North American Pediatric Gastroenterology Fellowship Needs Assessment in Inflammatory Bowel Disease

Trainee and Program Director Perspectives

Jennifer L. Dotson, Tolulope Falaiye, Josh B. Bricker, Jennifer Strople, Joel Rosh

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Pediatric inflammatory bowel disease (IBD) care is complex and rapidly evolving. The Crohn's and Colitis Foundation of America and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition cosponsored a needs assessment survey of pediatric gastroenterology trainees and program directors (PDs) to inform on educational programming. Methods: A Web-based, self-completed survey was provided to North American trainees and PDs during the 2013-2014 academic year. Standard descriptive statistics summarized demographics and responses. Results: One hundred sixty-six of 326 (51%) trainees (62% female) and 37 of 74 (50%) PDs responded. Median trainees per program 5 and median total faculty 10 (3 IBD experts); 15% of programs did not have a self-identified "IBD expert" faculty member. Sixty-nine percent of trainees were confident/somewhat confident in their IBD inpatient training, whereas 54% were confident/somewhat confident in their outpatient training. Trainees identified activities that would most improve their education, including didactics (55%), interaction with national experts (50%), trainee-centered IBD Web resources (42%), and increased patient exposure (42%). Trainees were most confident in managing inpatient active Crohn's disease/ulcerative colitis, phenotype classification, managing biological therapies, and using clinical disease activity indices. They were least confident in managing J-pouch complications, performing pouchoscopy, managing extraintestinal manifestations, and ostomy-related complications. Eighty-five percent would like an IBD-focused training elective. Most directors (86%) would allow trainees to do electives at other institutions. Conclusions: This IBD needs assessment survey of pediatric gastroenterology trainees and PDs demonstrated a strong resource commitment to IBD training and clinical care. Areas for educational enrichment emerged, including pouch and ostomy complications.

Original languageEnglish (US)
Pages (from-to)1616-1620
Number of pages5
JournalInflammatory bowel diseases
Volume22
Issue number7
DOIs
StatePublished - Jun 7 2016
Externally publishedYes

Fingerprint

Needs Assessment
Gastroenterology
Inflammatory Bowel Diseases
Pediatrics
Ostomy
Inpatients
Colonic Pouches
Biological Therapy
Colitis
North America
Ulcerative Colitis
Crohn Disease
Outpatients
Demography
Phenotype
Education
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Gastroenterology

Cite this

Dotson, Jennifer L. ; Falaiye, Tolulope ; Bricker, Josh B. ; Strople, Jennifer ; Rosh, Joel. / North American Pediatric Gastroenterology Fellowship Needs Assessment in Inflammatory Bowel Disease : Trainee and Program Director Perspectives. In: Inflammatory bowel diseases. 2016 ; Vol. 22, No. 7. pp. 1616-1620.
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abstract = "Background: Pediatric inflammatory bowel disease (IBD) care is complex and rapidly evolving. The Crohn's and Colitis Foundation of America and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition cosponsored a needs assessment survey of pediatric gastroenterology trainees and program directors (PDs) to inform on educational programming. Methods: A Web-based, self-completed survey was provided to North American trainees and PDs during the 2013-2014 academic year. Standard descriptive statistics summarized demographics and responses. Results: One hundred sixty-six of 326 (51{\%}) trainees (62{\%} female) and 37 of 74 (50{\%}) PDs responded. Median trainees per program 5 and median total faculty 10 (3 IBD experts); 15{\%} of programs did not have a self-identified {"}IBD expert{"} faculty member. Sixty-nine percent of trainees were confident/somewhat confident in their IBD inpatient training, whereas 54{\%} were confident/somewhat confident in their outpatient training. Trainees identified activities that would most improve their education, including didactics (55{\%}), interaction with national experts (50{\%}), trainee-centered IBD Web resources (42{\%}), and increased patient exposure (42{\%}). Trainees were most confident in managing inpatient active Crohn's disease/ulcerative colitis, phenotype classification, managing biological therapies, and using clinical disease activity indices. They were least confident in managing J-pouch complications, performing pouchoscopy, managing extraintestinal manifestations, and ostomy-related complications. Eighty-five percent would like an IBD-focused training elective. Most directors (86{\%}) would allow trainees to do electives at other institutions. Conclusions: This IBD needs assessment survey of pediatric gastroenterology trainees and PDs demonstrated a strong resource commitment to IBD training and clinical care. Areas for educational enrichment emerged, including pouch and ostomy complications.",
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North American Pediatric Gastroenterology Fellowship Needs Assessment in Inflammatory Bowel Disease : Trainee and Program Director Perspectives. / Dotson, Jennifer L.; Falaiye, Tolulope; Bricker, Josh B.; Strople, Jennifer; Rosh, Joel.

In: Inflammatory bowel diseases, Vol. 22, No. 7, 07.06.2016, p. 1616-1620.

Research output: Contribution to journalArticle

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T1 - North American Pediatric Gastroenterology Fellowship Needs Assessment in Inflammatory Bowel Disease

T2 - Trainee and Program Director Perspectives

AU - Dotson, Jennifer L.

AU - Falaiye, Tolulope

AU - Bricker, Josh B.

AU - Strople, Jennifer

AU - Rosh, Joel

PY - 2016/6/7

Y1 - 2016/6/7

N2 - Background: Pediatric inflammatory bowel disease (IBD) care is complex and rapidly evolving. The Crohn's and Colitis Foundation of America and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition cosponsored a needs assessment survey of pediatric gastroenterology trainees and program directors (PDs) to inform on educational programming. Methods: A Web-based, self-completed survey was provided to North American trainees and PDs during the 2013-2014 academic year. Standard descriptive statistics summarized demographics and responses. Results: One hundred sixty-six of 326 (51%) trainees (62% female) and 37 of 74 (50%) PDs responded. Median trainees per program 5 and median total faculty 10 (3 IBD experts); 15% of programs did not have a self-identified "IBD expert" faculty member. Sixty-nine percent of trainees were confident/somewhat confident in their IBD inpatient training, whereas 54% were confident/somewhat confident in their outpatient training. Trainees identified activities that would most improve their education, including didactics (55%), interaction with national experts (50%), trainee-centered IBD Web resources (42%), and increased patient exposure (42%). Trainees were most confident in managing inpatient active Crohn's disease/ulcerative colitis, phenotype classification, managing biological therapies, and using clinical disease activity indices. They were least confident in managing J-pouch complications, performing pouchoscopy, managing extraintestinal manifestations, and ostomy-related complications. Eighty-five percent would like an IBD-focused training elective. Most directors (86%) would allow trainees to do electives at other institutions. Conclusions: This IBD needs assessment survey of pediatric gastroenterology trainees and PDs demonstrated a strong resource commitment to IBD training and clinical care. Areas for educational enrichment emerged, including pouch and ostomy complications.

AB - Background: Pediatric inflammatory bowel disease (IBD) care is complex and rapidly evolving. The Crohn's and Colitis Foundation of America and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition cosponsored a needs assessment survey of pediatric gastroenterology trainees and program directors (PDs) to inform on educational programming. Methods: A Web-based, self-completed survey was provided to North American trainees and PDs during the 2013-2014 academic year. Standard descriptive statistics summarized demographics and responses. Results: One hundred sixty-six of 326 (51%) trainees (62% female) and 37 of 74 (50%) PDs responded. Median trainees per program 5 and median total faculty 10 (3 IBD experts); 15% of programs did not have a self-identified "IBD expert" faculty member. Sixty-nine percent of trainees were confident/somewhat confident in their IBD inpatient training, whereas 54% were confident/somewhat confident in their outpatient training. Trainees identified activities that would most improve their education, including didactics (55%), interaction with national experts (50%), trainee-centered IBD Web resources (42%), and increased patient exposure (42%). Trainees were most confident in managing inpatient active Crohn's disease/ulcerative colitis, phenotype classification, managing biological therapies, and using clinical disease activity indices. They were least confident in managing J-pouch complications, performing pouchoscopy, managing extraintestinal manifestations, and ostomy-related complications. Eighty-five percent would like an IBD-focused training elective. Most directors (86%) would allow trainees to do electives at other institutions. Conclusions: This IBD needs assessment survey of pediatric gastroenterology trainees and PDs demonstrated a strong resource commitment to IBD training and clinical care. Areas for educational enrichment emerged, including pouch and ostomy complications.

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