Fellowship training: a qualitative study of scope and purpose across one department of medicine

Karpinski, Jolanta; Ajjawi, Rola; Moreau, Katherine

doi:10.1186/s12909-017-1062-5

Cited by 21 publications

(14 citation statements)

References 29 publications

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“…The questions were developed by the authors who have expertise in survey question design corresponding to the surveying emergency medicine guideline [12]. We reviewed and adapted the survey from previous studies evaluating fellowship graduates' current work, responsibility in the ED and beyond, grants and publications, satisfaction in post-training career path, and work-life balance [13][14][15][16]. Our final survey had 36 questions (see appendix A) to assess the GEM fellows' experience within the fellowship and their careers since graduating.…”

Section: Survey Developmentmentioning

confidence: 99%

Impact of Geriatric Emergency Fellowship Training on the careers of Emergency Physicians

Thatphet¹,

Rosen²,

Kayarian³

et al. 2021

Cureus

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The geriatric population continues to increase and will impact the emergency department (ED). Older adult patients require different care from other groups of patients. Hence, it is essential to create a workforce that specializes in geriatric emergency medicine (GEM). Geriatric emergency medicine fellowships were developed to serve this need. However, despite 20 years since the creation of GEM fellowships, it is not known how GEM fellowships have impacted the career of graduates of GEM fellowships. The goal of this study is to examine the impact of these geriatric emergency fellowship training programs on the career of geriatric emergency fellows. MethodsWe surveyed the emergency physicians who had graduated from GEM fellowship programs in the US and Canada by using a 36-question, web-based questionnaire. The survey was pilot-tested on five GEM experts, fellowship graduates, and a GEM fellowship director. ResultWe had a 68% survey completion rate, two partially answered the study. All participants reported that they continue to have GEM as a part of his/her career. More than half either received grants, published papers, helped establish GEM divisions or caring in their hospital, and worked beyond clinical work in the ED, including academic and administrative fields. More than 80% reported that their fellowship helped obtain their current positions and was helpful in career progression. Approximately two-thirds were satisfied with their current work/life balance. ConclusionThe GEM fellowship training has been impactful in the careers of former GEM fellows and has contributed to many becoming leaders in GEM clinical service, administration, education, and research. It can serve as a stepping stone to a leadership position in a GEM career. Furthermore, our study demonstrates that GEM graduates report high levels of career and clinical satisfaction.

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Section: Survey Developmentmentioning

confidence: 99%

Impact of Geriatric Emergency Fellowship Training on the careers of Emergency Physicians

Thatphet¹,

Rosen²,

Kayarian³

et al. 2021

Cureus

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“…Fellowships can bolster the reputation of an institution by producing highly skilled and specialized individuals, while providing a self-sustaining source of difficult-to-recruit specialists to the community. [64] Fellows add to the staffing of the department, expanding the capacity of a potentially limited resource either through enhanced access or ability to create new clinical offerings. The presence of fellows allows for an expansion of the teaching and research capacity of the division, as well.…”

Section: Succession Planning With Community Needs In Mindmentioning

confidence: 99%

Benefits of developing graduate medical education programs in community health systems

Alweis

Donato

Terry

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

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The creation of new CMS-funded Graduate Medical Education (GME) cap positions by the Consolidated Appropriations Act 2021 offers a unique opportunity for systems in community and rural settings to develop and expand their training programs. This article provides a review of the evidence behind the value proposition for system administrators to foster the growth of GME in community health systems. The infrastructure needed to accredit GME programs may reduce the cost of care for both the patients and the system through improved patient outcomes and facilitation of system efforts to recognize and mitigate social determinants of health. Residents, fellows and medical students expand the capacity of the current healthcare workforce of a system by providing coverage during healthcare emergencies and staffing services in difficult-to-recruit specialties. Those trainees are the nucleus of succession planning for the current medical staff, can facilitate the creation and expansion of service lines, and may elevate the profile of the system through scholarly work and equity and quality improvement activities. While creating GME programs in a community health system may, at first glance, be perceived as cost-prohibitive, there are robust advantages to a system for their creation.

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“…First, the primary responsibility of a fellow is to become a competent provider in their specialty to allow them to care for future patients in their specialty. 9 To ask the fellow to serve outside their specialty is asking them to neglect their primary responsibility and has downstream ramifications by decreasing educational opportunities in their field and potentially decreasing their competence level when they care for future patients. Second, and perhaps more important, the way that fellows are compensated is primarily through the education that they receive, as their future (higher) earnings are almost entirely dependent on their specialized training.…”

Section: Counterpointmentioning

confidence: 99%

How Strong Is the Duty to Treat in a Pandemic? Ethics in Practice: Point‐Counterpoint

Redmann

Manning

Kennedy

et al. 2020

Otolaryngol.--head neck surg.

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Case Presentation A healthy 31-year-old pediatric otolaryngology fellow at an academic medical center receives an email from the medical center's leadership asking for the fellow to give their willingness and availability to cover adult intensive care unit (ICU) shifts during the COVID-19 pandemic. The email describes an expected high clinical volume of COVID-19 cases that will outstrip current ICU physician staffing, and it includes a link to a training course for non-ICU trained physicians to care for critically ill patients positive for COVID-19. An additional email from the hospital asks the fellow to serve on an intubation team with anesthesiologists and adult otolaryngologists as part of their overall ICU service. No elective cases are currently being performed due to the COVID-19 epidemic. Emergency and urgent cases are still occurring, with the fellow responsible for inpatient care. The pediatric otolaryngology division chief has stated that all emergency cases are to be done by faculty alone. The fellow is married, has 2 children, and is the only income for the family. There are no other fellows in the program, and all otolaryngology residents on the pediatric otolaryngology service have been asked to leave the service to be deployed at the adult hospital. This case is hypothetical.

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Fellowship training: a qualitative study of scope and purpose across one department of medicine

Cited by 21 publications

References 29 publications

Impact of Geriatric Emergency Fellowship Training on the careers of Emergency Physicians

Impact of Geriatric Emergency Fellowship Training on the careers of Emergency Physicians

Benefits of developing graduate medical education programs in community health systems

How Strong Is the Duty to Treat in a Pandemic? Ethics in Practice: Point‐Counterpoint

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