Categorical Pediatric Residency Program Curriculum Needs: A Study of Graduating Residents and Residency Program Leadership

Hilgenberg, Sarah L.; Frintner, Mary Pat; Blankenburg, Rebecca; Haftel, Hilary M.; Gellin, Caren

doi:10.1016/j.acap.2020.09.014

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Last, only 10% of PHO attendings and 42% of PHO fellowship programs responded to this survey. Despite these incomplete response rates, these values are comparable to those observed in similar studies 27‐30,35,36 . To the best of our knowledge, this effort, which used the first three steps of curriculum development, 6 was the first to assess PHO program directors, attendings, and fellows for their interest in and needs for a cancer genomics curriculum.…”

Section: Discussionsupporting

confidence: 74%

“…Today, distance and online learning are prevalent 28,29 . The incorporation of technology in the classroom has only increased with the COVID19 pandemic 28‐30 . Most PHO program directors indicate that it would be best to deliver a cancer genomics curriculum during the first year of fellowship, with online modules and direct patient care as primary components.…”

Section: Discussionmentioning

confidence: 99%

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Creating a cancer genomics curriculum for pediatric hematology‐oncology fellows: A national needs assessment

et al. 2021

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Background With the advent of next generation sequencing, tumor and germline genomic testing are increasingly being used in the management of pediatric cancer patients. Despite this increase in testing, many pediatric hematology–oncology (PHO) providers are not confident interpreting or utilizing tumor or germline genomic results to care for their patients. Methods We developed and delivered a needs assessment survey to PHO program directors, attendings, and fellows in the United States to understand this deficiency, gather data on existing cancer genomics educational initiatives, and query preferences for creating a future curriculum. Results The survey includes 31 (41%) of 74 invited PHO program directors, 110 (11%) of 1032 invited attendings, and 79 fellows. The majority of attending physicians and fellows responding to the survey agree that understanding tumor (95% attending physicians; 95% fellows) and germline (86% attending physicians; 94% fellows) genomic information is essential for their practice. However, only 9 of 31 (29%) responding programs report that they have an existing cancer genomics curriculum. Most program directors indicated that the ideal genomics curriculum would occur during the first year of fellowship and incorporate direct patient care, online modules, and problem‐based learning. Attending physicians and fellows identified that addressing indications for ordering tumor and germline genomic testing, counseling about the risks and benefits of such testing, and interpreting and individualizing clinical management based on tumor and germline results should be included in a future curriculum. Conclusion The results of this study reveal a great need to develop a curriculum that can be offered across PHO fellowship programs to expand knowledge in the area of cancer genomics.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Creating a cancer genomics curriculum for pediatric hematology‐oncology fellows: A national needs assessment

et al. 2021

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Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology

Soranno,

Amaral,

Ashoor

et al. 2024

Pediatr Nephrol

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Importance Pediatric patients with complex medical problems benefit from pediatric sub-specialty care; however, a significant proportion of children live greater than 80 mi. away from pediatric sub-specialty care. Objective To identify current knowledge gaps and outline concrete next steps to make progress on issues that have persistently challenged the pediatric nephrology workforce. Evidence review Workforce Summit 2.0 employed the round table format and methodology for consensus building using adapted Delphi principles. Content domains were identified via input from the ASPN Workforce Committee, the ASPN’s 2023 Strategic Plan survey, the ASPN’s Pediatric Nephrology Division Directors survey, and ongoing feedback from ASPN members. Working groups met prior to the Summit to conduct an organized literature review and establish key questions to be addressed. The Summit was held in-person in November 2023. During the Summit, work groups presented their preliminary findings, and the at-large group developed the key action statements and future directions. Findings A holistic appraisal of the effort required to cover inpatient and outpatient sub-specialty care will help define faculty effort and time distribution. Most pediatric nephrologists practice in academic settings, so work beyond clinical care including education, research, advocacy, and administrative/service tasks may form a substantial amount of a faculty member’s time and effort. An academic relative value unit (RVU) may assist in creating a more inclusive assessment of their contributions to their academic practice. Pediatric sub-specialties, such as nephrology, contribute to the clinical mission and care of their institutions beyond their direct billable RVUs. Advocacy throughout the field of pediatrics is necessary in order for reimbursement of pediatric sub-specialist care to accurately reflect the time and effort required to address complex care needs. Flexible, individualized training pathways may improve recruitment into sub-specialty fields such as nephrology. Conclusions and relevance The workforce crisis facing the pediatric nephrology field is echoed throughout many pediatric sub-specialties. Efforts to improve recruitment, retention, and reimbursement are necessary to improve the care delivered to pediatric patients. Graphical Abstract

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Vision Check: A Year in (Re)View From the APPD

Poitevien

Blankenburg

Pitt

2022

Academic Pediatrics

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Categorical Pediatric Residency Program Curriculum Needs: A Study of Graduating Residents and Residency Program Leadership

Cited by 4 publications

References 12 publications

Creating a cancer genomics curriculum for pediatric hematology‐oncology fellows: A national needs assessment

Creating a cancer genomics curriculum for pediatric hematology‐oncology fellows: A national needs assessment

Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology

Vision Check: A Year in (Re)View From the APPD

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