2265. Development of an Individualized Pediatric Infectious Diseases Elective Increases Pediatric Resident Participation
Session: Poster Abstract Session: Teaching the Future: Education in Infectious Diseases
Saturday, October 29, 2016
Room: Poster Hall
Posters
  • Evans 2016 IDWEEK Peds ID elective abstract final2_.pdf (944.5 kB)
  • Background: Infectious Disease (ID) fellowship programs across the U.S. have experienced a recent decline in applicants. During this time, the ID subspecialty has seen an explosion of growth in areas such as transplant ID and immunocompromised host (ICH) ID. In parallel, emerging infectious diseases and healthcare-associated infections have emphasized the breadth of opportunities for the ID clinician. In response to low levels of resident enrollment, creative approaches were sought to increase pediatric resident engagement in ID services at our institution.

    Methods: The pediatric ID elective was transformed from uniform participation on an inpatient consulting service, to a varied learning experience based on each trainee’s expressed interest. The new Individualized Pediatric ID (I-PID) elective, fully implemented in 2015-2016, offers 4 different clinical tracks: general inpatient ID, ICH inpatient ID, ambulatory ID including HIV care, and a musculoskeletal ID inpatient service. Dedicated learning activities were offered supplementing patient care activities, such as antimicrobial stewardship, infection control/prevention practices and hands-on training in clinical microbiology.

    Results: Resident participation in the new I-PID elective increased from 6 residents in academic year 2014-2015 to 16 residents in academic year 2015-2016 (167% increase). The number of enrolled residents that dropped the elective decreased from 9 residents in 2014-2015 to 2 residents in 2015-2016 (78% decrease). During 2015-2016, 9 residents participated in the general inpatient ID, while 6 residents completed an ICH ID elective, and 3 residents rotated in ambulatory HIV /ID clinics exclusively or in addition to other clinical tracks. Two residents expressed interest in ID career options, including a 3rdyear resident who matched in a pediatric ID fellowship program for 2016-2017.

    Conclusion: Offering pediatric residents an I-PID elective experience, including involvement areas such as ICH ID services and ambulatory ID clinics, may have increased their participation in pediatric ID services. Creative approaches to engaging resident participation in a wide variety of ID services during their pediatric training may lead to interest in pursuing careers in ID.

    Amanda Evans, MD1, Erin Mcelvania Tekippe, Ph.D., D(ABMM)2, Kyana Stewart, PharmD, BCPS3, Michael Sebert, M.D.1 and Jeffrey S. Kahn, MD, PhD4, (1)Pediatrics, Infectious Diseases, UT Southwestern Medical Center, Dallas, TX, (2)Debts of Pathology and Laboratory Medicine, Children's Health, Dallas, TX, (3)Pharmacy Services, Children's Health, Dallas, TX, (4)Microbiology, University of Texas Southwestern Medical Center, Dallas, TX

    Disclosures:

    A. Evans, None

    E. Mcelvania Tekippe, None

    K. Stewart, None

    M. Sebert, None

    J. S. Kahn, None

    Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.