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Am J Perinatol 2020; 37(05): 511-518
DOI: 10.1055/s-0039-1683887
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Residency Graduates Preparedness for Neonatal-Perinatal Medicine Fellowship: The Perspective of First-Year Fellows

Lindsey Korbel
1   Pediatric Residency Program, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio
,
Carl H. Backes Jr
2   Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio
3   The Heart Center, Department of Cardiology, Nationwide Children's Hospital, Columbus, Ohio
4   Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio
5   Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
,
Brian K. Rivera
5   Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
,
Courtney C. Mitchell
5   Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
,
Melissa M. Carbajal
6   Section of Neonatology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas
7   Department of Neonatology, Texas Children's Newborn Center, Texas Children's Hospital, Houston, Texas
,
Kristina Reber
2   Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio
5   Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
,
Elizabeth M. Bonachea
2   Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio
5   Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
› Author Affiliations
Further Information

Publication History

26 October 2018

15 February 2019

Publication Date:
20 March 2019 (online)

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Abstract

Objective This study aimed to report on Neonatal-Perinatal Medicine (NPM) fellows' views of self-preparedness upon starting postresidency training.

Study Design We conducted a national survey of first-year NPM fellows in the United States. The validated survey had five major areas: professionalism, psychomotor ability, independence/graduated responsibility, clinical evaluation, and academia. Survey responses were analyzed using descriptive statistics, and the free-text answers were categorized.

Results Of 228 potential first-year NPM fellows, 140 (61%) initially responded to the survey. Overall, the fellows perceived themselves positively in professionalism and independence/graduated responsibility domains. Marked variability was observed in perceived preparedness in psychomotor ability, with confidence in neonatal intubation and arterial line placement of 86 and 49%, respectively. Lack of confidence in performing neonatal intubation procedures correlates with lack of attempts. The majority (75%) of fellows reported being interested in academia, but less than half felt capable of writing an article.

Conclusion First-year NPM fellows identified deficiencies in the domains of psychomotor ability and academia. Residency and fellowship programs should partner to address these deficiencies.

Keywords

medical education - neonatal-perinatal medicine - pediatric residency
 

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