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Defining Service and Education in Pediatrics
Debra Boyer1,2, Josh Gagne3, Jennifer C Kesselheim2,3
11 Boston Children's Hospital, Boston, MA, USA.
Clinical Pediatrics
|December 28, 2016
Summary
Pediatric residents and program directors have differing views on "service" in training. Residents see service as valuable education, but differing definitions may impact residency curricula and accreditation.
Area of Science:
- Medical Education
- Pediatric Residency Training
- Qualitative Research
Background:
- The balance between clinical service and educational activities is a frequent concern in pediatric residency programs.
- Understanding how program directors (PDs) and residents perceive 'service' and 'education' is crucial for curriculum development.
Purpose of the Study:
- To qualitatively explore the definitions of service and education from the perspectives of pediatric residents and PDs.
- To identify specific activities that exemplify service and education within pediatric residency training.
- To uncover potential misalignments in the understanding of these concepts between trainees and leadership.
Main Methods:
- Conducted focus groups with pediatric residents and program directors.
- Employed qualitative thematic analysis to analyze the collected data.
- Identified recurring themes related to the definitions and value of service and education.
Main Results:
- Four key themes emerged: (1) Misalignment in the perceived definition of service, (2) Agreement on the definition of education, (3) Overlapping perceptions of service's value to training, and (4) Suggestions for better integration.
- Pediatric residents generally hold positive views of service, considering it beneficial for their education.
- Significant heterogeneity exists in the definition of service between residents and PDs.
Conclusions:
- The differing definitions of 'service' between pediatric residents and program directors require further investigation.
- These definitional discrepancies may have implications for the Accreditation Council for Graduate Medical Education (ACGME) and residency curriculum design.
- Addressing these divergent perceptions is essential for optimizing the integration of service and education in pediatric training.
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