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December 1991

How Are Pediatric Training Programs Preparing Residents for Practice?

Author Affiliations

From the Education Committee of the Ambulatory Pediatric Association (Drs Greenberg, Pattishall, Kataria, Bartlett, and Tully), McLean, VA, and Children's National Medical Center (Drs Greenberg and Getson and Ms Brasseux), and the Department of Pediatrics, George Washington University School of Medicine (Drs Greenberg and Getson), Washington, DC. Dr Shea is president of the American Academy of Pediatrics, Elk Grove Village, Ill.

Am J Dis Child. 1991;145(12):1389-1392. doi:10.1001/archpedi.1991.02160120057019

• The majority of pediatric residents continue to choose a career in practice on completion of their training. Despite knowing residents' career preferences, many training programs have focused on inpatient tertiary care at the expense of primary care. Perhaps this reflects service needs and the significant technology and extensive information resulting in the growth of pediatric subspecialties. To determine the spectrum of didactic and clinical experiences pediatric training programs offer residents to prepare them for managing a practice, we conducted a survey of pediatric training program directors in 1988. Although the majority of residency programs have a practice management curriculum, the number of hours devoted to this area is minimal. In addition, a significant number of residents are not experiencing a community office rotation. This survey indicates the need to develop a practice management curriculum if trainees are to be prepared for choosing the right career and for being competitive in practice.

(AJDC. 1991;145:1389-1392)

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