Results of the neuroradiology fellowship match for July 1, 2002 candidates.

The selection of fellows in radiology subspecialties has not been a well-organized process and has led to a high degree of dissatisfaction among all parties. The granting of positions in subspecialty training programs proceeds by means of an interview process that is not centrally organized, includes variable periods for timing of interviews, and allows differing periods during which offers can be made by programs and considered by candidates. As a result, candidates face a number of difficulties. First, the interview periods for programs that an individual candidate is considering often do not overlap. This problem leads to short time intervals in which candidates must make decisions, with the concern of rescinded offers ever present. Second, over the past several years, interview periods have begun earlier in a radiology resident’s career. As a result, residents need to choose their subspecialty training (and a particular program) after only 2 years of residency. In some cases, the resident’s exposure to neuroradiology at this stage may be limited to as little as 1 month in the service, and therefore, fewer residents may seek additional training in this specialty. The commitment of candidates to a position almost 21 months prior to service fails to account for intervening important life events, such as marriage, divorce, employment opportunities for a significant other, childbirth, or unexpected changes in professional goals. In a recent survey, more than 55% of neuroradiology fellowship directors reported the occurrence of ethical dilemmas caused by candidates who renege on their earlier commitments and/or by the solicitation