Resident training in obstetric anesthesia in the United States

In 2009, Singapore began replacing the British-based specialist training that constituted its postgraduate medical education with a United States-based Residency program, which is more structured. Singapore is the first country outside the United States to be accredited by the Accreditation Council for Graduate Medical Education — International (ACGME-I). This paper reviews the recent changes in the context of the Pediatrics program at the KK Women’s and Children’s Hospital, one of the five specialties chosen to launch the new residency programs. Most of the changes were made for accreditation purposes, so as to align with the requirements set by ACGME-I; however, local content and Ministry of Health (MOH) stipulations were also taken into account when designing the new pedagogical and training curriculum. Areas discussed include faculty numbers and development, concurrent training of trainees from the previous system, selection of residents, resident training, resident duty hours, mentors, curriculum, rotations, continuity clinics, scholarly activity, postgraduate exams, remediation, and chief residents.

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Pathology Resident Attitudes and Opinions About Pathologists' Assistants

Archives of Pathology & Laboratory Medicine ◽

10.5858/2003-127-666-praaoa ◽

2003 ◽

Vol 127 (6) ◽

pp. 666-672

Author(s):

Dana Marie Grzybicki ◽

Colleen M. Vrbin

Keyword(s):

United States ◽

Health Care ◽

The United States ◽

Resident Training ◽

Health Care Economics ◽

Health Care Environment ◽

Cross Sectional ◽

Resident Attitudes ◽

Positive Attitudes ◽

And Training

Abstract Context.—Changes in health care economics and organization have resulted in increased use of nonphysician providers in most health care settings. Attitudinal acceptance of nonphysician providers is important in the current health care environment. Objectives.—To obtain descriptive information regarding pathology resident attitudes and opinions about pathologists' assistants in anatomic pathology practice and to assess the implications of resident attitudes and opinions for pathology practice and training. Design.—A self-administered, mailed, voluntary, anonymous questionnaire was distributed to a cross-sectional sample of pathology residents in the United States (2531 pathology residents registered as resident members of one of the national pathology professional organizations). The questionnaire contained (1) items relating to resident demographics and program characteristics, (2) Likert-scale response items containing positive and negative statements about pathologists' assistants, (3) a multiple-choice item related to pathologists' assistants scope of practice, and (4) an open-ended item inviting additional comments. Both quantitative and qualitative analysis of responses was performed. Results.—The overall response rate was 19.4% (n = 490); 50% of the respondents were women, and 77% reported use of pathologists' assistants in their program. Most respondents were 25 to 35 years old and in postgraduate years 3 through 5 of their training, and most were located in the Midwestern United States. The majority of residents expressed overall positive attitudes and opinions about pathologists' assistants and felt that pathologists' assistants enhanced resident training by optimizing resident workload. A minority (10%–20%) of residents expressed negative attitudes or opinions about pathologists' assistants. Additionally, some residents reported a lack of knowledge about pathologists' assistants' training or roles. Conclusions.—Increased resident education and open discussion concerning pathologists' assistants may be beneficial for optimizing resident attitudes about and training experiences with pathologists' assistants.

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Resident Training and Education in the United States

PEDIATRICS ◽

10.1542/peds.112.s3.752 ◽

2003 ◽

Vol 112 (Supplement_3) ◽

pp. 752-754

Author(s):

Renee R. Jenkins

Keyword(s):

United States ◽

Medical Education ◽

Health Disparities ◽

Child Health ◽

Postgraduate Medical Education ◽

The United States ◽

Resident Training ◽

Training And Education ◽

The Us ◽

Medical Education System

The Issue. Critical institutional and organization issues affect the education of pediatricians, influence their knowledge about child health disparities, and shape their attitudes and approaches to community pediatrics. Understanding the US graduate and postgraduate medical education system is necessary if critical and sustainable changes are to be made to ensure the capacity of pediatricians to respond to critical contemporary determinants of child health.

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