Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Anne P. Runkle MD, Marianela Feliu MD, MS, Charmaine B. Lo PhD, MPH, David P. Way MEd, Jennifer Mitzman MD
{"title":"Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?","authors":"Anne P. Runkle MD,&nbsp;Marianela Feliu MD, MS,&nbsp;Charmaine B. Lo PhD, MPH,&nbsp;David P. Way MEd,&nbsp;Jennifer Mitzman MD","doi":"10.1002/aet2.11051","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Pediatric emergency medicine (PEM) fellowship directors can interview candidates from either pediatric or EM residency programs. Currently, most candidates are pediatricians; however, because emergency physicians have attributes that could benefit PEM, our goal was to investigate facilitators and barriers to training more of them to become PEM physicians.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We surveyed U.S. PEM fellowship program directors (PDs) about their program's recruitment practices: Do they recruit only pediatricians or mostly pediatricians with an occasional emergency physician or do they actively recruit both? We solicited volunteers from each recruitment group for interviews. These were recorded, transcribed, and thematically coded using summative content analysis. Comments were cataloged into themes that were philosophical or logistic in nature and those that might facilitate (drivers) or serve as barriers (restrainers) to the inclusion of emergency physicians in PEM.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>We received 50 of 86 (58%) survey responses, 29 (34%) of whom volunteered for interviews. The 17 volunteers we selected for interviews generated 13 themes that fell into the four major theme categories: four philosophical drivers, three logistic drivers, two philosophical restrainers, and four logistic restrainers. Program groups differed with regard to the inclusion of emergency physicians. Most limiting were the impact of variable program length and the implicit belief that pediatricians are best suited to treat children. Most beneficial is the recognized value of EM graduates to the field of PEM.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>While PDs acknowledged a growing need for PEM physicians, particularly in community hospitals, and that emergency physicians would contribute to PEM, they also identified the logistical burden of including them in programs primarily designed for pediatricians. This burden involves maintaining separate curricula for EM graduates and finding emergency physician faculty to serve as mentors. PDs also expressed a desire for resources to guide the integration of more emergency physicians into their programs.</p>\n </section>\n </div>","PeriodicalId":37032,"journal":{"name":"AEM Education and Training","volume":"8 6","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aet2.11051","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AEM Education and Training","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/aet2.11051","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0

Abstract

Objective

Pediatric emergency medicine (PEM) fellowship directors can interview candidates from either pediatric or EM residency programs. Currently, most candidates are pediatricians; however, because emergency physicians have attributes that could benefit PEM, our goal was to investigate facilitators and barriers to training more of them to become PEM physicians.

Methods

We surveyed U.S. PEM fellowship program directors (PDs) about their program's recruitment practices: Do they recruit only pediatricians or mostly pediatricians with an occasional emergency physician or do they actively recruit both? We solicited volunteers from each recruitment group for interviews. These were recorded, transcribed, and thematically coded using summative content analysis. Comments were cataloged into themes that were philosophical or logistic in nature and those that might facilitate (drivers) or serve as barriers (restrainers) to the inclusion of emergency physicians in PEM.

Results

We received 50 of 86 (58%) survey responses, 29 (34%) of whom volunteered for interviews. The 17 volunteers we selected for interviews generated 13 themes that fell into the four major theme categories: four philosophical drivers, three logistic drivers, two philosophical restrainers, and four logistic restrainers. Program groups differed with regard to the inclusion of emergency physicians. Most limiting were the impact of variable program length and the implicit belief that pediatricians are best suited to treat children. Most beneficial is the recognized value of EM graduates to the field of PEM.

Conclusions

While PDs acknowledged a growing need for PEM physicians, particularly in community hospitals, and that emergency physicians would contribute to PEM, they also identified the logistical burden of including them in programs primarily designed for pediatricians. This burden involves maintaining separate curricula for EM graduates and finding emergency physician faculty to serve as mentors. PDs also expressed a desire for resources to guide the integration of more emergency physicians into their programs.

Abstract Image

方枘圆凿:儿科急诊医学奖学金项目主任如何将急诊医学住院医生毕业生纳入其项目?
目的儿科急诊医学(PEM)奖学金主任可以面试来自儿科或急诊住院医师项目的候选人。目前,大多数候选人是儿科医生;然而,由于急诊医生具有有利于PEM的属性,我们的目标是调查培训更多急诊医生成为PEM医生的促进因素和障碍。方法:我们调查了美国PEM奖学金项目主任(pd)的项目招聘实践:他们是只招聘儿科医生,还是主要招聘儿科医生,偶尔也有急诊医生,还是两者都积极招聘?我们从每个招聘组中征集志愿者进行面试。使用总结性内容分析对这些内容进行记录、转录和主题编码。评论分为哲学或逻辑性主题和可能促进(推动)或阻碍(限制)急诊医生参与PEM的主题。结果我们收到了86份回复中的50份(58%),其中29份(34%)是自愿接受采访的。我们选择的17名志愿者进行访谈,产生了13个主题,这些主题分为四个主要主题类别:四个哲学驱动因素,三个逻辑驱动因素,两个哲学约束因素和四个逻辑约束因素。方案组在纳入急诊医生方面存在差异。最受限制的是项目长度的变化以及认为儿科医生最适合治疗儿童的隐性信念的影响。最有利的是EM毕业生对PEM领域的公认价值。虽然pd承认对PEM医生的需求日益增长,特别是在社区医院,并且急诊医生将为PEM做出贡献,但他们也认识到将他们纳入主要为儿科医生设计的项目的后勤负担。这种负担包括为急诊毕业生开设单独的课程,并寻找急诊医师教师作为导师。医生们也表达了对资源的渴望,以指导更多的急诊医生融入他们的项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信