Angelica W DesPain1, Colleen K Gutman2, Andrea T Cruz3, Paul L Aronson4, James M Chamberlain1, Todd P Chang5, Todd A Florin6, Ron L Kaplan7, Lise E Nigrovic8, Christopher M Pruitt9, Amy D Thompson10, Victor M Gonzalez11, Rakesh D Mistry12. 1. Division of Emergency Medicine Children's National Hospital The George Washington University School of Medicine Washington DC USA. 2. Department of Emergency Medicine University of Florida College of Medicine Gainesville Florida USA. 3. Sections of Emergency Medicine & Infectious Diseases Department of Pediatrics Baylor College of Medicine Houston Texas USA. 4. Section of Pediatric Emergency Medicine Departments of Pediatrics and Emergency Medicine Yale School of Medicine New Haven Connecticut USA. 5. Division of Emergency Medicine & Transport Children's Hospital Los Angeles/University of Southern California Los Angeles California USA. 6. Division of Emergency Medicine Ann and Robert H. Lurie Children's Hospital of Chicago Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago Illinois USA. 7. Department of Pediatrics Division of Emergency Medicine University of Washington School of Medicine Seattle Children's Hospital Seattle Washington USA. 8. Division of Emergency Medicine Boston Children's Hospital Boston Massachusetts USA. 9. Department of Pediatrics Medical University of South Carolina Charleston South Carolina USA. 10. Department of Pediatrics Division of Emergency Medicine Sydney Kimmel Medical College of Thomas Jefferson University Nemours/Alfred I duPont Hospital for Children Wilmington Delaware USA. 11. Section of Emergency Medicine Department of Pediatrics Baylor College of Medicine Houston Texas USA. 12. Section of Emergency Medicine Children's Hospital Colorado Aurora Colorado USA.
Abstract
BACKGROUND: There is a need for pediatric emergency medicine (PEM) researchers, but the current state of PEM fellow research training is not well described. We sought to (1) describe resources and gaps in PEM fellowship research training and (2) assess agreement between fellow and program director (PD) perceptions of these in fellow research experience. METHODS: Surveys were distributed electronically to U.S. PEM fellows and PDs from March to April 2020. Fellows and PDs were queried on program research infrastructure and current gaps in fellow research experience. For programs that had at least one fellow and PD response, each fellow response was compared to their PD's corresponding response (reference standard). For each binary survey item, we determined the percent of responses with agreement between the fellow and PD. RESULTS: Of 79 fellowship programs, 70 (89%) were represented with at least one response, including responses from 59 PDs (75%) and 218 fellows (39% of all fellows, representing 80% of programs). Fellows and PDs identified mentorship and faculty engagement as the most important needs for successful fellowship research; for every one fellow there was a median of 0.8 potential faculty mentors in the division. Twenty percent of fellows were not satisfied with mentorship opportunities. There was no association between fellow career research intent (high, defined as ≥20% dedicated time, or low) with current year of training (p = 0.88), program size (p = 0.67), and area of research focus (p = 0.40). Fellows were often unaware of research being performed by division faculty. CONCLUSION: PEM fellows were not consistently aware of resources available to support research training. To better support PEM fellows' research training, many programs may need to expand mentorship and increase fellows' awareness of local and external resources and opportunities.
BACKGROUND: There is a need for pediatric emergency medicine (PEM) researchers, but the current state of PEM fellow research training is not well described. We sought to (1) describe resources and gaps in PEM fellowship research training and (2) assess agreement between fellow and program director (PD) perceptions of these in fellow research experience. METHODS: Surveys were distributed electronically to U.S. PEM fellows and PDs from March to April 2020. Fellows and PDs were queried on program research infrastructure and current gaps in fellow research experience. For programs that had at least one fellow and PD response, each fellow response was compared to their PD's corresponding response (reference standard). For each binary survey item, we determined the percent of responses with agreement between the fellow and PD. RESULTS: Of 79 fellowship programs, 70 (89%) were represented with at least one response, including responses from 59 PDs (75%) and 218 fellows (39% of all fellows, representing 80% of programs). Fellows and PDs identified mentorship and faculty engagement as the most important needs for successful fellowship research; for every one fellow there was a median of 0.8 potential faculty mentors in the division. Twenty percent of fellows were not satisfied with mentorship opportunities. There was no association between fellow career research intent (high, defined as ≥20% dedicated time, or low) with current year of training (p = 0.88), program size (p = 0.67), and area of research focus (p = 0.40). Fellows were often unaware of research being performed by division faculty. CONCLUSION: PEM fellows were not consistently aware of resources available to support research training. To better support PEM fellows' research training, many programs may need to expand mentorship and increase fellows' awareness of local and external resources and opportunities.
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