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Implementation and Maturity of Clinical Learning Environment Components Across Pediatric Residency Programs.

Eric Zwemer1, Janet R Serwint2, Kira Sieplinga3

  • 1Department of Pediatrics (E Zwemer), University of North Carolina School of Medicine, Chapel Hill.

Academic Pediatrics
|April 24, 2023
PubMed
Summary
This summary is machine-generated.

Pediatric residency programs vary in implementing clinical learning environment components. Required components are more likely to be implemented and mature, impacting resident education and well-being.

Keywords:
clinical learning environmenteducationpediatric residency

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Area of Science:

  • Medical Education
  • Pediatric Residency Training
  • Clinical Learning Environment

Background:

  • Pediatric residency programs prioritize clinical learning environment components based on resources, institutional factors, and accreditation.
  • Limited data exists on the national implementation and maturity of these components.

Purpose of the Study:

  • To assess the implementation and maturity of clinical learning environment components across pediatric residency programs.
  • To identify factors influencing the adoption and development of these components.

Main Methods:

  • A cross-sectional survey was administered to pediatric program directors in the Pediatric Resident Burnout-Resiliency Study Consortium.
  • Nordquist's clinical learning environment conceptual framework guided survey development.

Main Results:

  • Resident retreats, social events, and career development showed high implementation rates; scribes, childcare, and hidden curriculum were least implemented.
  • Mature components included retreats, anonymous patient safety reporting, and faculty mentoring; least mature were scribe use and mentorship for underrepresented trainees.
  • Accreditation Council of Graduate Medical Education (ACGME) required components were more implemented and mature than non-required ones.

Conclusions:

  • This study provides the first extensive, granular data on pediatric residency learning environment components using an expert-driven process.
  • Findings highlight disparities in implementation and maturity, particularly concerning ACGME requirements.