Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Department of Pediatrics, Boston Children's Hospital, Boston, USA.
Int J Adolesc Med Health. 2024 Mar 25;36(3):237-242. doi: 10.1515/ijamh-2023-0154. eCollection 2024 Jun 1.
This study aimed to explore the minimum entrustable professional activity (EPA) supervision levels at which pediatric fellowship program directors (FPDs) would be willing to graduate fellows and the levels deemed necessary for safe and effective practice for each of the common pediatric subspecialty and the four adolescent medicine-specific EPAs.
This cross-sectional study utilized survey data from pediatric FPDs in 2017. FPDs indicated the minimum level of supervision (LOS) for fellows at graduation and for safe and effective practice.
82 percent (23/28) of adolescent medicine FPDs completed the survey. For each EPA, there were differences (p<0.05) between LOS expected for graduation and for safe and effective practice. There was also variability in the level at which FPDs would graduate fellows.
This study summarizes pediatric FPD opinions regarding the minimum levels of supervision required for fellows at the time of graduation as well as the levels deemed necessary for safe and effective practice. The difference between the minimum LOS at which FPDs would graduate a fellow and that deemed appropriate for safe and effective practice, along with variability in minimum LOS for graduation, highlight the need for clearer standards for fellowship graduation as well as more structured early career support for ongoing learning. These data highlight variability in FPD opinion regarding such expectations and both the need to better define desired training outcomes and potential need for post-graduation supervision in clinical practice.
本研究旨在探讨儿科专科住院医师培训计划主任（FPD）愿意授予住院医师毕业资格的最低可委托专业活动（EPA）监督水平，以及每个常见儿科亚专科和四个青少年医学特定 EPA 所需的安全有效实践水平。
本横断面研究使用了 2017 年儿科 FPD 的调查数据。FPD 表示了学员毕业和安全有效实践的最低监督水平（LOS）。
82%（23/28）的青少年医学 FPD 完成了调查。对于每个 EPA，毕业时的 LOS 预期与安全有效实践之间存在差异（p<0.05）。FPD 授予学员毕业的水平也存在差异。
本研究总结了儿科 FPD 对学员毕业时所需的最低监督水平以及安全有效实践所需水平的意见。FPD 授予学员毕业的最低 LOS 与认为安全有效实践所需的 LOS 之间的差异，以及毕业的最低 LOS 存在差异，突出了需要更明确的住院医师毕业标准以及对持续学习的更结构化的早期职业支持。这些数据突出了 FPD 对这些期望的意见存在差异，需要更好地定义所需的培训结果，并可能需要在临床实践中进行毕业后监督。
