Department of Surgery, Oregon Health and Sciences University, Portland, Oregon; APSTPD Transition to Fellowship Task Force, Louisville, Kentucky.
Department of Surgery, Mayo Clinic, Rochester, Minnesota.
J Surg Educ. 2023 Jan;80(1):62-71. doi: 10.1016/j.jsurg.2022.08.006. Epub 2022 Sep 29.
The first transition to fellowship course for incoming pediatric surgery fellows was held in the US in 2018 and the second in 2019. The course aimed to facilitate a successful transition in to fellowship by introduction of the professional, patient care, and technical aspects unique to pediatric surgery training. The purpose of this study was to evaluate the feasibility and effectiveness of the first two years of this course in the US and discuss subsequent evolution of this endeavor.
This is a descriptive and qualitative analysis of two years' experience with the Association of Pediatric Surgery Training Program Directors' (APSTPD) Transition to Fellowship course. Course development and curriculum, including clinical knowledge, soft skills, and hands-on skills labs, are presented. Participating incoming fellows completed multiple choice, boards-style pre- and post-tests. Scores were compared to determine if knowledge was effectively transferred. Participants also completed post-course evaluations and subsequent 3- or 12-month surveys inquiring on the lasting impact of the course on their transition into fellowship. Standard univariate statistics were used to present results.
The first APSTPD Transition to Fellowship course was held at the Johns Hopkins Hospital in Baltimore, Maryland in 2018, and the second course was held at the Oregon Health and Science University in Portland, Oregon in 2019.
All fellows entering ACGME-certified Pediatric Surgery fellowships in the United States were invited to participate. Twenty fellows accepted and attended in 2018, and fourteen fellows participated in 2019.
There were 34 incoming pediatric surgery fellow participants over 2 years. Faculty represented more than 10 institutions each year. Pre- and post-test scores were similar between years, with a significant improvement of scores after completion of the course (67±10% vs 79±8%, p < 0.001). Feedback from participants was overwhelmingly positive, with skills labs being attendees' favorite component. When asked about usefulness of individual course sessions, more attendees found clinical sessions more useful than soft skills (93% vs 73%, p = 0.011). Almost all (90%) of participants reported the course met its stated purpose and would recommend the course to future fellows. This was further reflected on 3 and 12 month follow up surveys wherein 85% stated they found the course helpful during the first few months of fellowship and 90% would still recommend it.
A transition to fellowship course in the US for incoming pediatric surgery fellows is logistically feasible, effective in transfer of knowledge, and highly regarded among attendees. Feedback from each course has been used to improve the subsequent courses, ensuring that it remains a valuable addition to pediatric surgical training in the US.
2018 年和 2019 年，美国分别举办了第一届和第二届儿科外科学员住院医师培训课程的过渡课程。该课程旨在通过介绍儿科外科培训特有的专业、患者护理和技术方面，帮助学员顺利完成过渡。本研究的目的是评估该课程在美国前两年的可行性和有效性，并讨论该课程的后续发展。
这是对儿科外科学培训计划主任协会（APSTPD）过渡课程两年经验的描述性和定性分析。介绍了课程的发展和课程设置，包括临床知识、软技能和实践技能实验室。参加的新学员完成了多项选择题、董事会式的预考和考后测试。比较分数以确定知识是否有效转移。参与者还在课程结束后完成了后续的 3 或 12 个月调查，询问课程对他们进入住院医师培训的过渡的持久影响。使用标准的单变量统计方法来呈现结果。
第一届 APSTPD 过渡课程于 2018 年在马里兰州巴尔的摩的约翰霍普金斯医院举行，第二届课程于 2019 年在俄勒冈州波特兰的俄勒冈健康与科学大学举行。
所有进入美国 ACGME 认证的儿科外科住院医师培训的学员都被邀请参加。2018 年有 20 名学员接受并参加了课程，2019 年有 14 名学员参加了课程。
在两年内，共有 34 名新的儿科外科住院医师学员参加了课程。每位教员每年代表 10 多个机构。预考和考后成绩在两年间相似，但完成课程后成绩显著提高（67±10%对 79±8%，p<0.001）。参与者的反馈非常积极，实践技能实验室是学员最喜欢的部分。当被问及个别课程的有用性时，更多的参与者认为临床课程比软技能课程更有用（93%对 73%，p=0.011）。几乎所有（90%）的参与者都表示该课程达到了预期目的，并将向未来的学员推荐该课程。在后续的 3 个月和 12 个月的调查中也反映了这一点，其中 85%的人表示在住院医师培训的头几个月，他们发现该课程很有帮助，90%的人仍会推荐该课程。
美国为新的儿科外科住院医师举办的住院医师培训课程在后勤上是可行的，在知识转移方面是有效的，并且受到学员的高度评价。每门课程的反馈都被用来改进后续课程，以确保它仍然是美国儿科外科培训的一个有价值的补充。
