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Pediatric training in emergency medicine residency programs

S Ludwig, G Fleisher, F Henretig

    Annals of Emergency Medicine
    |April 1, 1982
    PubMed
    Summary

    Emergency medicine (EM) residency programs offer limited pediatric emergency care (PEC) training, with only 16% of time dedicated to it despite 25% of patients being pediatric. Directors recommend more training and specialist involvement.

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    Area of Science:

    • Medical Education
    • Emergency Medicine
    • Pediatric Emergency Care

    Background:

    • Emergency medicine (EM) residency programs are crucial for training future physicians.
    • Pediatric emergency care (PEC) represents a significant patient population but may be underrepresented in EM training.

    Purpose of the Study:

    • To assess the nature and extent of pediatric emergency care (PEC) training in endorsed EM residency programs.
    • To identify discrepancies between training time and patient volume in PEC.
    • To gather recommendations for improving PEC training from program directors.

    Main Methods:

    • A survey was distributed to endorsed emergency medicine (EM) residency programs.
    • Response rate was 82%, providing data on training duration, patient demographics, and training sites.

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  • Program directors' satisfaction and recommendations for improvement were collected.

    • Main Results:

    • Pediatric emergency care (PEC) training averaged two months per year, comprising 16% of total training time.
    • Pediatric patients constituted 25% of the overall patient population, indicating a potential gap.
    • Significant variation existed in training sites, and didactic sessions frequently omitted core PEC topics.

    Conclusions:

    • Current pediatric emergency care (PEC) training in EM residency programs is insufficient given the patient population demographics.
    • 80% of program directors recommended changes, primarily advocating for increased pediatric patient exposure and inclusion of PEC specialists as trainers.
    • Enhancing PEC training is essential for better preparing EM residents to manage pediatric emergencies.