Graduating Pediatric Resident Reports on Procedural Training and Preparation

Area of Science:

• Medical Education
• Pediatrics
• Graduate Medical Training

Background:

• Accreditation Council for Graduate Medical Education (ACGME) mandates specific procedural competencies for pediatric residents.
• Assessing resident preparedness for these procedures is crucial for patient safety and effective training.

Purpose of the Study:

• To evaluate the training and self-assessed preparedness of graduating pediatric residents for 14 ACGME-required procedures.
• To identify factors influencing residents' desire for additional procedural training.

Main Methods:

• A national random sample of 1000 graduating pediatric residents in 2015 was surveyed.
• Residents reported on training, completion, comfort, and desire for more training for 14 procedures.
• Logistic regression, ROC curves, and chi-square tests analyzed training measures and influencing factors.

Main Results:

• High training rates (56.4%-99.3%) and completion rates (59.8%-99.6%) were reported for most procedures.
• A significant majority (91.3%) desired more training in at least one procedure, with 30.0% wanting more in over half.
• Primary care goals correlated with desiring more training in specific procedures (e.g., abscess incision, fracture splinting).
• Larger programs were associated with increased desire for training in bladder catheterization, IV placement, and venipuncture.

Conclusions:

• Pediatric residents demonstrate overall preparedness for ACGME-required procedures, with notable exceptions.
• Individualizing training based on program size and resident career goals can optimize procedural competency.