Longitudinal Evaluation of Pediatric Residency Didactics Transition from Noon Conference to an Academic Half Day

BACKGROUND: In 2009, the UNM Pediatric Residency transitioned program didactics from noon conference to an academic half day. Immediate evaluation of resident and faculty satisfaction, resident attendance, board exam pass rate and In-Training-Exam (ITE) scores showed improvements with this change. OBJECTIVE: Investigate the longitudinal impact of the academic half day at UNM on resident and faculty satisfaction, resident attendance and clinical knowledge in the form of standardized exam results. METHODS: In this mixed-methods study, surveys regarding satisfaction were conducted of current pediatric residents (n=32) and faculty (n=32) at UNM. To assess clinical knowledge, quantitative measures such as senior resident ITE scores and pediatric board exam pass rate will be evaluated. Finally, focus groups were conducted with pediatric residents and faculty separately to evaluate concepts related to resident autonomy, competence and engagement with the academic half day. RESULTS: Preliminary review of survey data shows 88% and 63% overall satisfaction with the academic half day format from residents and faculty respectively, consistent with 2012 study results. Similar to prior, residents feel that the academic half day does not interfere with clinical education (97%) or patient care duties (83%). Pediatric Board exam pass rate from 2015-2017 is 65% which is similar to pass rates prior to the academic half day. Senior resident ITE scores and resident attendance rates are currently being compiled. Initial review of focus groups shows preference for academic half day in relation to decreasing interruptions to patient care and increase in resident autonomy in clinical areas. CONCLUSIONS: Preliminary data shows sustained overall satisfaction amongst residents and faculty. Board exam pass rates are unchanged, focus groups have identified further areas of intervention including increased resident engagement in didactics

What procedural skills are practiced by Pediatricians in New Mexico?

Background: By the end of residency, pediatric residents are expected to be competent in 13 clinical procedures (bag mask ventilation, neonatal endotracheal intubation, umbilical catheter placement, lumbar puncture, simple laceration repair, incision and drainage of abscess, reduction of simple dislocation, temporary splinting of fractures, giving immunizations, bladder catheterization, peripheral intravenous catheter placement, removal of foreign body, and venipuncture). These procedural skills were initially identified as essential for practice in the general pediatric setting. However, procedures performed vary based on location, patient population, practice type, tertiary care support, etc. There are few studies available that evaluate the procedural skills used in clinical pediatric practice today, and no studies have evaluated the procedural skills of pediatricians who practice in a primarily rural/frontier state, such as New Mexico. To better equip the future pediatricians of New Mexico, we need to understand the current procedural skill practices of pediatricians in New Mexico. Methods A structured questionnaire was developed, focusing on the 13 ACGME required procedural skills, the frequency in which the skills are performed, and importance of those skills to the pediatrician. Additional demographic information was asked in regards to practice experience, practice type, location, and community served to better differentiate between rural/frontier versus urban pediatric practices. Surveyed general pediatricians were given the opportunity for free response text in regards to additional pediatric education recommendations and the option to participate in further communication. The survey was sent to general pediatricians in New Mexico, distributed via New Mexico Pediatric Society e-mail list serve. Data was entered into REDCap. A descriptive analysis of the survey responses will be conducted. Anticipated Results: We hope to identify the frequency practiced and perceived importance of the 13 ACGME required procedural skills to pediatricians practicing in New Mexico. We also hope to compare the procedural skills commonly used by pediatricians who practice in rural vs urban areas. Next Steps: Descriptive analysis of dat

sj-docx-2-mde-10.1177_23821205241229772 - Supplemental material for Understanding the Procedural Skills Needed in Rural Pediatric Practices: A Survey of Rural Pediatric Providers in the State of New Mexico

Supplemental material, sj-docx-2-mde-10.1177_23821205241229772 for Understanding the Procedural Skills Needed in Rural Pediatric Practices: A Survey of Rural Pediatric Providers in the State of New Mexico by Christal P. Chow, Deirdre A. Hill, Walter Dehority and E. Anne Greene in Journal of Medical Education and Curricular Development</p

sj-docx-1-mde-10.1177_23821205241229772 - Supplemental material for Understanding the Procedural Skills Needed in Rural Pediatric Practices: A Survey of Rural Pediatric Providers in the State of New Mexico

Supplemental material, sj-docx-1-mde-10.1177_23821205241229772 for Understanding the Procedural Skills Needed in Rural Pediatric Practices: A Survey of Rural Pediatric Providers in the State of New Mexico by Christal P. Chow, Deirdre A. Hill, Walter Dehority and E. Anne Greene in Journal of Medical Education and Curricular Development</p