Varun K Phadke,Saman Nematollahi,Julie M Steinbrink,Rachel Bartash,Megan K Morales,Scott C Roberts,Monica I Ardura,Nicole M Theodoropoulos
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Previous surveys of fellows identified opportunities to improve TID education resources but did not explore didactic, clinical, and nonclinical experiences comprehensively.\r\n\r\nMethods\r\nThe American Society of Transplantation ID Community of Practice surveyed adult and pediatric fellows in US-based general ID or dedicated TID training programs to explore their didactic exposure, clinical experiences, and non-direct patient care activities in TID.\r\n\r\nResults\r\nA total of 234 fellows initiated the survey, and 195 (83%) (190 general ID and 19 TID fellows, including 125 adult, 76 pediatric, and 8 combined adult-pediatric fellows) completed the entire survey. More than half of the fellows described receiving no formal curricular content on most foundational topics in transplant medicine. Almost all respondents (>90%) had some inpatient TID experience, but for >60% of fellows this was <12 weeks annually. Clinical exposure varied by fellow and patient type-in an average month rotating on an inpatient TID service, more than half of adult fellows had evaluated ≥10 kidney, liver, or hematopoietic stem cell transplant recipients but <10 heart, lung, pancreas, or intestinal recipients; pediatric fellows saw <10 of all patient types. Nearly half (46%) of general ID fellows had not spent any time in the dedicated TID clinic at their program. Few fellows had participated in protocol development, organ selection meetings, or donor evaluations.\r\n\r\nConclusions\r\nThis survey highlights important gaps in TID training. Given the increasing need for TID specialists, updated curricula and educational resources are needed.","PeriodicalId":19517,"journal":{"name":"Open Forum Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Defining the Landscape of Educational Experiences in Transplant Infectious Diseases: A National Survey of Infectious Diseases Fellows in the United States.\",\"authors\":\"Varun K Phadke,Saman Nematollahi,Julie M Steinbrink,Rachel Bartash,Megan K Morales,Scott C Roberts,Monica I Ardura,Nicole M Theodoropoulos\",\"doi\":\"10.1093/ofid/ofae473\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background\\r\\nTransplant infectious diseases (TID) is a growing area of expertise within infectious diseases (ID), but TID training is not standardized. Previous surveys of fellows identified opportunities to improve TID education resources but did not explore didactic, clinical, and nonclinical experiences comprehensively.\\r\\n\\r\\nMethods\\r\\nThe American Society of Transplantation ID Community of Practice surveyed adult and pediatric fellows in US-based general ID or dedicated TID training programs to explore their didactic exposure, clinical experiences, and non-direct patient care activities in TID.\\r\\n\\r\\nResults\\r\\nA total of 234 fellows initiated the survey, and 195 (83%) (190 general ID and 19 TID fellows, including 125 adult, 76 pediatric, and 8 combined adult-pediatric fellows) completed the entire survey. More than half of the fellows described receiving no formal curricular content on most foundational topics in transplant medicine. Almost all respondents (>90%) had some inpatient TID experience, but for >60% of fellows this was <12 weeks annually. 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引用次数: 0
摘要
背景移植感染性疾病(TID)是感染性疾病(ID)中一个不断发展的专业领域,但TID培训并不规范。方法美国移植 ID 实践社区学会对美国普通 ID 或专门 TID 培训项目的成人和儿科研究员进行了调查,以了解他们在 TID 方面的教学接触、临床经验和非直接患者护理活动。结果共有234名研究员发起了调查,195人(83%)(190名普通内科研究员和19名TID研究员,包括125名成人研究员、76名儿科研究员和8名成人-儿科联合研究员)完成了整个调查。超过半数的研究员表示没有接受过有关移植医学大多数基础主题的正式课程内容。几乎所有受访者(超过 90%)都有过一些 TID 住院经验,但超过 60% 的研究员每年的住院时间少于 12 周。临床接触因研究员和患者类型而异--在TID住院服务轮转的平均一个月中,一半以上的成人研究员评估过≥10名肾脏、肝脏或造血干细胞移植受者,但评估过<10名心脏、肺脏、胰腺或肠道受者;儿科研究员见过<10名所有类型的患者。近一半(46%)的普通ID研究员在其项目中没有在专门的TID诊所工作过。很少有研究员参与过方案制定、器官选择会议或捐赠者评估。鉴于对 TID 专家的需求不断增加,需要更新课程和教育资源。
Defining the Landscape of Educational Experiences in Transplant Infectious Diseases: A National Survey of Infectious Diseases Fellows in the United States.
Background
Transplant infectious diseases (TID) is a growing area of expertise within infectious diseases (ID), but TID training is not standardized. Previous surveys of fellows identified opportunities to improve TID education resources but did not explore didactic, clinical, and nonclinical experiences comprehensively.
Methods
The American Society of Transplantation ID Community of Practice surveyed adult and pediatric fellows in US-based general ID or dedicated TID training programs to explore their didactic exposure, clinical experiences, and non-direct patient care activities in TID.
Results
A total of 234 fellows initiated the survey, and 195 (83%) (190 general ID and 19 TID fellows, including 125 adult, 76 pediatric, and 8 combined adult-pediatric fellows) completed the entire survey. More than half of the fellows described receiving no formal curricular content on most foundational topics in transplant medicine. Almost all respondents (>90%) had some inpatient TID experience, but for >60% of fellows this was <12 weeks annually. Clinical exposure varied by fellow and patient type-in an average month rotating on an inpatient TID service, more than half of adult fellows had evaluated ≥10 kidney, liver, or hematopoietic stem cell transplant recipients but <10 heart, lung, pancreas, or intestinal recipients; pediatric fellows saw <10 of all patient types. Nearly half (46%) of general ID fellows had not spent any time in the dedicated TID clinic at their program. Few fellows had participated in protocol development, organ selection meetings, or donor evaluations.
Conclusions
This survey highlights important gaps in TID training. Given the increasing need for TID specialists, updated curricula and educational resources are needed.
期刊介绍:
Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.