When the Fellowship You Want Doesn’t Exist: How to Build a Subspecialty Niche in Psychiatry and Beyond
A psychiatry resident asks whether fellowship tracks focused on maternal mental health or bipolar II disorder exist — or should. It’s a small question with a large implication: what do you do when your clinical interest is narrower, or newer, than the accredited training pipeline has caught up to? This isn’t rare, and it isn’t […]
APP Permanence Redefines Physician Recruiting Economics

Hospitals’ permanent commitment to APP staffing is restructuring physician recruitment economics, extending time-to-fill beyond 180 days in high-demand specialties while creating compounding acquisition costs from credentialing delays and Medicare enrollment gaps. Organizations competing for physician talent must now measure total acquisition cost—not just vacancy duration—and deploy non-compensation retention tools to remain competitive.