437. Trainee Needs in Pediatric Transplant Infectious Diseases Education
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
  • ID week poster final.pdf (265.2 kB)
  • Background: Pediatric transplant infectious diseases (TID) is emerging as a sub-specialty within pediatric infectious diseases. The American Society of Transplantation (AST), Pediatric Infectious Diseases Society (PIDS) and International Pediatric Society of Transplantation (IPTA) have collaboratively developed core curriculum for training in pediatric TID and published guidelines for training that address issues specific to pediatric transplant patients. No prior national survey has been conducted to understand trainee needs for training in TID.  We sought to identify these needs to inform curriculum design and initiatives that fill knowledge and competency gaps. 

    Methods: Through a consultative process with the AST and PIDS, we designed a 14-question survey that included areas such as trainee exposure to transplant recipients, self-knowledge and self-competency in fundamental topics and practice of pediatric TID respectively. The survey was sent via e-mail to all pediatric infectious diseases trainees listed on the PIDS registry. 

    Results: 60 of 169 replied (response rate 35%). Respondents included 1st year fellows (29%), and 2nd and 3rd year fellows (71%). 93% of respondents were from centers that performed transplants. 82% of trainees were unaware of the recommended curriculum for pediatric TID. While a majority of trainees (78%) indicated that they had received structured teaching in TID, most (>50%) ranked their knowledge in several areas such as donor selection, donor derived infections, and candidate risk assessment as poor or fair. A significant majority (>50%) also reported that their competency in areas such as performing a pre-transplant evaluation, advising on pre and post-transplant immunizations, and counseling families on infectious risks after discharge was poor or fair. Trainees identified strategies including additional rotations, teaching by experts, case-based learning, and development of a reference guide as methods to augment their TID training.  

    Conclusion: This survey pinpoints significant trainee self-identified gaps in pediatric TID knowledge and competency. Limitations include low survey response rate but appears weighted towards centers with transplantation. Strategies suggested can inform the development of learner-specific initiatives and curriculum in pediatric TID.

    Lakshmi Ganapathi, MD, Boston Children's Hospital, Boston, MA, Lara Danziger-Isakov, MD, MPH, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, Camille Nelson Kotton, MD, FIDSA, Massachusetts General Hospital, Boston, MA, Deepali Kumar, MD, University Health Network, Toronto General Hospital, Toronto, ON, Canada, Shirish Huprikar, MD, Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, Marian Michaels, MD, MPH, Children's Hospital of Pittsburgh, Pittsburgh, PA, Janet Englund, MD, FIDSA, Seattle Children's Hosp, Seattle, WA and Betsy C. Herold, MD, FIDSA, FPIDS, The Children's Hospital at Montefiore, Bronx, NY


    L. Ganapathi, None

    L. Danziger-Isakov, None

    C. N. Kotton, None

    D. Kumar, None

    S. Huprikar, None

    M. Michaels, None

    J. Englund, None

    B. C. Herold, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.