Vetere Peter, Cooke Suzette
Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Section of Hospital Pediatrics, Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta.
Paediatr Child Health. 2019 Sep 24;25(7):447-454. doi: 10.1093/pch/pxz113. eCollection 2020 Nov.
The field of paediatric hospital medicine (PHM) is evolving to meet the needs of an increasingly complex paediatric population, lead quality improvement initiatives, and conduct field-specific teaching and research. Over 50 subspecialty PHM fellowship programs exist in the USA and Canada and more are under active development to ensure trainees are prepared to perform competencies specific to the field following transition to independent practice.
The objective of this study was to assess the perceived preparedness of recently graduated general paediatric residents and recently certified staff paediatricians in Canada with respect to the practice of PHM.
A survey based on the 'Objectives of Training in Pediatrics' of the Royal College of Physicians and Surgeons of Canada (RCPSC) was distributed to graduating paediatric residents and recently graduated staff paediatricians (2013 to 2017) practicing in the hospital setting. Qualitative comments were also obtained.
Fifty-five surveys were completed (50%). Respondents perceived that, at the on-set of starting practice, they would require assistance or consultation with the majority of representative PHM task competencies. Differences in perception between the two groups were minimal. Our study identified sub-sets of perceived areas of particular strengths (Professional) and deficiencies (Medical Expert, Manager, and Scholar).
Results may help inform future curricula for general paediatric residency programs and provide insight into competencies that may be better targeted for PHM fellowship training programs. This study may also stimulate discussion regarding entrustable professional activities for paediatric curricula as the medical community shifts to a new paradigm of outcome-based assessment.
儿科医院医学（PHM）领域正在不断发展，以满足日益复杂的儿科人群的需求，引领质量改进举措，并开展特定领域的教学与研究。美国和加拿大有50多个儿科医院医学亚专业 fellowship 项目，还有更多项目正在积极开发中，以确保学员在过渡到独立执业后，有能力执行该领域特定的技能。
本研究的目的是评估加拿大近期毕业的普通儿科住院医师和近期获得认证的儿科医生对儿科医院医学实践的认知准备情况。
基于加拿大皇家内科医师和外科医师学院（RCPSC）的“儿科培训目标”进行的一项调查，被分发给在医院环境中执业的即将毕业的儿科住院医师和近期毕业的儿科医生（2013年至2017年）。还收集了定性意见。
共完成55份调查问卷（50%）。受访者认为，在开始执业时，他们在大多数代表性的儿科医院医学任务技能方面需要协助或咨询。两组之间的认知差异很小。我们的研究确定了特定优势（专业）和不足（医学专家、管理者和学者）的认知领域子集。
研究结果可能有助于为普通儿科住院医师培训项目的未来课程提供参考，并深入了解儿科医院医学 fellowship 培训项目可能更有针对性的技能。随着医学界转向基于结果评估的新范式，本研究还可能激发关于儿科课程可托付专业活动的讨论。
