Andragogic Model Curriculum for One-Year ACGME-Accredited Fellowship Programs: Single-Center Educational Improvement...

Area of Science:

• Medical Education
• Anesthesiology Fellowships
• Curriculum Development

Background:

• Accreditation Council for Graduate Medical Education (ACGME) fellowships are increasing.
• ACGME recommends holistic curricula including non-clinical and educational components.
• Balancing clinical training, education, and work-hour limits requires innovative approaches.

Purpose of the Study:

• To enhance fellows' educational experience via an andragogic holistic curriculum.
• To assess improvements in diversity, equity, and inclusion (DEI) training and resources.
• To evaluate the impact of a new curriculum on fellowship education.

Main Methods:

• A single-center educational improvement project at Lucile Packard Children's Hospital Stanford (2014-2024).
• Implementation of a 12-modality andragogic curriculum in 2021-2022.
• Analysis using statistical process control p-charts and regression modeling/t-tests.

Main Results:

• A significant improvement in educational content scores (mean difference 0.89, P<.001).
• Enhanced diversity, equity, and inclusion (DEI) training scores (mean difference 0.52, P=.03).
• No significant change in perceived resources (mean difference -0.13, P=.98).

Conclusions:

• An andragogic curriculum positively impacted pediatric anesthesiology fellows' educational perceptions.
• The curriculum improved DEI training within the fellowship program.
• This approach offers a model for enhancing fellowship education.