Research exposure during pediatric residency: influence on career expectations

Cull, William L.; Yudkowsky, Beth K.; Schonfeld, David J.; Berkowitz, Carol D.; Pan, Richard

doi:10.1067/s0022-3476(03)00324-x

Cited by 61 publications

(65 citation statements)

References 15 publications

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“…3,17 In contrast, we asked residents to choose the most important factor in their decision. The 2 most commonly selected factors in our study (structured hours/lifestyle and interest in a specific disease/patient population) were selected as important by more than 50% in the AAP studies from a list in which there were no limits on the number of choices.…”

Section: Discussionmentioning

confidence: 99%

General Pediatrics Resident Perspectives on Training Decisions and Career Choice

et al. 2009

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OBJECTIVE. Little is known regarding at what point during the training period residents in pediatrics make decisions on their future career choices. As part of a dedicated process of reexamining the structure of residency training in pediatrics, the American Board of Pediatrics sought information to better understand the influences, process, and sequencing of both residency program selection and career decision-making among residents.METHODS. All pediatrics resident physicians in all training programs in the United States and Canada (N ϭ 8290) received the survey as part of the general pediatrics in-training examination. The survey focused on exploring how and when pediatrics residents make career choices and assessed perceived flexibility of their individual pediatrics residency program.RESULTS. The response rate was 95%. Location was the most important factor in selecting a residency program for 42% of all residents. Almost half of the pediatrics residents planned to pursue fellowship training after residency, a proportion that changed little across the 3 training years (level 1: 47%; level 2: 49%; level 3: 47%). Those who planned to pursue a general pediatrics career (either with or without inpatient care) were more likely than those who intended to pursue fellowship training to report that lifestyle was the most important factor in their career choice (63% vs 21%).CONCLUSIONS. Not surprisingly, different priorities motivate pediatricians to pursue specific programs for training and specific career options. The finding that those with the highest priority regarding lifestyle are more likely to pursue generalist training has implications for the generalist workforce, because those persons may also be more likely to seek part-time employment. Lifestyle concerns may need to be addressed in subspecialty training and subsequent subspecialty careers to ensure a continued flow of residents into fellowship training. Pediatrics 2009;123:S26-S30 T HE DECISION-MAKING PROCESS of residents regarding their future career paths is believed to be associated with a variety of factors. Little is known regarding at what point during the training period residents in pediatrics make decisions on their future career choices. Previous studies have attempted to examine potential predictors during medical school through residency. [1][2][3] It is likely that there are particular subgroups of residents for whom specific influences and experiences have greater influence than others.It is also unknown whether residents choose specific training programs because of their perceived flexibility, whether they desire additional flexibility in their training experiences, and whether such flexibility would have an affect on career choice and the decision to pursue subspecialty fellowship training.Residency training, with respect to duty hours, has changed considerably with the advent of the 80-hour workweek requirements. However, the fundamental structure of pediatrics programs, their mix of inpatient and outpatient care, and their degre...

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Section: Discussionmentioning

confidence: 99%

General Pediatrics Resident Perspectives on Training Decisions and Career Choice

et al. 2009

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“…Previous studies have identified research exposure during residency and academic career goals as important considerations to residents who are contemplating a subspecialist career. [2][3][4] In addition, there is no information regarding whether the general pediatrics training received in residency is perceived as valuable by subspecialists and if such training is viewed by some as simply a necessary prerequisite to enter subspecialty training. A better understanding of the utility of residency training from the perspective of subspecialists may help to guide efforts to modify the structure of residency training to provide the greatest possible relevance for pediatricians who undertake fellowship training.…”

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confidence: 99%

Recently Trained Pediatric Subspecialists: Perspectives on Training and Scope of Practice

Freed¹,

Dunham

Switalski

et al. 2009

Pediatrics

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OBJECTIVES. Little is known regarding the factors influencing the decision to pursue pediatric subspecialty fellowship training and the timing of when such a decision is made. In addition, there is no information regarding whether the general pediatrics training received in residency is perceived as valuable by subspecialists. This study was conducted to characterize the strengths and weaknesses of residency and fellowship training from the perspective of recently trained pediatric subspecialists and to assess their current and future career goals and intended scope of practice. RESULTS. The overall response rate was 77%. More than half (54%) of the recently trained subspecialists would have shortened either their pediatric residency or fellowship training if given the opportunity, and 7% were unsure. More than one third of the respondents made the decision to pursue subspecialty training before the start of residency (36% [n ϭ 198]), whereas approximately half of them made this decision during the first (19% [n ϭ 106]) or second (27% [n ϭ 150]) year of residency.CONCLUSIONS. Many subspecialists would have been interested in modifications to their pediatric residency and fellowship training programs, which may reflect changing patterns of professional activities or the preferences of a younger generation of subspecialists. Given that a substantial proportion of subspecialists decide to pursue subspecialty training before or early in residency, greater flexibility in configuring some residency experiences to meet their career goals would be feasible. Pediatrics 2009;123:S44-S49 M OST PEDIATRIC SUBSPECIALISTS in practice in the United States have completed 3 years of general pediatrics residency training. A small number of trainees, who wish to combine training in pediatrics with another specialty or focus their future careers in subspecialty-oriented research, complete alternative training pathways that shorten the time spent in residency and allow for a more rapid transition to additional research training and subspecialty clinical experiences. 1 Little is known regarding the factors that influence the decision to pursue pediatric subspecialty fellowship training and the timing of when such a decision is made. Previous studies have identified research exposure during residency and academic career goals as important considerations to residents who are contemplating a subspecialist career. [2][3][4] In addition, there is no information regarding whether the general pediatrics training received in residency is perceived as valuable by subspecialists and if such training is viewed by some as simply a necessary prerequisite to enter subspecialty training. A better understanding of the utility of residency training from the perspective of subspecialists may help to guide efforts to modify the structure of residency training to provide the greatest possible relevance for pediatricians who undertake fellowship training.This study was conducted to characterize the strengths and weaknesses of residency and fellows...

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“…Obtaining experience in research and scholarly pursuits on the path to becoming leaders is expected from our residents and particularly from those who are aiming for an academic career [3][4][5]. In many countries, writing a thesis [6,7] or presentation of a thesis [8] is required as part of the medical curriculum [8].…”

Section: Brief Communication (Original)mentioning

confidence: 99%

Publication of pediatric residency research theses from Prince of Songkla University, Hat Yai, Thailand

Jaruratanasirikul

Khotchasing

2015

Asian Biomedicine

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Background:The Royal College of Pediatricians of Thailand requires that all its residents complete a full thesis before their final Thai Pediatric Board Examination. The Department of Pediatrics of the Faculty of Medicine, Prince of Songkla University (PSU) has been certified for pediatric residency training since 1985. Objectives: To determine the number of articles published in medical journals that are based on the theses of residents during 25 years of pediatric resident training, and how long after finishing their residency training the articles were published. Methods: Medical journal databases were searched for the names of former pediatric residents. The faculty staff who had supervised them during their training were asked to confirm whether the residents had published their work. Results: During the 25 years (1988-2012), we found records of 34 articles based on the theses of 130 residents published in a medical journal (26%). In the early phase (1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002), 15 articles from 67 theses (22%) were published: 10 (67%) in Thai or regional English language journals, and 5 (33%) in international peer-reviewed journals. In the second phase (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012), 19 articles from 63 theses (30%) were published: 6 (32%) in regional English language journals, and 13 (68%) in peer-reviewed international journals. Conclusions:The publication rate of PSU pediatric residency research theses during the 25 years was 26%. We recommend that our faculty devote more time to ensuring supervision of the thesis writing component of the residency training to increase the publication rate of research theses by our residents.

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Research exposure during pediatric residency: influence on career expectations

Cited by 61 publications

References 15 publications

General Pediatrics Resident Perspectives on Training Decisions and Career Choice

General Pediatrics Resident Perspectives on Training Decisions and Career Choice

Recently Trained Pediatric Subspecialists: Perspectives on Training and Scope of Practice

Publication of pediatric residency research theses from Prince of Songkla University, Hat Yai, Thailand

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