Maybelle Kou1, Aline Baghdassarian2, Jerri A Rose3, Kelli Levasseur4, Cindy G Roskind5, Tien Vu6, Noel S Zuckerbraun7, Kathryn Leonard8, Veronika Shabanova9, Melissa L Langhan10. 1. Emergency Medicine Inova Children's Hospital/VCU SOM Falls Church Virginia USA. 2. Pediatrics and Emergency Medicine Children's Hospital of Richmond at VCU/Virginia Commonwealth University SOM Richmond Virginia USA. 3. Pediatrics Rainbow Babies & Children's Hospital/Case Western Reserve University School of Medicine Cleveland Ohio USA. 4. Emergency Medicine Beaumont Children's Hospital/Oakland University William Beaumont School of Medicine Royal Oak Michigan USA. 5. Emergency Medicine in Pediatrics Columbia University Medical Center New York New York USA. 6. Pediatrics Children's Hospital Colorado/University of Colorado School of Medicine Denver Colorado USA. 7. Pediatrics UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA. 8. Pediatrics Washington University in St. Louis School of Medicine St. Louis Missouri USA. 9. Pediatrics Yale University School of Medicine New Haven Connecticut USA. 10. Pediatrics and Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.
Abstract
BACKGROUND: Pediatric emergency medicine (PEM) fellowships recruit trainees from both pediatric and emergency medicine (EM) residencies. The Accreditation Council for Graduate Medical Education (ACGME) defines separate training pathways for each. The 2015 PEM milestones reflect a combination of subcompetencies from the two residencies. This project aims to compare the milestone achievement of PEM fellows based on their primary residency training. We hypothesize that fellows trained in pediatrics achieve PEM milestones at different rates than EM-trained fellows in the ACGME domains of patient care, medical knowledge, systems-based practice, practice-based learning, professionalism, and interpersonal and communication skills. METHODS: This is a multicenter, retrospective cohort study of fellows from a national sample of U.S. PEM fellowship programs. Basic demographic information and deidentified, biannual milestone scores for 23 competencies were collected for fellows training between 2015 and 2018. Subcompetencies are scored on a 5-point milestone scale. Descriptive and multivariable analyses for longitudinal data were performed to compare milestone assessments by primary residency training. RESULTS: Complete data were obtained for 600 fellows; 95% (570) and 5% (30) completed pediatric and EM residency, respectively. In both year 1 and year 2 of fellowship, the mean milestone scores of EM-trained fellows were statistically higher than pediatrics-trained fellows across the majority of subcompetencies. By the final year of training, there were no statistically significant differences in milestone scores for any of the subcompetencies. CONCLUSIONS: Fellow milestone achievement between groups was not significantly different by graduation. However, fellows entering PEM training from an EM background attained higher scores on the milestones than fellows from a pediatric background in the first year of fellowship.
BACKGROUND: Pediatric emergency medicine (PEM) fellowships recruit trainees from both pediatric and emergency medicine (EM) residencies. The Accreditation Council for Graduate Medical Education (ACGME) defines separate training pathways for each. The 2015 PEM milestones reflect a combination of subcompetencies from the two residencies. This project aims to compare the milestone achievement of PEM fellows based on their primary residency training. We hypothesize that fellows trained in pediatrics achieve PEM milestones at different rates than EM-trained fellows in the ACGME domains of patient care, medical knowledge, systems-based practice, practice-based learning, professionalism, and interpersonal and communication skills. METHODS: This is a multicenter, retrospective cohort study of fellows from a national sample of U.S. PEM fellowship programs. Basic demographic information and deidentified, biannual milestone scores for 23 competencies were collected for fellows training between 2015 and 2018. Subcompetencies are scored on a 5-point milestone scale. Descriptive and multivariable analyses for longitudinal data were performed to compare milestone assessments by primary residency training. RESULTS: Complete data were obtained for 600 fellows; 95% (570) and 5% (30) completed pediatric and EM residency, respectively. In both year 1 and year 2 of fellowship, the mean milestone scores of EM-trained fellows were statistically higher than pediatrics-trained fellows across the majority of subcompetencies. By the final year of training, there were no statistically significant differences in milestone scores for any of the subcompetencies. CONCLUSIONS: Fellow milestone achievement between groups was not significantly different by graduation. However, fellows entering PEM training from an EM background attained higher scores on the milestones than fellows from a pediatric background in the first year of fellowship.
Authors: Robert L Cloutier; Jennifer D H Walthall; Colette C Mull; Michele M Nypaver; Jill M Baren Journal: Acad Emerg Med Date: 2010-10 Impact factor: 3.451
Authors: Jens C Moller; Sven Ballnus; Martina Kohl; Wolfgang Gopel; Michael Barthel; Uwe Kruger; Hans-Jurgen Friedrich Journal: Pediatr Emerg Care Date: 2002-12 Impact factor: 1.454
Authors: Pavan P Zaveri; Deborah Hsu; Matthew R Mittiga; Margaret Wolff; Stacy Reynolds; In Kim; Coburn Allen; Constance M McAneney; Maybelle Kou Journal: Pediatr Emerg Care Date: 2016-05 Impact factor: 1.454
Authors: Lewis S Nelson; Samuel M Keim; Jill M Baren; Michael S Beeson; Michael L Carius; Carl R Chudnofsky; Marianne Gausche-Hill; Deepi G Goyal; Terry Kowalenko; Catherine A Marco; Robert L Muelleman; Mary M Johnston; Kevin B Joldersma Journal: Ann Emerg Med Date: 2018-05 Impact factor: 5.721
Authors: Joyce Li; Genie Roosevelt; Kerry McCabe; Jane Preotle; Faria Pereira; James K Takayesu; Michael Monuteaux; Richard G Bachur Journal: AEM Educ Train Date: 2018-10-07