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A Collaborative Model for Inpatient Training in a Small Pediatric Residency Program
Journal article   Open access   Peer reviewed

A Collaborative Model for Inpatient Training in a Small Pediatric Residency Program

Anna M Carr, Matilde Irigoyen, Allan M Arbeter, Robert S Wimmer, Robert S McGregor, Charles R Reed and Daniel V Schidlow
Journal of graduate medical education, v 3(3), pp 383-386
01 Sep 2011
DOI: https://doi.org/10.4300/JGME-D-10-00216.1
PMID: 22942968
url
https://doi.org/10.4300/jgme-d-10-00216.1View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze),  Open
url
https://doi.org/10.4300/JGME-D-10-00216.1View
Published, Version of Record (VoR) Open

Abstract

Abstract Background The nationwide decline in pediatric admissions to community hospitals threatens the sustainability of small pediatric residency programs. Little is known about the response of small programs to this challenge. Objectives We report on the design and evaluation of an innovative, collaborative model for pediatric inpatient training between an academic community medical center and a children's hospital. Methods We describe the operational, academic, and financial features of the model. Outcome measures include patient volume and subspecialty mix, resident and faculty perceptions as reported in an anonymous survey, and Accreditation Council for Graduate Medical Education Residency Review Committee (RRC) review. Results In 2003, Albert Einstein Medical Center (Einstein) closed its pediatric inpatient unit and established an independent teaching service at St Christopher's Hospital for Children (St Christopher's) in Philadelphia, Pennsylvania. Under the new model, patient volume and subspecialty mix more than tripled. Einstein residents and faculty identified 5 major strengths: level of responsibility and decision making, caring for medically complex children, quality of teaching, teamwork, and opportunity to participate in academic activities at a children's hospital. St Christopher's leadership reported increased volume, no disruption of their residency program, and no dilution of clinical teaching material. The Einstein program was reaccredited by the RRC in 2006 for 2 years and in 2009 for 4 years. Conclusion A collaborative model for inpatient training was successful in maintaining a community hospital–based pediatric residency program. Positive outcomes were documented for the residency program, the parent community hospital, and the collaborating children's hospital.

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