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As I made plans for my career after residency, I met with a trusted adviser who after discussion of the several options I was considering, fellowship, research, physician positions, assured me not to worry too much.
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Consider fellowship training.
For those with religious beliefs, consider fellowship with those of your faith.
The high court determined that this particular stipend was received as the quid pro quo for (future) services rendered and thus could not be considered a fellowship or scholarship for tax purposes.
In Revenue Ruling 57-127, the IRS Commissioner determined that funds from a government foundation used by an individual for the purpose of conducting a research project free from direction and control of the institution were not to be considered a fellowship because the foundation reserved rights in patents resulting from the research, thereby establishing a quid pro quo.
Wright did not consider the fellowship a formal school, instead viewing it as a benevolent educational institution.
The highest ranked factors given by the residents who had considered a fellowship included wanting to continue one's education after residency, enjoying caring for pulmonary patients, and liking pulmonary physiology and the pulmonary faculty.
Research conducted by Lorin and coworkers [ 10] on internal medicine residents of the Millenial Generation showed that although 41% considered a fellowship in critical care, only 3.4% chose this training because of lack of leisure time and stress levels among faculty and fellows.
As an alternative to arranging sequential fellowships, the program might consider longer fellowships or extensions as a way of ensuring that important projects are completed.
Of the 10 residents who had taken a pulmonary elective, only 2 thought that the elective experience affected their decision in considering a pulmonary fellowship (one from the +PF and one from the -PF group).
Despite fairly high percentages of residents considering a pulmonary fellowship, only 1 resident in the entire group (~1%) actually believed that they would be a pediatric pulmonologist 5 years after the survey was completed.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com