A structured framework for pediatric endocrine resident rotations: A single center experience

Abstract

Background Over the past decade, there have been fewer pediatric residents applying to pediatric endocrine fellowship. One possible contributor to this trend is a lack of exposure to pediatric endocrinology outpatient work while in residency. The aim of this narrative review is to describe a single center medical education experience to create a standardized framework for residents rotating through a pediatric endocrine rotation. Methods In a multi-stage process, a working group consisting of medical educators developed a pediatric resident framework for subspeciality rotations and implemented it from 2019–2022. Afterwards, the new framework was evaluated. Results The conceptualization process and the implementation of the framework together can be represented as a modified PDSA. A standardized subspeciality framework resulted in increased resident satisfaction, faculty satisfaction, and popularity of the pediatric endocrinology selective course, thus exposing more residents to pediatric endocrinology. The process required 75–135 minutes of administrative time per resident (15 minutes of administrator time, 60–120 minutes of faculty time) and 120 minutes of teaching time per resident (medical education faculty team). Conclusions This study shows that in a single academic center, restructuring the resident elective in pediatric endocrinology with an eye to customization based on resident interest led to increased resident satisfaction, faculty satisfaction, and increased popularity of the pediatric endocrinology elective course. In an era where overall popularity of pediatric endocrinology is dwindling, but need for specialized expertise is growing, this is a step towards increased resident exposure to the subspecialty.