Tu1069 The Current Status of Simulation in Gastroenterology Training Programs: A Survey of Fellowship Program Directors

Background The lack of diversity in the cardiovascular physician workforce is thought to be an important driver of racial and sex disparities in cardiac care. Cardiology fellowship program directors play a critical role in shaping the cardiology workforce. Methods and Results To assess program directors’ perceptions about diversity and barriers to enhancing diversity, the authors conducted a survey of 513 fellowship program directors or associate directors from 193 unique adult cardiology fellowship training programs. The response rate was 21% of all individuals (110/513) representing 57% of US general adult cardiology training programs (110/193). While 69% of respondents endorsed the belief that diversity is a driver of excellence in health care, only 26% could quote 1 to 2 references to support this statement. Sixty‐three percent of respondents agreed that “our program is diverse already so diversity does not need to be increased.” Only 6% of respondents listed diversity as a top 3 priority when creating the cardiovascular fellowship rank list. Conclusions These findings suggest that while program directors generally believe that diversity enhances quality, they are less familiar with the literature that supports that contention and they may not share a unified definition of "diversity." This may result in diversity enhancement having a low priority. The authors propose several strategies to engage fellowship training program directors in efforts to diversify cardiology fellowship training programs.

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The Impact of COVID-19 on Orthopedic Surgery Fellowship Training: A Survey of Fellowship Program Directors

HSS Journal ® ◽

10.1177/15563316211012006 ◽

2021 ◽

pp. 155633162110120

Author(s):

Braiden M. Heaps ◽

Jeffrey R. Dugas ◽

Orr Limpisvasti

Keyword(s):

Patient Care ◽

Orthopedic Surgery ◽

Training Programs ◽

Negative Impact ◽

Program Directors ◽

Fellowship Training ◽

Fellowship Program ◽

Orthopedic Surgeons ◽

The Future ◽

The Impact

Background: The COVID-19 pandemic has had a wide-reaching impact. Graduate medical education of orthopedic surgeons was not spared from the jarring changes. Purpose: We sought to survey fellowship program directors in the field of orthopedic surgery about how the COVID-19 pandemic affected the education of the 2019 to 2020 and 2020 to 2021 fellowship classes and the future of their programs. Methods: In October 2020, an 18-item survey was distributed by an official of the American Academy of Orthopedic Surgeons (AAOS) to the specialty societies that govern fellowship training. Each specialty society then distributed the survey to its respective program directors. A reminder email was sent during the enrollment period. Each respondent was able to complete the survey once. Survey questions were grouped into 3 sections: general information about the fellowship training programs, the impact of COVID-19 on the 2019 to 2020 fellowship class, and the future impact of COVID-19 on the fellowship training programs. Results: Of the 564 accredited orthopedic surgery fellowship programs in the United States, 190 directors responded. Of these, 73.59% reported COVID-19 had a negative impact on the 2019 to 2020 fellowship class. A normal distribution of responses was found regarding didactic and academic learning, research, and mentorship opportunities. A majority of respondents said they believe that there will be no negative impact on patient care the fellows provide in the years to come. Conclusion: Orthopedic surgery fellowship program directors acknowledged that while there were negative effects to training in the pandemic, they did not think these would negatively affect patient care provided by 2019 to 2020 fellows in the short and medium term. They also reported positive outcomes from the experience of the pandemic, including new ways to educate fellows.

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Social Media in GI Training Programs: Preliminary Results of a National Survey of GI Fellowship Program Directors

Gastroenterology ◽

10.1016/s0016-5085(17)31066-1 ◽

2017 ◽

Vol 152 (5) ◽

pp. S232

Author(s):

Austin L. Chiang ◽

Allison L. Yang ◽

Navin L. Kumar ◽

Molly L. Perencevich ◽

Walter W. Chan

Keyword(s):

Social Media ◽

National Survey ◽

Training Programs ◽

Program Directors ◽

Fellowship Program ◽

Preliminary Results

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Implementation of duty hour standards in otolaryngology-head and neck surgery residency training

Otolaryngology ◽

10.1016/j.otohns.2005.03.004 ◽

2005 ◽

Vol 132 (6) ◽

pp. 819-822 ◽

Cited By ~ 18

Author(s):

Todd A. Kupferman ◽

Tim S. Lian

Keyword(s):

Head And Neck ◽

Residency Training ◽

Training Programs ◽

Neck Surgery ◽

Program Directors ◽

The United States ◽

Head And Neck Surgery ◽

Training Experience ◽

Duty Hours ◽

Resident Duty

OBJECTIVE: To determine what impact, if any, of the recently implemented duty hour standards have had on otolaryngology-head and neck surgery residency programs from the perspective of program directors. We hypothesized that the implementation of resident duty hour limitations have caused changes in otolaryngology training programs in the United States. STUDY DESIGN AND SETTING: Information was collected via survey in a prospective, blinded fashion from program directors of otolaryngology-head and neck residency training programs in the United States. RESULTS: Overall, limitation of resident duty hours is not an improvement in otolaryngology-head and neck residency training according to 77% of the respondents. The limitations on duty hours have caused changes in the resident work schedules in 71% of the programs responding. Approximately half of the residents have a favorable impression of the work hour changes. Thirty-two percent of the respondents indicate that changes to otolaryngology support staff were required, and of those many hired physician assistants. Eighty-four percent of the respondents did not believe that the limitations on resident duty hours improved patient care, and 81% believed that it has negatively impacted resident training experience. Forty-five percent of the program directors felt that otolaryngology-head and neck faculty were forced to increase their work loads to accommodate the decrease in the time that residents were allowed to be involved in clinical activities. Fifty-four percent of the programs changed from in-hospital to home call to accommodate the duty hour restrictions. CONCLUSIONS: According to the majority of otolaryngology-head and neck surgery program directors who responded to the survey, the limitations on resident duty hours imposed by the ACGME are not an improvement in residency training, do not improve patient care, and have decreased the training experience of residents. SIGNIFICANCE: This study demonstrates that multiple changes have been made to otolaryngology-head and neck surgery training programs because of work hour limitations set forth by the ACGME.

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Training programs in blood diseases: Mayo Clinic Rochester Hematology-Oncology Fellowship Program

American Journal of Hematology ◽

10.1002/ajh.21714 ◽

2010 ◽

pp. n/a-n/a

Author(s):

Cheng E. Chee ◽

Tow S. Tan ◽

Timothy J. Moynihan ◽

Alexandra P. Wolanskyj

Keyword(s):

Mayo Clinic ◽

Training Programs ◽

Fellowship Program ◽

Blood Diseases

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Does Being a Chief Resident Predict Leadership in Pediatric Careers?

PEDIATRICS ◽

10.1542/peds.105.s3.984 ◽

2000 ◽

Vol 105 (Supplement_3) ◽

pp. 984-988

Author(s):

Joel J. Alpert ◽

Suzette M. Levenson ◽

Cindy J. Osman ◽

Sabin James

Keyword(s):

Gender Differences ◽

Medical Education ◽

Training Programs ◽

Chief Resident ◽

Program Directors ◽

Pediatric Residents ◽

Pediatric Residency ◽

Survey Sample ◽

Professional Leadership ◽

Over Time

Objective. Many organizations make efforts to identify future pediatric leaders, often focusing on chief residents (CRs). Identifying future leaders is an issue of great importance not only to the ultimate success of the organization but also to the profession. Because little is known regarding whether completing a CR predicts future leadership in medicine, we sought to determine if former pediatric CRs when compared with pediatric residents who were not CRs reported more often that they were leaders in their profession. Design/Methods. Twenty-four pediatric training programs stratified by resident size (<18, 18–36, and >36) and geography (East, South, Midwest, and West) were selected randomly from the Graduate Medical Education Directory(American Medical Association, Chicago, IL). Program directors were contacted by mail and telephone and asked to provide their housestaff rosters from 1965–1985. The resulting resident sample was surveyed by questionnaire in 1995. Results. Fifteen of 17 program directors (88%) who possessed the requested data provided 1965–1985 rosters yielding a sample of 963 residents. Fifty-five percent of the resident sample (533) responded. Fifty-eight of the respondents had not completed a pediatric residency, leaving a survey sample of 475. Thirty-four percent (163) were CRs. The sample had a mean age of 47, 67% were male and 87% married. Fellowships were completed by 51%. More former CRs compared with non-CRs (75% vs 64%), more former fellows than non-fellows (75% vs 60%) and more males than females (74% vs 55%) reported they were professional leaders. These associations persisted in a logistic regression that controlled for CR status, gender, marital status, and fellowship status as leadership predictors. Former CRs, former fellows, and men were, respectively, 1.8, 2.3, and 2.3 times more likely to report professional leadership. Conclusions. Pediatric residents who were former CRs and/or fellows, and males were more likely to report professional leadership. Although men were more likely to report professional leadership, with more women entering pediatrics the reported gender differences will likely disappear over time.

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Current status of pain medicine training in anesthesiology and pain medicine residency programs in university hospitals of Korea: a survey of residents’ opinions

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2019-100995 ◽

2020 ◽

Vol 45 (4) ◽

pp. 283-286

Author(s):

Jin Young Lee ◽

Shin Hyung Kim ◽

Yongjae Yoo ◽

Seong Soo Choi ◽

Sang Hun Kim ◽

...

Keyword(s):

Survey Data ◽

Training Programs ◽

Training Period ◽

Current Status ◽

Pain Medicine ◽

University Hospitals ◽

Residency Programs ◽

Level Of Satisfaction ◽

Current Program ◽

Second Year

BackgroundIn Korea, anesthesiologists are expected to be mainstream pain medicine (PM) practitioners. However, anesthesiology and pain medicine (APM) residency programs mostly emphasize anesthesia learning, leading to insufficient PM learning. Therefore, this study evaluated the current status of PM training in APM residency programs in 10 Korean university hospitals.MethodsOverall, 156 residents undergoing APM training participated anonymously in our survey, focusing on PM training. We assessed the aim, satisfaction status, duration, opinion on duration, desired duration, weaknesses of the training programs and plans of residents after graduating. We divided the residents into junior (first and second year) and senior (third and fourth year). Survey data were compared between groups.ResultsSenior showed significantly different level of satisfaction grade than did junior (p=0.026). Fifty-seven (81.4%) residents in junior and forty (46.5%) residents in senior underwent PM training for ≤2 months. Most (108; 69.2%) residents felt that the training period was too short for PM learning and 95 (60.9%) residents desired a training period of ≥6 months. The most commonly expressed weakness of the training was low interventional opportunity (29.7%), followed by short duration (26.6%). After residency, 80 (49.1%) residents planned to pursue a fellowship.ConclusionsDissatisfaction with PM training was probably due to a structural tendency of the current program towards anesthesia training and insufficient clinical experience, which needs to be rectified, with a change in PM curriculum.

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Molecular and Cytogenetic Education in Hematopathology Fellowship

American Journal of Clinical Pathology ◽

10.1093/ajcp/aqz048 ◽

2019 ◽

Vol 152 (4) ◽

pp. 438-445 ◽

Cited By ~ 1

Author(s):

Lorinda A Soma ◽

Alexandra E Kovach ◽

Alexa J Siddon ◽

Rose Beck ◽

Sarah E Gibson ◽

...

Keyword(s):

Program Directors ◽

Fellowship Training ◽

Fellowship Program ◽

Basic Principles ◽

Raw Data ◽

Education Committee ◽

Cytogenetic Testing

Abstract Objectives Given the increased complexity of molecular and cytogenetic testing (MOL-CG), the Society for Hematopathology Education Committee (SH-EC) was interested in determining what the current expectations are for MOL-CG education in hematopathology (HP) fellowship training. Methods The SH-EC sent a questionnaire to HP fellowship program directors (HP-PDs) covering MOL-CG training curricula, test menus, faculty background, teaching, and sign-out roles. These findings were explored via a panel-based discussion at the 2018 SH-EC meeting for HP-PDs. Results HP fellows are expected to understand basic principles, nomenclature, and indications for and limitations of testing. Interpretation of common assays is within that scope, but not necessarily proficiency in technical troubleshooting of testing or analysis of complex raw data. Conclusions The consensus was that HP fellows should understand the components of MOL-CG testing necessary to incorporate those results into an accurate, clinically relevant, and integrated HP report.

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Competence in pediatric urology upon graduation from residency: perceptions of residents, program directors and pediatric urologists

Canadian Urological Association Journal ◽

10.5489/cuaj.596 ◽

2013 ◽

Vol 2 (3) ◽

pp. 205 ◽

Cited By ~ 2

Author(s):

Jennifer J. Mickelson ◽

Andrew E. MacNeily ◽

Dinesh Samarasekera ◽

Darren Beiko ◽

Kourosh Afshar

Keyword(s):

Training Programs ◽

Study Groups ◽

Program Directors ◽

Fellowship Training ◽

Pediatric Urology ◽

Urological Procedures ◽

Significant Disagreement ◽

Moderate Complexity ◽

Ongoing Assessment ◽

Residency Program Directors

Objective: We aimed to clarify the scope of pediatric urological procedures that Canadian urology residents are perceived to be competent to perform upon graduation.Methods: We conducted a survey from April 2005 to June 2006 of urology residency program directors (UPDs), senior urology residents (SURs) and Pediatric Urologists of Canada (PUC) members from all 12 Canadian training programs. Questions focused on which of 23 pediatric urological procedures the 3 study groups perceived urology residents would be competent to perform upon completion of residency without further fellowship training. Procedures were based on the “A,” “B” and “C” lists of procedures (least complex to most complex) as outlined in the Royal College of Physicians and Surgeons of Canada Objectives of Training in Urology.Results: Response rates were 12/12 (100%), 41/53 (77%) and 17/23 (74%) for UPDs, SURs and PUC members, respectively. Average exposure to pediatric urology during residency was 5.4 (range 3–9) months and considered sufficient by 75% of UPDs and 69% of SURs, but only 41% of PUC members (p = 0.05). Overall, the 3 groups disagreed on the level of competence for performing level “A” and “B” procedures, with significant disagreement between PUC members and UPDs as well as SURs (p < 0.005).Conclusion: PUC members perceive Canadian urology residents’ exposure to pediatric urology as insufficient and their competence for procedures of low to moderate complexity as inadequate. Further investigation regarding exposure to and competence in other emerging subspecialty spheres of urology may be warranted. Ongoing assessment of the objectives for training in pediatric urology is required.

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