How Are Pediatric Training Programs Preparing Residents for Practice?

Greenberg, Larrie; Getson, Pamela R.; Brasseux, Cynthia; Pattishall, Evan G.; Kataria, Sudesh; Bartlett, Glen S.; Tully, Susan B.; Shea, Daniel A.

doi:10.1001/archpedi.1991.02160120057019

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…However, these are all US studies and training programmes in the USA have a different focus compared with Canadian programmes. US paediatric residencies are 3‐year programmes designed to prepare primary care paediatricians, whereas Canadian training requires 4 years and is designed to prepare paediatric consultants 7,8 , 17–19 …”

Section: Introductionmentioning

confidence: 99%

How well do paediatric residency programmes prepare residents for clinical practice and their future careers?

Lieberman

Hilliard

2006

Med Educ

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The results of the study are comparable with those of previous studies carried out in the USA and reinforce the need for regular programme assessment. This study will hopefully lead to the improvement of current paediatric residency programmes and enhanced education and training of future paediatricians. Although overall satisfaction with training was high, paediatric programmes need to make some changes by providing more appropriate training with less tertiary care, hospital-based training and more community and ambulatory-based experiences.

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Section: Introductionmentioning

confidence: 99%

How well do paediatric residency programmes prepare residents for clinical practice and their future careers?

Lieberman

Hilliard

2006

Med Educ

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“…7,8 Multiple changes to the traditional residency curriculum have been proposed to address the Residency-Practice Training Mismatch. [7][8][9][10][11][12] At the University of Massachusetts Medical Center (UMMC), the response included moving the resident continuity experience from hospital clinics to practices. This report describes a survey of UMMC residency graduates and their first employers, to determine resident preparedness for primary care practice.…”

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confidence: 99%

The University of Massachusetts Medical Center Office-based Continuity Experience: Are We Preparing Pediatrics Residents for Primary Care Practice?

Roberts¹,

Starr²,

DeWitt³

1997

Pediatrics

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ABSTRACT. Objective. Surveys of residency graduates and employers have suggested that residency programs do not prepare residents well for practice. Since 1988, pediatric residents at the University of Massachusetts have been paired one-on-one with an office-based pediatrician for their 3-year continuity experience. This survey was conducted to determine if graduates of such a program are prepared to enter pediatric practice.Methodology. Graduates of the program from 1991 through 1995 who entered primary care practice were surveyed about their preparedness for practice. The questionnaire was also sent to the residents' first employers. The 32 questions were directed to overall sense of preparedness, ability to manage the pace of practice, common illnesses, common behavior problems, anticipatory guidance, office management, and subspecialty problems.Results. Data from all 25 residents who entered practice and the employers of 20 of the 25 residents were obtained and analyzed. Both groups rated overall resident preparedness to be "well-prepared" or "very wellprepared" and gave high scores on working at the pace of practice, diagnosing and treating common illnesses, diagnosing and treating common behavior problems, and providing anticipatory guidance. Areas in which residents were considered to be less well-prepared included anticipatory guidance about nutrition, managing problems by telephone, office management, gynecology, and orthopedics.Conclusions. The results suggest that continuity experiences in office practices are associated with preparation for the pace and types of visits that occur commonly in primary care practice, abilities which previous surveys of residency alumni and employers have found lacking. Some areas may benefit from a formal curriculum which may be implemented in the office practice, at the medical center, or at both sites. Preceptors may benefit from faculty development and continuing medical education that is directed not only at teaching skills but also at content areas which were not addressed in their own residencies. Pediatrics 1997;100(4). URL: http://www.pediatrics.org/ cgi/content/full/100/4/e2; education, medical, graduate; preparedness for practice; internship and residency; pediatrics/education; physicians; evaluation studies; faculty, medical; health maintenance organizations; questionnaires.ABBREVIATIONS. AAP, American Academy of Pediatrics; UMMC, University of Massachusetts Medical Center; HMO, health maintenance organization; DBP, developmental and behavioral pediatrics.

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“…Despite increased exposure to community-based training, graduating residents are facing a job market with decreasing salaries, increased competition for positions, and higher debt loads. 1 Residents get little exposure to the day-to-day issues of managing a private or academic practice, 2,3 yet are expected to matriculate into management roles as they graduate from training. Surveys of recent graduates 4,5 show that physicians starting in practice quickly recognize the importance of specific training in medical management.…”

Section: Introductionmentioning

confidence: 99%

Teaching Practice Management Skills to Pediatric Residents

Babitch

2006

Clin Pediatr (Phila)

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To satisfy the core competencies required by the Pediatric Residency Review Committee, the author describes an educational program for the residents in a large pediatric training program. The course provides a year-long overview of multiple medical management topics. The sessions cover nonclinical subjects usually missed in other educational settings, with particular focus on areas of finance, compliance, personnel management, career advancement, and leadership. The series is currently in its third year, with a positive response from the participants, and demonstrated improvement in resident knowledge of the covered areas.

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How Are Pediatric Training Programs Preparing Residents for Practice?

Cited by 9 publications

References 5 publications

How well do paediatric residency programmes prepare residents for clinical practice and their future careers?

How well do paediatric residency programmes prepare residents for clinical practice and their future careers?

The University of Massachusetts Medical Center Office-based Continuity Experience: Are We Preparing Pediatrics Residents for Primary Care Practice?

Teaching Practice Management Skills to Pediatric Residents

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