Halley Tina V, Bhansali Priti, Clouser Katharine N, Madduri Gayatri B, Patra Kamakshya, Solano Joy L, Hodo Laura Nell
Division of Hospital Medicine, Children's National Hospital, Washington, DC.
Hackensack Meridian School of Medicine, Hackensack, NJ.
Fam Med. 2025 Jul;57(7):483-488. doi: 10.22454/FamMed.2025.431942. Epub 2025 Jun 4.
Family physicians contribute significantly to the pediatric workforce, but little is known about their pediatric training during residency, specifically in the inpatient setting. Our objective was to gather data on the inpatient pediatric training of family medicine residents from the perspective of pediatric faculty.
We created a survey about inpatient pediatric training of family medicine residents, including pediatric rotation characteristics, ward team structure, educational resources, and faculty involvement. The Association of Pediatric Program Directors (APPD) accepted the survey for distribution to pediatric residency associate program directors. Demographic data about respondents were provided by APPD. Data were collected between January and February 2024. We performed descriptive analysis of survey responses.
We received 74 responses from 190 institutions, for a response rate of 39%. Of the respondents, 81% provided training to family medicine residents. We found wide variability in the structure of this training. Only 7% of sites reported having curricula specific to training family medicine residents in inpatient pediatric care. Inpatient pediatricians (76%) are often tasked with creating rotation structure and curricula for training family medicine residents.
In the view provided by our limited survey population, we found variability in the training structure and content of pediatric inpatient experiences; few family medicine-specific curricular tools are being used for this training, with little to no family medicine faculty involvement in this training. An opportunity may be available for collaboration between pediatric and family medicine faculty to establish a foundation for future curricula.
家庭医生在儿科医疗队伍中发挥着重要作用,但对于他们在住院医师培训期间,特别是在住院环境中的儿科培训情况,我们了解甚少。我们的目的是从儿科教员的角度收集有关家庭医学住院医师儿科住院培训的数据。
我们创建了一项关于家庭医学住院医师儿科住院培训的调查,内容包括儿科轮转特点、病房团队结构、教育资源和教员参与情况。儿科项目主任协会(APPD)认可了该调查,并将其分发给儿科住院医师培训项目副主任。APPD提供了受访者的人口统计学数据。数据于2024年1月至2月收集。我们对调查回复进行了描述性分析。
我们收到了来自190个机构的74份回复,回复率为39%。在受访者中,81%为家庭医学住院医师提供培训。我们发现这种培训的结构差异很大。只有7%的机构报告有专门针对家庭医学住院医师进行儿科住院护理培训的课程。儿科住院医师(76%)通常负责制定培训家庭医学住院医师的轮转结构和课程。
从我们有限的调查人群所提供的情况来看,我们发现儿科住院经历的培训结构和内容存在差异;很少有针对家庭医学的课程工具用于此类培训,几乎没有家庭医学教员参与该培训。儿科和家庭医学教员之间可能有机会合作,为未来的课程奠定基础。