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Leadership Training in Pediatric Residency Programs: Identifying Content, Characterizing Practice, and Planning for
Steven M Loscalzo1, Tracy Seimears2, Nancy D Spector3
1Department of Anesthesia and Critical Care Medicine, Children's Hospital of Philadelphia (SM Loscalzo), Philadelphia, Pa; Department of Pediatrics, Saint Christopher's Hospital for Children (SM Loscalzo), Philadelphia, Pa.
Pediatric residency programs lack dedicated training for essential leadership skills, despite national agreement on their importance. Six high-value skills were identified, but few programs teach them effectively.
Area of Science:
- Medical Education
- Leadership Development
- Pediatrics
Background:
- Physicians often assume leadership roles with insufficient formal training.
- Current pediatric residency competencies may not fully encompass essential leadership abilities.
- There is a need to identify and address gaps in leadership skill development for pediatric residents.
Purpose of the Study:
- To identify high-value leadership skills crucial for pediatric residents.
- To evaluate the extent of dedicated leadership skills training within pediatric residency programs.
Main Methods:
- A modified Delphi process was employed to establish a core set of leadership skills.
- A national survey of pediatric residency program directors assessed the importance of these skills and current training.
- High-value skills were defined as those rated "extremely" or "quite important" by at least 90% of respondents.
Main Results:
- Six high-value leadership skills were identified: time management, feedback reception, effective communication, professionalism, emotional intelligence, and conflict resolution.
- A significant gap exists, with only 19% of surveyed programs offering dedicated teaching for all identified high-value skills.
- National consensus exists among program directors regarding the importance of these leadership competencies.
Conclusions:
- Despite widespread agreement on the significance of specific leadership skills, pediatric residency programs inadequately provide dedicated instruction.
- The identified high-value leadership skills offer a framework for enhancing future educational initiatives in pediatric residency programs.
- Addressing this training deficit is crucial for developing effective physician leaders in pediatrics.
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