 期刊论文

  • 发表日期：

    2026年1月15日

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  • Jason Silvestre

摘要

Purpose

Recent literature has highlighted emerging inadequacies in the gastroenterology workforce. Currently, few studies have assessed the training pathway for pediatric gastroenterology. This study analyzes the number of applicants, training positions, and unfilled training positions for pediatric gastroenterology training in the United States (US).

Methods

This was a cross-sectional study of all applicants for pediatric gastroenterology fellowship training from 2009 to 2025. Match outcomes were calculated using National Resident Matching Program data and annual trends were assessed with linear regression. Comparisons were made with Chi-squared tests. Alpha was set at 0.05.

Results

Over the study period, growth in the number of training positions (103% increase, P < 0.001) and programs (75.0% increase, P < 0.001) exceeded growth in the number of applicants (29.3% increase, P = 0.015). As a result, the applicant-to-training position ratio decreased (1.37 to 0.87, P < 0.001) while the number of unfilled training positions increased (475% increase, P = 0.049). Annual match rates increased (68.3% to 93.4%, P < 0.001) over the study period while the representation of US allopathic medical school graduates (67.9% to 48.5%, P = 0.048) decreased. Match rates for US allopathic medical school graduates exceeded those for non-US allopathic medical school graduates (90.9% vs 72.5%, P < 0.001). The percentage of applicants who matched at their first—(40.2% to 51.9%, P = 0.039) and second—(8.5% to 16.0%, P = 0.041) choice fellowships increased over the study period while the percentage of unmatched applicants decreased (31.7% to 6.6%, P < 0.001).

Conclusion

Growth in the supply of pediatric gastroenterology training positions has exceeded demand, which has led to an increase in unfilled training positions. Future surveillance of match outcomes is needed to ensure an adequate pediatric gastroenterologist workforce.