Published online December 16, 2008
PEDIATRICS Vol. 123 Supplement January 2009, pp. S1-S7 (doi:10.1542/peds.2008-1578C)
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SUPPLEMENT ARTICLE


Linking Process to Outcome: Are We Training Pediatricians to Meet Evolving Health Care Needs?

M. Douglas Jones, Jr, MDa, Gail A. McGuinness, MDb, Lewis R. First, MDc, Laurel K. Leslie, MDd and the Residency Review and Redesign in Pediatrics Committee

a Department of Pediatrics, University of Colorado Denver, School of Medicine, Aurora, Colorado
b Executive Vice-president, American Board of Pediatrics, Chapel Hill, North Carolina
c Department of Pediatrics, University of Vermont College of Medicine, Burlington, Vermont
d Departments of Medicine and Pediatrics, Tufts Medical Center, Boston, Massachusetts

The Residency Review and Redesign in Pediatrics (R3P) Project began in 2005 and will have been completed in 2009. The purpose was to conduct a comprehensive reassessment of general pediatric residency education. The project convened 3 major colloquia supplemented by numerous meetings of an R3P committee and by surveys of residents, subspecialty fellows, and generalist and subspecialty practitioners. A principal conclusion was that resident learning opportunities should be more flexibly directed toward the variety of career choices available to pediatricians. Another conclusion was that reasonable expectations for residency education are most likely if learning is regarded as an integrated continuum, beginning in medical school and continuing throughout a career in practice. The R3P Committee declined to create a list of recommendations for immediate changes in residency education; instead, it recommends that changes be based on evidence of education outcomes that are important to improving the health of children, adolescents, and young adults.

Key Words: education • medical • graduate • decision-making • organizational • organizational innovation • program development • policy-making • certification • accreditation

Abbreviations: FOPE—Future of Pediatric Education • ACGME—Accreditation Council for Graduate Medical Education • R3P—Residency Review and Redesign in Pediatrics

Accepted Sep 22, 2008.


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L. K. Leslie
What Can Data Tell Us About the Quality and Relevance of Current Pediatric Residency Education?
Pediatrics, January 1, 2009; 123(Supplement_1): S50 - S55.
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