PMID- 16639198
OWN - NLM
STAT- MEDLINE
DCOM- 20060613
LR  - 20151119
IS  - 1040-2446 (Print)
IS  - 1040-2446 (Linking)
VI  - 81
IP  - 5
DP  - 2006 May
TI  - Training experiences of U.S. combined internal medicine and pediatrics residents.
PG  - 440-6
AB  - PURPOSE: To investigate the demographics and training experiences of internal 
      medicine and pediatrics (med-peds) physicians. METHOD: A cross-sectional survey 
      addressing demographics, training experiences, and career plans of fourth-year 
      residents graduating from combined internal medicine and pediatrics programs that 
      were identified in the American Academy of Pediatrics database was initiated in 
      May 2003. Questionnaires were mailed up to four times to nonresponders through 
      August 2003. RESULTS: Valid responses were received from 212 of the 340 
      graduating residents (62% response rate). The majority (186/208 [89%]) reported 
      that they would choose med-peds training again. Career planning (135/210 [64%]), 
      office management (173/212 [82%]), and outpatient procedures (155/211 [73%]) were 
      the only areas where the majority desired more training. Neonatal intensive care 
      training was the only topic area that the majority of residents (142/212 [67%]) 
      reported could have been carried out in less time. Nearly all residents (183/196 
      [93%]) planned to care for children and adults. Residents' self-assessment of 
      their preparation was good to excellent for evidence-based medicine (192/210 
      [91%]), caring for patients with special health care needs (179/209 [86%]), and 
      use of information technology (169/208 [81%]). Residents felt equally well 
      prepared for postgraduate activities in internal medicine and pediatrics primary 
      care (170/212 [80%] versus 163/211 [77%], p = .305, NS) and internal medicine and 
      pediatric fellowships (186/207 [90%] versus 181/208 [87%], p = .058, NS). Only 
      112 of 209 residents (54%) felt their preparation for research was good to 
      excellent. CONCLUSIONS: The study findings suggest that med-peds residents are 
      satisfied with their decision to train in med-peds and with their level of 
      preparation. They feel equally well prepared to care for adults and children, and 
      well prepared to care for patients that may transition to adulthood with complex 
      needs, to assess evidence, and to use information technology.
FAU - Melgar, Thomas
AU  - Melgar T
AD  - Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, 
      Michigan, USA.
FAU - Chamberlain, John K
AU  - Chamberlain JK
FAU - Cull, William L
AU  - Cull WL
FAU - Kaelber, David C
AU  - Kaelber DC
FAU - Kan, Brian D
AU  - Kan BD
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
SB  - IM
MH  - Academic Medical Centers/*organization & administration
MH  - Adult
MH  - *Attitude of Health Personnel
MH  - Career Choice
MH  - Cross-Sectional Studies
MH  - Data Collection
MH  - Databases as Topic
MH  - Female
MH  - Humans
MH  - Internal Medicine/*education
MH  - Internship and Residency/*organization & administration
MH  - Male
MH  - Pediatrics/*education
MH  - *Program Evaluation
MH  - Surveys and Questionnaires
MH  - Time Factors
MH  - United States
EDAT- 2006/04/28 09:00
MHDA- 2006/06/14 09:00
CRDT- 2006/04/28 09:00
PHST- 2006/04/28 09:00 [pubmed]
PHST- 2006/06/14 09:00 [medline]
PHST- 2006/04/28 09:00 [entrez]
AID - 00001888-200605000-00007 [pii]
AID - 10.1097/01.ACM.0000222276.83082.87 [doi]
PST - ppublish
SO  - Acad Med. 2006 May;81(5):440-6. doi: 10.1097/01.ACM.0000222276.83082.87.