PEDIATRICS Vol. 98 No. 6 December 1996, pp. iv
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Comments From the Co-Editors

Thomas G. Dewitt MD and Kenneth B. Roberts MD

"It takes about 6 to 12 months to learn how to practice in an office after completing a residency in pediatrics." This common assertion has been heard so frequently as to have become almost axiomatic. It reflects what has been termed the "residency-practice training mismatch," a problem more extreme in pediatrics than in any other specialty. The effort to combat the mismatch by providing pediatrics residents "real world" experience in community settings is not new, but the movement has taken on new momentum. The Residency Review Committee Program Requirements now mandate "structured educational experiences that prepare residents for the role of advocate for the health of children within the community." Several programs nationally have led the way in developing, implementing, and evaluating models in practices, schools, and various community agencies. The conference, of which this supplement is a summary, provided a "State of the Art" review of basic and applied educational principles for residency education in community settings.

The forerunner of the conference was an invitational symposium in Worcester, MA, on June 13 and 14, 1992, supported by the Maternal and Child Health Bureau. The 1992 conference brought together experienced, knowledgeable individuals from programs with education activities in their communities and served as the basis for the development of Pediatric Education in Community Settings. A Manual. The manual was supported by the Maternal and Child Health Bureau, the American Academy of Pediatrics, and the Ambulatory Pediatric Association. The 1996 national conference was designed to take place shortly after the printing of the manual, to reinforce basic elements of education—with special reference to education outside the hospital setting—and to promote active discussion and networking.




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L. E. Ferguson, S. S. Crandell, M. D. Hormann, and V. A. Moyer
A Vertically Integrated Core Pediatric Education
Clinical Pediatrics, November 1, 2002; 41(9): 675 - 679.
[Abstract] [PDF]