Title: Analysis of the Institutional Free Market in Accredited Medical Physics Residency Programs Show Chinese title

Title: 认证医学物理住院医师项目的制度自由市场分析

Abstract: Purpose: The pathway to clinical medical physics involves 3 distinct stages of accredited positions, including (i) graduate education, (ii) residency training & (iii) employment. While CAMPEP accredits programs & people, the type of positions and numbers available are each more influenced by local institutional free market forces driving their choices. Methods: Understanding the overall status and trajectories of the full range of residency positions was the rationale for this survey, using publicly available data reported 2017 to 2023 timeframe. Results: Current data shows 108 therapy residency programs with 163 positions, and 38 diagnostic imaging residency programs with 39 positions. The total numbers show growth in positions by +6.5/year in therapy, and +2.1/year in imaging. There are 18 therapy and 10 imaging residencies longer than 2 years, all at university hospitals, and nearly all requiring a PhD. The number of programs that accept graduates with either MS or PhD, versus PhD only, has grown, from 69 to 105 from 2017 to 2023. There was a trend in large health networks increasing their residency numbers from 9 to 23 in this timeframe. The total 7-year growth trend was compared to numbers of graduating students, showing reasonable agreement between positions with expected inter-year variation. Conclusions: There has been growth in numbers of accredited residencies, with accompanying shifts in program types & student education expected. Most are 2-years, while there is smaller growth in longer programs with research added in, primarily at university hospitals. Major growth has occurred in residencies accepting both MS and PhD graduates, while those accepting only PhD graduates tends to be more imaging focused and at university centers. Overall, the number positions has been keeping pace with the known growth in graduates from accredited medical physics graduate programs. Show Chinese abstract

Abstract: 目的：临床医学物理的路径包括三个不同的认证职位阶段，包括（i）研究生教育，（ii）住院医师培训以及（iii）就业。 虽然CAMPEP认证项目和人员，但职位类型和数量更多受到当地机构自由市场力量的影响，从而影响他们的选择。 方法：了解整个住院医师职位范围的整体状况和轨迹是进行此次调查的原因，使用了2017年至2023年期间报告的公开数据。 结果：当前数据显示有108个治疗住院医师项目，共163个职位，以及38个诊断成像住院医师项目，共39个职位。 总数显示治疗职位每年增长+6.5，成像职位每年增长+2.1。 有18个治疗和10个成像住院医师项目超过2年，全部位于大学医院，并且几乎都要求博士学位。 接受具有硕士或博士学位毕业生的项目数量，而不是仅博士学位毕业生的项目数量，从2017年到2023年从69增加到105。 在大型医疗网络中存在一种趋势，其住院医师数量在此期间从9增加到23。 将7年的总增长趋势与毕业学生数量进行了比较，显示职位数量与预期的年度间变化之间有合理的吻合。 结论：认证住院医师的数量有所增长，伴随着项目类型和学生教育的相应变化。 大多数为2年制，而较长项目的增长较小，其中加入了研究内容，主要在大学医院。 主要的增长发生在接受硕士和博士毕业生的住院医师项目中，而仅接受博士毕业生的项目则更侧重于成像，并位于大学中心。 总体而言，职位数量一直与已知的认证医学物理研究生项目的毕业生增长保持同步。