Pediatric program directors are charged with organizing and directing the educational
curriculum and instructional plans for programs educating future pediatricians. Program
design is directly influenced by the Accreditation Council for Graduate Medical Education
(ACGME), the American Board of Pediatrics (ABP), the public, and other influential
factors present within the training environment (hospitals, institutional structure,
and finances, to name a few). Many program requirements for general pediatrics and
pediatric subspecialties call for the development of competence in areas where no
peer-reviewed, published curriculum or instructional plans exist, much less measures
of their effectiveness. Indeed, best evidence available for medical education may
be quite limited for some very important areas of graduate medical education.
1
A described hierarchy of evaluation of effectiveness of education places performance
in the patient care setting as the highest level—above learner participation, perception
of learning, demonstration of knowledge, or understanding,
2
yet evidence of learner performance in the actual care of patients is often lacking.To read this article in full you will need to make a payment
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References
- BEME guide no. 1: best evidence medical education.Med Teach. 1999; 21: 553-562
- Evaluation of training.in: Craig R. Training and Development Handbook. McGraw Hill, 3rd edition. New York, NY1987 (301–319)
Association for Pediatric Program Directors. APPD share warehouse. Available at: http://www.appd.org/members_only/login.cfm. Accessed December 30, 2008.
- What is evidence-based education?.Br J Educ Stud. 1999; 47: 108-121
- Outcomes in medical education: what is the standard and outcome of care delivered by our graduates?.Adv Health Sci Educ. 1999; 4: 9-25
- Quality collaboratives: lessons from research.Qual Safety Health Care. 2002; 11: 345-351
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Work Hours and Schedules to Improve Patient Safety, Institute of Medicine. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: National Academy of Sciences; 2008.
- Crossing the Quality Chasm: A New Health System for the 21st Century.The National Academies Press, Washington, DC2001
- Program Evaluation: Alternatives Approaches and Practical Guidelines.3rd ed. Pearson Education Inc, Boston, Mass2004
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© 2009 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
