Author's reply

I thank Okafor et al for their interest in our article "A Critical Need: Increasing Interest in the Field of Allergy and Immunology in Medical Students and Residents" and their thoughtful questions. The general downward trend in the number of candidates per fellowship position in the Allergy and Immunology (AI) fellowship training program match from 1.7 in 2008 to 1.0 in 2018 is concerning and an area of discussion and planning for many in the field.1,2 A study by Macy et al3 revealed that the key time in the decision-making process on whether to pursue fellowship training could be in the final years of medical school or early in primary residency training, so those points in one's career might be the best focus of any interventions to increase engagement and interest in AI.

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