Agrawal Anoop, Wells Daniel, Kisielewski Michael, Misra Savita, Doolittle Benjamin
Internal Medicine-Pediatrics, Baylor College of Medicine, Houston, USA.
Internal Medicine-Pediatrics, University of Tennessee Health Science Center College of Medicine, Memphis, USA.
Cureus. 2024 Jul 29;16(7):e65665. doi: 10.7759/cureus.65665. eCollection 2024 Jul.
Background and objectives Dual-trained medicine-pediatrics physicians (med-peds) play an important role in the healthcare ecosystem. Little is known about the subspecialty choices of med-peds residency graduates. This study aims to characterize the subspecialty choices of med-peds residency graduates. Methods The Medicine-Pediatrics Program Directors Association (MPPDA) administers an annual survey to the program directors of all med-peds residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). This project represents aggregate survey data from 2020-2023. Results The number of program directors responding to the survey ranged from 80.8% (63/78) to 85.7% (66/77; mean response rate: 82.8%). About 465 of 1,245 (37%) graduates over the four years chose fellowship training, across 51 unique subspecialties. The top five selected pathways were: adult pulmonary and critical care 54 (11.6%), allergy and immunology 37 (7.9%), adult infectious diseases 30 (6.5%), adult cardiology 30 (6.5%), and pediatric cardiology 30 (6.5%). Conclusions Med-Peds residents pursue a diversity of subspecialty training and represent an important contribution to the subspecialty workforce. Improving combined subspecialty opportunities may increase participation by med-peds graduates and, in particular, may support the increasing need for pediatric subspecialists.
背景与目标 医学 - 儿科学双专业培训医师（med - peds）在医疗保健生态系统中发挥着重要作用。对于med - peds住院医师培训毕业生的亚专业选择知之甚少。本研究旨在描述med - peds住院医师培训毕业生的亚专业选择特征。方法 医学 - 儿科学项目主任协会（MPPDA）对经研究生医学教育认证委员会（ACGME）认证的所有med - peds住院医师培训项目的项目主任进行年度调查。本项目代表了2020 - 2023年的综合调查数据。结果 回复调查的项目主任数量从80.8%（63/78）到85.7%（66/77；平均回复率：82.8%）不等。在四年期间，1245名毕业生中有约465名（37%）选择了专科培训，涉及51个不同的亚专业。前五名选择的途径是：成人肺科与重症医学54名（11.6%）、过敏与免疫学37名（7.9%）、成人传染病学30名（6.5%）、成人心脏病学30名（6.5%）以及儿科心脏病学30名（6.5%）。结论 Med - peds住院医师追求多种亚专业培训，是亚专业劳动力的重要组成部分。改善联合亚专业机会可能会增加med - peds毕业生的参与度，特别是可能满足对儿科亚专科医生日益增长的需求。
