Design: Retrospective cohort study.

Setting: Fellowship in MIGS (FMIGS) programs in the United States and Canada with graduating Classes of 2021 to 2023.

Patients or Participants: FMIGS graduates were identified from American Association of Gynecologic Laparoscopists (AAGL) online materials and cross-referenced with publicly available data sources. Logistic regression was used to assess associations between academic appointment and various factors, including self-identified gender, medical degree type, additional advanced degrees, region of fellowship, primary hospital type in fellowship (e.g. university-based), fellowship affiliation with a residency program, and year of graduation.

Interventions: None.

Measurements and Main Results: Of 136 FMIGS graduates between 2021-2023, 80.2% were female and 98.5% held MD degrees. As of 2024, 60.3% held positions in academic medicine, including 72 Assistant Professors, 8 Clinical Instructors, and 2 Associate Professors. There were no differences in gender, degree type, fellowship region or residency affiliation, hospital type, or year between those who pursued academic vs. private practice. Among fellows who stayed in academic medicine, 66.7% graduated from university-based fellowship programs. Prior training location influenced employment, with 30.9% of graduates employed at the same institution as their fellowship and/or residency. Geographically, FMIGS graduates in academic institutions were clustered in the Northeast (29.3%) and South (30.5%), while those in private practice were predominantly in the West (32.1%).

Conclusion: Over 60% of recent MIGS graduates currently practice in an academic setting. No demographic or fellowship-specific factors were independently predictive of an academic appointment, suggesting that other factors may drive practice setting. Residency and fellowship programs may benefit from recruiting and training new MIGS trainees, as many stay on to teach at these institutions.