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

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.