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Program Directors and Coordinators in child neurology face challenges with protected time and workload, impacting GME training. Recommendations include revising ACGME requirements for better support and realistic time allocation.

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Neurology

Background:

  • The roles of Program Directors (PDs) and Program Coordinators (PCs) in Graduate Medical Education (GME) are continually evolving.
  • This study addresses the changing responsibilities within GME programs.

Purpose of the Study:

  • To assess workforce characteristics, challenges in implementing Accreditation Council of Graduate Medical Education (ACGME) requirements, and institutional support for PDs and PCs.
  • To identify key issues affecting PDs and PCs in Child Neurology and Neurodevelopmental Disabilities programs.

Main Methods:

  • An anonymous electronic survey was distributed in 2016 to PDs (n=76) and PCs (n=68) in Child Neurology and Neurodevelopmental Disabilities.
  • Responses were analyzed using descriptive statistics to characterize workforce data and challenges.

Main Results:

  • A 72% response rate was achieved (46 PDs, 57 PCs).
  • PDs reported high clinical workloads and insufficient protected time. PCs often lacked formal training, had inaccurate job descriptions, and exceeded scheduled work hours, with many unpaid for after-hours work.
  • Common concerns included faculty evaluation completion, inadequate protected time, and low PC salaries.

Conclusions:

  • PDs and PCs in these specialties report significant issues that may increase turnover and hinder training quality.
  • The ACGME should revise and formalize protected time requirements for PDs and PCs, ensuring realistic administrative assessments and compliance monitoring.