RE: The state of postgraduate fellowship training
I agree with all of you. Fellowship training is wonderful extension of education. However, there are certain aspects that make them difficult to market and sustain. Most are privately funded either by grants from academic associations, foundations, pharmaceutical or orthopaedic industry, hospitals, or from practices themselves. Like everything else, renewability is a yearly issue as funding may not be consistent forcing programs to seek different funding sources or modifying their budget. I don't know of any fellowship program funded by Medicare Part A. Number 2, I know that fellowship directors are having a difficult time receiving a competitive volume of applicants as every podiatry resident receives a standard 3 years of training feeling that this sufficiently prepares them for practice not requiring further training. Additionally, with loans mounting over 11 years since college and payments around the corner, seizing that job opportunity starts to look very appealing.