LIBRO DE RESÚMENES CONGRESO LATINOAMERICANO DE EDUCACIÓN DE RESIDENTES: LACRE 2021

El Congreso Latinoamericano de educación de residentes (LatinAmerican Conference on Residency Education: LACRE) se realiza cada 2 años, y desde su primera versión el año 2013, ha tenido un importante impacto en la educación médica de postgrado en Chile y Latinoamérica, contribuyendo a ofrecer nuevos conocimientos y herramientas innovadoras en docencia de especialistas en medicina y otras ciencias de la salud.

An 18-year Experience with an Innovative Geriatrics Training Model: Implications for the Workforce

Despite the growing population of older adults, the geriatrics workforce has not similarly expanded. The number of geriatrics fellows has declined by 14.3% from 2012-2017. Implementation of innovative training programs may improve this reality. In 2002, the Medical College of Wisconsin (MCW) created the first four-year combined medicine residency and geriatrics fellowship (Med-Ger). Similar programs are currently being developed. The aim of this study is to describe the outcomes of the MCW Med-Ger program. Primary endpoints: American Board of Internal Medicine (ABIM) pass rates, ABIM Geriatric Medicine Certification pass rates, fellowship completion rates, and geriatric-focused practice. Results: There was a Med-Ger program fill rate of 73.7% (n=38). There was equivalent ABIM pass rate of 100% between Med-Ger graduates (n=18) and traditional graduates (n=25). Med-Ger trainees were more likely to complete their geriatrics fellowship (94.4% vs. 88%) and practice in geriatric-focused careers (82.4% vs. 68.2%). These outcomes suggest the benefit of a combined program for training future geriatricians. The MCW Med-Ger fill rate exceeds the national geriatrics fellowship fill rate of under 50%. Additionally, graduates may be more likely to practice geriatric medicine. This may help address population needs for an increased geriatrics workforce. In 2020, the ACGME approved an Advancing Innovation in Residency Education (AIRE) Medicine-Geriatrics Integrated Residency and Fellowship national pilot program. Further investigation of why trainees choose Med-Ger training and are more likely to continue with careers in geriatrics is needed in order to replicate the success of the MCW Med-Ger program.

Gender Evaluation and Numeric Distribution in Emergency Medicine Residencies (GENDER): A follow-up survey of current EM residents (Preprint)

BACKGROUND Females comprise over half of medical school matriculants but only one-third of emergency medicine (EM) residents. Various factors may contribute to why fewer females choose the field of emergency medicine, such as existing presence of females in the specialty. OBJECTIVE This study is a follow-up to previous work, and a survey was used to assess current residents’ attitudes and perceptions on various factors including those relating to gender on creating rank lists as medical students and in perceived effects on residency education. METHODS An online survey consisting of Likert scale questions of a variety of factors influencing a student’s decision to create a rank list and in perceived effects on residency education was sent to current EM residents in 2020. RESULTS Residents from 17 programs participated in the survey with an 18% response rate. The most important factors in creating a rank list were the personality of residents in the program, location, and facility type. For factors specifically related to gender, respondents who answered affirmatively to whether gender composition of residents affected selection of a program in making a rank list were more likely to also answer affirmatively to subsequent questions related to gender of program leadership (p<0.001) and gender composition of attending physicians (p<0.001). Personality of residents was also the most important factor perceived to affect residency education. For factors influencing rank list and residency education, female respondents placed higher importance on subcategories related to gender (i.e., gender composition of residents, of program leadership, and of attending physicians) to a significant degree compared to their male counterparts. CONCLUSIONS While factors such as location and resident personality show the most importance in influencing residency selection, when stratifying based on respondent gender, females tend to indicate factors relating to gender have more influence on rank list and residency education compared to males. CLINICALTRIAL N/A