Lessons learned in allergy and immunology training: a survey analysis

Area of Science:

• Medical Education Research
• Allergy and Immunology Training
• Competency-Based Medical Education

Background:

• Limited Canadian data exists on the preparedness of Clinical Immunology and Allergy (CIA) residents post-training.
• Assessing the effectiveness of traditional residency programs in preparing graduates for practice is crucial.

Purpose of the Study:

• To evaluate the self-perceived preparedness of Canadian CIA residency graduates.
• To identify specific areas of strength and weakness in resident training.

Main Methods:

• An electronic survey was distributed to 2018 and 2019 graduates of Canadian CIA programs.
• The survey was conducted in the summer of 2020 by the Canadian Society of Allergy and Clinical Immunology (CSACI).

Main Results:

• Graduates reported strong preparedness in Medical Expert competencies.
• Lower preparedness was noted in intrinsic roles: Leader, Communicator, Collaborator, Health Advocate, Scholar, and Professional.
• Most intrinsic competencies were acquired post-residency through mentorship and on-the-job learning.

Conclusions:

• Canadian CIA residents are well-prepared in core medical expert areas but require enhanced training in intrinsic competencies.
• Residency programs should consider curriculum adjustments to better prepare graduates for practice transition.
• Current academic half-day sessions may not be effective for teaching intrinsic competencies, necessitating new pedagogical strategies.