Published online September 1, 2004
PEDIATRICS Vol. 114 No. 3 September 2004, pp. 832-841 (doi:10.1542/peds.2004-0088)
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SPECIAL ARTICLE

The State of Pediatrics Residency Training: A Period of Transformation of Graduate Medical Education

Theodore C. Sectish, MD*,¶,#, Edwin L. Zalneraitis, MD{ddagger},¶,#,**, Carol Carraccio, MD§,¶,#,** and Richard E. Behrman, MD*,||,**

* Division of General Pediatrics, Stanford University School of Medicine, Stanford, California
{ddagger} Office of Pediatric Medical Education, University of Connecticut, Hartford, Connecticut
§ Division of Pediatric Education, University of Maryland School of Medicine, Baltimore, Maryland
Council of the Association of Pediatric Program Directors, McLean, Virginia
|| University of California, San Francisco, California
# Program Directors Committee of the American Board of Pediatrics, Chapel Hill, North Carolina
** Federation of Pediatric Organizations, Menlo Park, CA

Graduate medical education is in a period of transformation. This article reviews the state of pediatrics residency training by summarizing the changing demographics within training programs, examining the new educational paradigm with an emphasis on competency-based education and continuous professional development, and describing forces influencing the workplace and the focus on work-life balance. Strategies are suggested for leaders in graduate medical education to meet the challenges experienced during this period of transformation.

Key Words: continuing medical education • competency-based education • residency training • graduate medical education

Abbreviations: ABP, American Board of Pediatrics • AAP, American Academy of Pediatrics • AMG, American medical graduate • IOM, Institute of Medicine • ACGME, Accreditation Council for Graduate Medical Education • ABMS, American Board of Medical Specialties • CPD, continuous professional development • OSCE, Observed Structured Clinical Examination • APPD, Association of Pediatric Program Directors • FOPO, Federation of Pediatric Organizations

Accepted Mar 15, 2004.




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