Farewell to PGY-6? Addressing the realities of pediatric fellowship training
Satyan Lakshminrusimha1, Clara Song2, Robin H Steinhorn3
1Department of Pediatrics, University of California at Davis, Sacramento, CA, USA. slakshmi@health.ucdavis.edu.
Abstract:
The shortages in pediatric subspecialist workforce are threatening care of children in the US. A prolonged residency plus fellowship of 6 years and relatively low salaries may discourage medical students from choosing pediatric fellowship training. To address this "subspecialty shortage," the American Board of Pediatrics (ABP) recently announced a fundamental shift toward competency-based medical education (CBME). This proposal reduces fellowship training duration to a two-year clinical track option. This change is likely to start as early as 2028. We propose an alternate approach that is similar in length (5-years) but with a shorter residency (2-years) and a three-year fellowship for procedural-based subspecialties in pediatrics, cardiology and intensive care fields, such as neonatal-perinatal medicine (NPM), and pediatric critical care medicine (PCCM).
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