Many Pediatric Subspecialty Fellows Are Not Ready to Graduate From Fellowship in 2 Years.

IF 6.2 2区医学 Q1 PEDIATRICS Pediatrics Pub Date : 2025-03-17 DOI:10.1542/peds.2024-068307

Sarah Pitts, Alan Schwartz, Melissa L Langhan, Pamela High, Scott H James, Ruchika Karnik, Tandy Aye, Donald L Boyer, Diane E J Stafford, Jennifer A Rama, Bradley W Robinson, Deborah Hsu, Mary E Moffatt, Cary Sauer, Jay J Mehta, Mark P Atlas, Kathleen A McGann, Patricia R Chess, Megan L Curran, Pnina Weiss, John D Mahan, Vanessa McFadden, Daniel S Kamin, Jennifer Kesselheim, Angela S Czaja, Christiane E L Dammann, Jill Fussell, Roshan P George, Bruce E Herman, Michelle A Lopez, Orquidia Torres, David A Turner, Richard Mink

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Abstract

Background and objectives: The American Board of Pediatrics requires that proposed changes to the duration of pediatric subspecialty training must include a framework for competency assessment with a measurement component. We analyzed the clinical Entrustable Professional Activity (EPA) level of supervision ratings across 3-year pediatric fellowships to determine if trainees met the minimum thresholds for graduation after 2 years of fellowship training.

Methods: From spring 2019 through spring 2022, Clinical Competency Committees (CCCs) reported fellow supervision level ratings for all clinical EPAs, fellowship program directors (FPDs) assessed the scholarship EPA supervision level, and fellows self-reported their required level of supervision for all EPAs. Ratings were compared with minimum supervision level thresholds for fellow graduation previously identified by FPDs. We analyzed the proportion of fellows achieving these EPA supervision level thresholds after 2 and 3 years of training.

Results: CCCs reported ratings for 1538 second-year and 1505 third-year fellows. Fewer than 50% of fellows met clinical EPA supervision level thresholds for graduation after 2 years of training, increasing to 86%-100% across subspecialties at 3 years. Fellow self-assessment aligned well with CCC ratings. FPDs reported that 64%-68% of fellows across subspecialties met the scholarship EPA supervision level threshold for graduation after 2 years compared with 99%-100% at 3 years.

Conclusions: As pediatric fellowships are currently structured and using an EPA assessment framework, many trainees are not ready to graduate after 2 years.

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来源期刊

Pediatrics 医学-小儿科

CiteScore

12.80

自引率

5.00%

发文量

791

审稿时长

2-3 weeks

期刊介绍： The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.