Exposure to prenatal consultation during pediatric surgery residency: Implications for training

Loren Berman, Rashmi Kabre, Anne Kazak, Barry Hicks, Francois Luks

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose Prenatal consultation is an important skill that should be learned during pediatric surgery training, but there are no formal guidelines for fellowship programs at this time. We sought to characterize the fellowship experience of recent pediatric surgery graduates and assess preparedness for providing prenatal consultation. Methods An anonymous online survey of pediatric surgery fellows graduating in 2012 and 2013 was performed. We asked respondents to describe participation in prenatal consultation and preparedness to perform consultation. We measured demographics and fellowship characteristics and tested associations between these variables and preparedness to perform prenatal consultation. Results A total of 49 out of 80 fellows responded to the survey (61% response rate). Most respondents (55%) saw five or fewer prenatal consults during fellowship, and 20% had not seen any prenatal consults. 47% said that fellowship could have better prepared them to perform prenatal consults. Fellows who saw more than 5 prenatal consults during fellowship (33% vs 77%, p = 0.002) or described their fellowship as being structured to facilitate participation in prenatal consults (83% vs 27%, p < 0.0001) were more likely to feel prepared. Stepwise logistic regression revealed that after adjusting for covariates, fellows graduating from programs that were 1) structured to facilitate participation in prenatal consults (OR 18, 95% CI 3.7-86.7), or 2) did NOT have an established fetal program (OR 5.5, 95% CI 1.1-27.8) were more likely to feel prepared. Conclusion Exposure to prenatal consultation varies greatly across pediatric surgery fellowships, and many recent graduates do not feel prepared to perform prenatal consultation. The presence of an established fetal program did not necessarily translate into improved fellow training. Efforts should be made to standardize the approach to fellow education in this area and ensure that adequate guidance and resources are available to recently graduated pediatric surgeons.

Original languageEnglish (US)
Pages (from-to)131-136
Number of pages6
JournalJournal of Pediatric Surgery
Volume51
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Internship and Residency
Referral and Consultation
Pediatrics
Logistic Models
Demography
Guidelines
Education
Surveys and Questionnaires

Keywords

  • Competency
  • Education
  • Fellowship training
  • Pediatric surgery
  • Prenatal consultation

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Exposure to prenatal consultation during pediatric surgery residency : Implications for training. / Berman, Loren; Kabre, Rashmi; Kazak, Anne; Hicks, Barry; Luks, Francois.

In: Journal of Pediatric Surgery, Vol. 51, No. 1, 01.01.2016, p. 131-136.

Research output: Contribution to journalArticle

Berman, Loren ; Kabre, Rashmi ; Kazak, Anne ; Hicks, Barry ; Luks, Francois. / Exposure to prenatal consultation during pediatric surgery residency : Implications for training. In: Journal of Pediatric Surgery. 2016 ; Vol. 51, No. 1. pp. 131-136.
@article{c3a2b4b00b3c4e68be2d54ecd20311fd,
title = "Exposure to prenatal consultation during pediatric surgery residency: Implications for training",
abstract = "Purpose Prenatal consultation is an important skill that should be learned during pediatric surgery training, but there are no formal guidelines for fellowship programs at this time. We sought to characterize the fellowship experience of recent pediatric surgery graduates and assess preparedness for providing prenatal consultation. Methods An anonymous online survey of pediatric surgery fellows graduating in 2012 and 2013 was performed. We asked respondents to describe participation in prenatal consultation and preparedness to perform consultation. We measured demographics and fellowship characteristics and tested associations between these variables and preparedness to perform prenatal consultation. Results A total of 49 out of 80 fellows responded to the survey (61{\%} response rate). Most respondents (55{\%}) saw five or fewer prenatal consults during fellowship, and 20{\%} had not seen any prenatal consults. 47{\%} said that fellowship could have better prepared them to perform prenatal consults. Fellows who saw more than 5 prenatal consults during fellowship (33{\%} vs 77{\%}, p = 0.002) or described their fellowship as being structured to facilitate participation in prenatal consults (83{\%} vs 27{\%}, p < 0.0001) were more likely to feel prepared. Stepwise logistic regression revealed that after adjusting for covariates, fellows graduating from programs that were 1) structured to facilitate participation in prenatal consults (OR 18, 95{\%} CI 3.7-86.7), or 2) did NOT have an established fetal program (OR 5.5, 95{\%} CI 1.1-27.8) were more likely to feel prepared. Conclusion Exposure to prenatal consultation varies greatly across pediatric surgery fellowships, and many recent graduates do not feel prepared to perform prenatal consultation. The presence of an established fetal program did not necessarily translate into improved fellow training. Efforts should be made to standardize the approach to fellow education in this area and ensure that adequate guidance and resources are available to recently graduated pediatric surgeons.",
keywords = "Competency, Education, Fellowship training, Pediatric surgery, Prenatal consultation",
author = "Loren Berman and Rashmi Kabre and Anne Kazak and Barry Hicks and Francois Luks",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.jpedsurg.2015.10.030",
language = "English (US)",
volume = "51",
pages = "131--136",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Exposure to prenatal consultation during pediatric surgery residency

T2 - Implications for training

AU - Berman, Loren

AU - Kabre, Rashmi

AU - Kazak, Anne

AU - Hicks, Barry

AU - Luks, Francois

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Purpose Prenatal consultation is an important skill that should be learned during pediatric surgery training, but there are no formal guidelines for fellowship programs at this time. We sought to characterize the fellowship experience of recent pediatric surgery graduates and assess preparedness for providing prenatal consultation. Methods An anonymous online survey of pediatric surgery fellows graduating in 2012 and 2013 was performed. We asked respondents to describe participation in prenatal consultation and preparedness to perform consultation. We measured demographics and fellowship characteristics and tested associations between these variables and preparedness to perform prenatal consultation. Results A total of 49 out of 80 fellows responded to the survey (61% response rate). Most respondents (55%) saw five or fewer prenatal consults during fellowship, and 20% had not seen any prenatal consults. 47% said that fellowship could have better prepared them to perform prenatal consults. Fellows who saw more than 5 prenatal consults during fellowship (33% vs 77%, p = 0.002) or described their fellowship as being structured to facilitate participation in prenatal consults (83% vs 27%, p < 0.0001) were more likely to feel prepared. Stepwise logistic regression revealed that after adjusting for covariates, fellows graduating from programs that were 1) structured to facilitate participation in prenatal consults (OR 18, 95% CI 3.7-86.7), or 2) did NOT have an established fetal program (OR 5.5, 95% CI 1.1-27.8) were more likely to feel prepared. Conclusion Exposure to prenatal consultation varies greatly across pediatric surgery fellowships, and many recent graduates do not feel prepared to perform prenatal consultation. The presence of an established fetal program did not necessarily translate into improved fellow training. Efforts should be made to standardize the approach to fellow education in this area and ensure that adequate guidance and resources are available to recently graduated pediatric surgeons.

AB - Purpose Prenatal consultation is an important skill that should be learned during pediatric surgery training, but there are no formal guidelines for fellowship programs at this time. We sought to characterize the fellowship experience of recent pediatric surgery graduates and assess preparedness for providing prenatal consultation. Methods An anonymous online survey of pediatric surgery fellows graduating in 2012 and 2013 was performed. We asked respondents to describe participation in prenatal consultation and preparedness to perform consultation. We measured demographics and fellowship characteristics and tested associations between these variables and preparedness to perform prenatal consultation. Results A total of 49 out of 80 fellows responded to the survey (61% response rate). Most respondents (55%) saw five or fewer prenatal consults during fellowship, and 20% had not seen any prenatal consults. 47% said that fellowship could have better prepared them to perform prenatal consults. Fellows who saw more than 5 prenatal consults during fellowship (33% vs 77%, p = 0.002) or described their fellowship as being structured to facilitate participation in prenatal consults (83% vs 27%, p < 0.0001) were more likely to feel prepared. Stepwise logistic regression revealed that after adjusting for covariates, fellows graduating from programs that were 1) structured to facilitate participation in prenatal consults (OR 18, 95% CI 3.7-86.7), or 2) did NOT have an established fetal program (OR 5.5, 95% CI 1.1-27.8) were more likely to feel prepared. Conclusion Exposure to prenatal consultation varies greatly across pediatric surgery fellowships, and many recent graduates do not feel prepared to perform prenatal consultation. The presence of an established fetal program did not necessarily translate into improved fellow training. Efforts should be made to standardize the approach to fellow education in this area and ensure that adequate guidance and resources are available to recently graduated pediatric surgeons.

KW - Competency

KW - Education

KW - Fellowship training

KW - Pediatric surgery

KW - Prenatal consultation

UR - http://www.scopus.com/inward/record.url?scp=84952985943&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952985943&partnerID=8YFLogxK

U2 - 10.1016/j.jpedsurg.2015.10.030

DO - 10.1016/j.jpedsurg.2015.10.030

M3 - Article

C2 - 26572848

AN - SCOPUS:84952985943

VL - 51

SP - 131

EP - 136

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 1

ER -