Inpatient training is a key component of gastroenterology (GI) fellowship programs nationwide, yet little is known about perceptions of the inpatient training experience.
Dr Navin Kumar compared the content, objectives and quality of the inpatient training experience as perceived by program directors and fellows in US ACGME-accredited GI fellowship programs.
The researchers conducted a nationwide, online-based survey of GI program directors and fellows at the conclusion of the 2016 academic year.
The team queried participants about the current models of inpatient training, the content, objectives, and quality of the inpatient training experience, and the frequency and quality of educational activities on the inpatient service.
The research team analyzed 5-point Likert items and rank assessments as continuous variables by an independent t test and compared proportions using the Chi-square test.
|Program directors and fellows agreed on the ranking of all queried responsibilities of the inpatient fellow |
|Digestive Diseases & Sciences|
The researchers found that survey response rate was 48% for program directors, and a total of 194 fellows completed the survey, with both groups reporting the general GI consult team as the primary model of inpatient training.
The team oberved that program directors and fellows agreed on the ranking of all queried responsibilities of the inpatient fellow to develop during the inpatient service.
However, fellows indicated that attendings spent less time teaching and provided less formal feedback than that perceived by program directors.
The team found that program directors rated the overall quality of the inpatient training experience, and education on the wards as better than overall ratings by fellows.
Dr Kumar's team concludes, "Although GI fellows and program directors agree on the importance of specific fellow responsibilities on the inpatient service, fellows report experiencing less teaching and feedback from attendings than that perceived by program directors."
"Committing more time to education and assessment may improve fellows’ perceptions of the inpatient training experience."