Published online March 1, 2005
PEDIATRICS Vol. 115 No. 3 March 2005, pp. 765-773 (doi:10.1542/peds.2004-1223)
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SPECIAL ARTICLE

Training Young Pediatricians as Leaders for the 21st Century

Laurel K. Leslie, MD*, Mary Beth Miotto, MD{ddagger}, Gilbert C. Liu, MD§, Suzanne Ziemnik, MEd||, Antonio G. Cabrera, MD, Shellane Calma, BA*, Christina Huang, BA* and Kenneth Slaw, PhD#

* Child and Adolescent Services Research Center, Children’s Hospital, San Diego, California
{ddagger} Private Practice, Marlborough, Massachusetts
§ Children’s Health Services Research, Indiana University School of Medicine, Indianapolis, Indiana
|| Division of Continuing Medical Education, American Academy of Pediatrics, Elk Grove Village, Illinois
Department of Cardiology, Rainbow Babies and Children’s Hospital/Case Western Reserve University, Cleveland, Ohio
# Membership, American Academy of Pediatrics, Elk Grove Village, Illinois

Objective. To conduct a needs assessment with young pediatricians who participate in a leadership training program and to evaluate the effectiveness of that program.

Methods. In concert with the Johnson & Johnson Pediatric Institute, LLC, the American Academy of Pediatrics developed a 1-year strategy to train pediatricians who are <40 years old or <5 years in practice in leadership skills. Participants were nominated by American Academy of Pediatrics chapters and/or sections and were required to complete a detailed needs assessment, attend a 3-day training program, and commit to 1 leadership-related behavior change to be implemented within 6 months. A preanalytic/postanalytic design strategy was used.

Results. A total of 56 applicants representing 33 US states participated; 44.6% were male, and more than half (51.8%) were employed at a medical school/hospital. The needs assessment indicated that participants were confident in many of their leadership qualities but desired increased training, particularly in areas of time and priority management and leading "from the middle." Postsurvey instruments (n = 54, 96% response rate) determined that participants positively evaluated the training program and improved in self-reported basic competencies; 87% also reported fully or partially achieving a leadership-related goal identified in a behavior change contract.

Conclusions. Results demonstrate that young physicians are eager for leadership training and that continuing medical education in this area can be provided with positive results. Core competencies, curriculum, and evaluative tools need to be developed further and training opportunities need to be expanded to other subpopulations of pediatricians and pediatric health care providers.

Key Words: pediatrics • leadership • leadership training • continuing medical education

Abbreviations: IOM, Institute of Medicine • PLA, Pediatric Leadership Alliance • YPL, Young Pediatric Leaders for the 21st Century Training Program • AAP, American Academy of Pediatrics • JJPI, Johnson & Johnson Pediatric Institute

Accepted Jul 22, 2004.




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