Baldwin Constance D, Szilagyi Peter G, Dreyer Benard P, Bell Louis M, Baker Raymond C, Cheng Tina L, Coury Daniel L, DeWitt Thomas G, Darden Paul M, Duggan Anne, Ludwig Stephen
Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
Ambul Pediatr. 2007 Sep-Oct;7(5):340-7. doi: 10.1016/j.ambp.2007.05.009.
To improve academic general pediatrics (AGP) fellowship programs by 1) developing curriculum guidelines and program standards and 2) creating a process for program review and consultation that might later be used for accreditation of AGP fellowship programs.
This project of the Ambulatory Pediatric Association (APA) created 4 documents: AGP fellowship program requirements, core curriculum, educational goals and objectives, and a standardized form to describe required program characteristics. Site visits were conducted at 7 volunteer AGP fellowship programs, selected for diversity of content, structure, and location. Evaluations were conducted using a uniform checklist of requirements that combined numerical ratings with a written evaluation summary. Feedback from programs on the review process enabled refinement of the documents.
The site visits revealed great variety in emphasis among the 7 programs. In general, faculty were dedicated and capable, and programs showed considerable educational strengths. Typical problems were lack of integration of the program within departmental structures, overburdened faculty, and uncertain funding. Many programs demonstrated suboptimal curriculum planning and weak evaluation methods. Most program leaders felt that the project materials helped to improve the quality of their programs, and 5 of 7 programs expressed willingness to be involved in formal accreditation review in the future.
AGP fellowship programs that volunteered for piloting of an accreditation process were diverse and vital, with rich educational offerings despite a lack of optimal curriculum structure, minimal evaluation, limited faculty resources, and tenuous funding. An APA accreditation process appears to be feasible and may enhance AGP fellowship programs.
通过以下方式改进学术性普通儿科学（AGP）专科医师培训项目：1）制定课程指南和项目标准；2）创建一个项目评审和咨询流程，该流程日后可能用于AGP专科医师培训项目的认证。
门诊儿科学会（APA）的这个项目创建了4份文件：AGP专科医师培训项目要求、核心课程、教育目标以及一份描述项目所需特征的标准化表格。对7个志愿参与的AGP专科医师培训项目进行了实地考察，这些项目因内容、结构和地点的多样性而被选中。使用一份统一的要求清单进行评估，该清单将数字评分与书面评估总结相结合。各项目对评审过程的反馈使文件得以完善。
实地考察发现，这7个项目的重点差异很大。总体而言，教员敬业且能力出众，项目展现出相当的教育优势。典型问题包括项目在部门结构中缺乏整合、教员负担过重以及资金不确定。许多项目的课程规划欠佳，评估方法薄弱。大多数项目负责人认为项目材料有助于提高其项目质量，7个项目中有5个表示愿意在未来参与正式的认证评审。
自愿参与认证流程试点的AGP专科医师培训项目多样且重要，尽管课程结构欠佳、评估极少、教员资源有限且资金不稳定，但仍提供了丰富的教育内容。APA认证流程似乎可行，可能会提升AGP专科医师培训项目。
