Part-time residency in pediatrics: Description of current practice

被引:12
作者
Holmes, AV
Cull, WL
Socolar, RR
机构
[1] Univ Rochester, Sch Med & Dent, Dept Pediat, Div Gen Pediat, Rochester, NY 14642 USA
[2] Childrens Hosp, Rochester, NY USA
[3] Amer Acad Pediat, Div Hlth Policy Res, Elk Grove Village, IL USA
[4] Univ N Carolina, Dept Pediat, Div Gen Pediat & Adolescent Med, Chapel Hill, NC USA
关键词
resident education/ training; residency/; internship; part-time; medical education; workforce;
D O I
10.1542/peds.2005-0127
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective. To determine current national utilization levels of part-time pediatric residency and to identify reasons for pursuing training on a part-time basis. Design. Data were obtained through (1) a survey regarding part-time residency mailed to all accredited pediatric residency programs, (2) the American Medical Association Fellowship and Residency Interactive Electronic Database, and (3) the American Academy of Pediatrics postgraduate level 3 survey, 2003. Results. Of the 190 accredited pediatric residency programs surveyed, 156 (82%) responded; 18 (12%) of these programs had >= 1 part-time resident during academic years 2000-2003. Nationally, 43 of 6609 residents represented in the survey (0.7%) undertook some of their training on a part-time basis. All programs prorated salaries in proportion to time percentage, 10 (71%) continued full benefits for part-time residents, and 15 (88%) used a reduced call schedule. Although multiple reasons were given for part-time status, including travel (16%), research ( 14%), advanced degrees (9%), personal illness (9%), and family illness (5%), 67% cited child care as 1 reason. Length of residency was extended by an average of 15 months ( range: 4-36 months). Analysis of the American Medical Association Fellowship and Residency Interactive Electronic Database showed that 45 (24%) of 190 programs advertise part- time slots. Conclusions. Although numerous pediatric programs advertise part-time positions, few residents actually held such positions during a 3-year period. There is variability among programs in how benefits and call schedules are managed. Part-time positions are chosen for multiple reasons, but the most common reason is to care for children. Pediatric residency programs can use this information to meet resident needs.
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收藏
页码:32 / 37
页数:6
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