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    Centralizing administrative support for pediatrics fellowship programs improved efficiency and reduced costs. This new model is feasible and beneficial for all involved stakeholders.

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    Area of Science:

    • Medical Education
    • Healthcare Administration

    Background:

    • Pediatrics fellowship programs often operate with decentralized administration, leading to inefficiencies.
    • Division administrators manage programs in silos, duplicating efforts and resources.

    Purpose of the Study:

    • To assess the feasibility and impact of a centralized administrative model for pediatrics fellowship support.
    • To evaluate the acceptability of this new administrative structure.

    Main Methods:

    • Restructured administrative support from a division-level to a centralized model in 2014.
    • A team of 6 administrators supported 19 pediatrics fellowship programs and 80 fellows.
    • Surveyed program directors on acceptability and assessed financial and staff turnover impacts.

    Main Results:

    • 15 of 19 (79%) program directors found the centralized model "better" or "much better" than the previous one.
    • The new model led to an estimated annual cost reduction of $250,000 in salary support.
    • Observed a decrease in staff turnover rates.

    Conclusions:

    • Centralizing fellowship administration is a viable and effective approach.
    • This model provides significant advantages for program directors, administrators, and fellows.