Transforming Pediatric Education in Response to Dobbs v. Jackson: Empowering Adolescents to Manage Their Reproductive Choices.

The June 2022 landmark decision from the US Supreme Court in Dobbs v. Jackson Women's Health Organization removed the federal constitutional protection for abortions, leading to an immediate, profound impact on reproductive rights for people of all ages and, thus, on the practice of the medical providers who serve them. The Dobbs ruling forced a swift and drastic change in the availability of comprehensive reproductive care available to pregnant teens.

Burnout During the COVID-19 Pandemic: A Report on Pediatric Residents.

Background And Objective: The Pediatric Resident Burnout and Resilience Consortium (PRB-RSC) has described the epidemiology of burnout in pediatric residents since 2016. We hypothesized burnout rates during the pandemic would increase. We explored resident burnout during the COVID-19 pandemic and its relationship to resident perception of workload, training, personal life, and local COVID burden.

Is it too complex? A survey of pediatric residency program's educational approach for the care of children with medical complexity.

Background: Although Entrustable Professional Activities (EPAs) regarding pediatric training in care for children with medical complexity (CMC) exist, it is unknown what US pediatric training programs provide for education related to care of CMC and whether educators perceive that pediatric residents are prepared to care for CMC upon graduation.

Methods: From June, 2021 through March 2022, we surveyed US pediatric residency program delegates about practice settings, current educational offerings, perception of resident preparedness regarding care of CMC, and likelihood to implement CMC education in the future.

Results: Response rate was 29% (56 /195).

Implementation and Maturity of Clinical Learning Environment Components Across Pediatric Residency Programs.

Objective: Pediatric residency programs prioritize clinical learning environment components depending on resource availability, institutional constraints and culture, and accreditation requirements. However, there is limited literature on the landscape of implementation and maturity of clinical learning environment components across programs nationally.

Methods: We used Nordquist's clinical learning environment conceptual framework to craft a survey around the implementation and maturity of learning environment components.

Teaching about children with medical complexity: A blueprint for curriculum design.

Children with medical complexity make up a small portion of the pediatric population but utilize a large percentage of health care time and spending. The medical needs of children with medical complexity are highly variable and the education of healthcare providers in the care of these children has taken on more significance. Designing curricula and educational innovations related to the care of children with medical complexity can be challenging.

Off to a Jump Start: Using Immersive Activities to Integrate Continuity Clinic and Advocacy.

Background: Training in advocacy is an important component of graduate medical education. Several models have been implemented by residency programs to address this objective. Little has been published regarding application of immersive advocacy activities integrated into continuity clinic.

Better rested, but more stressed? Evidence of the effects of resident work hour restrictions.

Objective: After the publication of the 2009 Institute of Medicine report addressing resident sleep, the Accreditation Council for Graduate Medical Education implemented new work hour restrictions in 2011. We explored the effects of a resident schedule compliant with 2011 limits on resident sleep, fatigue, education, and aspects of professionalism.

Methods: Partially randomized cohort study of residents and hospitalist attendings on general pediatric inpatient teams at a large children's hospital.

Failure to thrive: pediatric residents weigh in on feasibility trial of the proposed 2008 institute of medicine work hour restrictions.

Background: In December 2008 the Institute of Medicine (IOM) released a report recommending limits on resident hours that are considerably more restrictive than the current Accreditation Council for Graduate Medical Education duty hour standards.

Intervention: In March 2009, a large pediatric residency program implemented a 1-month trial of a schedule and team structure fully congruent with the IOM recommendations to study the implications of such a schedule.

Methods: Comparison of the interns' experience in the trialed intervention schedule was made to interns working a traditional schedule with every fourth night call.