Current pediatric rheumatology fellowship training in the United States: what fellows actually do.
Current pediatric rheumatology fellowship training in the United States: what fellows actually do.
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DOI：
10.1186/1546-0096-12-8
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发表时间：
2014-02-10
期刊：
影响因子：
--
通讯作者：
Spencer CH
中科院分区：
文献类型：
--
作者：
Patwardhan A;Henrickson M;Laskosz L;Duyenhong S;Spencer CH
美国的儿科流变学（PR）培训自20世纪70年代以来一直存在。20世纪90年代初，美国研究生医学教育学院（ACGME）和美国儿科委员会（ABP）将培训正式纳入为期三年的培训计划。ACGME每5年对课程进行一次评估，以保持资格，毕业生必须通过笔试才能获得认证。目前还没有一份报告详细说明，不仅是什么培训研究员应该接受在美国的32个公关培训计划，但什么培训的学员实际上是接受。在文献检索后，作者构建了一个调查表，然后使用德尔菲技术在美国儿科学会（AAP）流变学分会执行委员会成员的帮助下进行审查和修订。获得了AAP和全国儿童医院的IRB批准。研究员名单是从ABP获得的，调查表发给了81名现任研究员或刚刚完成研究的研究员。发出了一封重复的电子邮件。47名研究员通过电子邮件（58%）返回了调查，其中大多数是第三年的研究员或研究员谁已经完成了他们的培训。人口统计学数据与预期一致，女性>男性，高加索人> >非高加索人。在每周半天连续性诊所数量（1-2，71%）、每个诊所的患者数量（4-5，60%）、住院患者暴露（每周2-4名住院患者，40%; 5名或更多，33%）和工作日/周末电话方面，培训似乎非常合适。研究员参加了比要求更多的教学活动，有充足的时间进行研究（54%每周21-60小时），并有多种教学机会。77%的学员在国家会议上提交了摘要，41%发表了论文。疾病暴露极佳，关节注射经验充足。大多数美国公共关系培训计划作为一个整体提供了一个适当的培训，目前ACGME，美国风湿病学会（ACR）和ABP标准：1）连续性诊所的数量; 2）足够的电话活动，工作日晚上和周末; 3）联合跨学科会议; 4）选修课5）教学活动; 6）学术活动;和7）接触各种风湿病。关注的领域是培训的统一性和标准化，需要定制的公关培训课程，更多的指导，免费选修课，肌肉骨骼超声培训，需要动手欧安组织认证考试和更多地接触ACGME能力。
Pediatric Rheumatology (PR) training in the US has existed since the 1970’s. In the early 1990’s, the training was formalized into a three year training program by the American College of Graduate Medical Education (ACGME) and American Board of Pediatrics (ABP). Programs have been evaluated every 5 years by the ACGME to remain credentialed and graduates had to pass a written exam to be certified. There has been no report yet that details not just what training fellows should receive in the 32 US PR training programs but what training the trainees are actually receiving. After a literature search, a survey was constructed by the authors, then reviewed and revised with the help members of the Executive Committee of the Rheumatology Section of the American Academy of Pediatrics (AAP) using the Delphi technique. IRB approval was obtained from the AAP and Nationwide Children’s Hospital. The list of fellows was obtained from the ABP and the survey sent out to 81 current fellows or fellows just having finished. One repeat e-mail was sent out. Forty-seven fellows returned the survey by e-mail (58%) with the majority being 3rd year fellows or fellows who had completed their training. The demographics were as expected with females > males and Caucasians> > non-Caucasians. Training appeared quite appropriate in the number of ½ day continuity clinics per week (1–2, 71%), number of patients per clinic (4–5, 60%), inpatient exposure (2–4 inpatients per week, 40%; 5 or greater, 33%), and weekday/weekend call. Fellows attended more didactic activities than required, had ample time for research (54% 21-60/hours per week), and had multiple teaching opportunities. Seventy-seven percent of the trainees presented abstracts at national meetings, 41% had publication. Disease exposure was excellent and joint injection experience sufficient. Most US PR training programs as a whole provide an appropriate training by current ACGME, American College of Rheumatology (ACR), and ABP standards in: 1) number of continuity clinics; 2) sufficient on-call activities for weekday nights and weekends; 3) joint interdisciplinary conferences; 4) electives 5) didactic activities; 6) scholarly activities; and 7) exposure to diverse rheumatology diseases. Areas of concern were uniformity & standardization of training, need for a customized PR training curriculum, more mentorship, free electives, training in musculoskeletal ultrasound, need for a hands-on OSCE certification exam and more exposure to ACGME competencies.
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影响因子：
4.4
作者：
Dunnill, MGS;Pounder, RE
通讯作者：
Pounder, RE
影响因子：
4.7
作者：
Huber, Adam M.;Giannini, Edward H.;Bowyer, Suzanne L.;Kim, Susan;Lang, Bianca;Lindsley, Carol B.;Pachman, Lauren M.;Pilkington, Clarissa;Reed, Ann M.;Rennebohm, Robert M.;Rider, Lisa G.;Wallace, Carol A.;Feldman, Brian M.
通讯作者：
Feldman, Brian M.
影响因子：
--
作者：
Mayer, Michelle L;Brogan, Laura;Sandborg, Christy I
通讯作者：
Sandborg, Christy I
DOI：
10.1186/1546-0096-9-26
发表时间：
2011-09-12
期刊：
Pediatric rheumatology online journal
影响因子：
--
作者：
Henrickson M
通讯作者：
Henrickson M
DOI：
10.1186/1546-0096-5-21
发表时间：
2007-11-21
期刊：
Pediatric rheumatology online journal
影响因子：
--
作者：
Spencer, Charles H
通讯作者：
Spencer, Charles H