Graduating Residents’ Readiness for Unsupervised Practice

Daniel J. Schumacher; Catherine Michelson; Ariel Winn; Duncan Henry; Meghan O’Connor; Su Ting T. Li; Robyn J. Blair; Maria Velazquez-Campbell; Margaret J. Kihlstrom; Emily Borman-Shoap; Keith Ponitz; Joselyn Salvador-Sison; Benjamin Kinnear; David A. Turner; Abigail Martini; Heather L. Burrows; Rita Patel; Lauren M. Newhall; Rachel Osborn; Mia Mallory; Johannah M. Scheurer; Matthew Grant; Ross E. Myers; Shivika Jain; Thao Vu; Alan Schwartz; Svetlana Kravtchenko; Joanna Lewis; Elaine Fielder; Brian Rissmiller; Teri Turner; Adam D. Wolfe; Carolyn H. Marcus; Erika Regalado; Suzanne McLaughlin; Sydney Primis; Jeanine Ronan; Dava Szalda; Anna K. Weiss; Jeremy Kern; Jennifer O’Toole; Sue E. Poynter; Stacey Shubeck; Carol Lynn O’Dea; Kathleen A. McGann; Colby Feeney; Jane V. Trinh; Sylvia Yeh; Kay Chea; Laura Schroeder; Brian P. Youth; Abigail Schuh; Bethany Auble; Rajat Pareek; Ashley Anttila; Michael D. Fox; Hannah Famiglietti; Heather B. Howell; J. Gene Chen; Ronald Williams; Nathan Stehouwer; Christopher Bruti; Caroline E. Rassbach; Laura Lockwood; Nicole Black; Jennifer R. Di Rocco; Kelsie Avants; Pavan Srivastava; Bhavana Thota Kandikattu; Matthew J. Mischler; Katelyn E. Donohue; Erin L. Giudice; Leah S. Millstein; Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network (APPD LEARN) Crosswalk Study Group; Jonathan Tolentino; Monica Alba-Sandoval; David A. Stewart; Elena C. Griego

doi:10.1542/peds.2024-070307

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Graduating Residents’ Readiness for Unsupervised Practice

Journal article

Peer reviewed

Graduating Residents’ Readiness for Unsupervised Practice

Daniel J. Schumacher, Catherine Michelson, Ariel Winn, Duncan Henry, Meghan O’Connor, Su Ting T. Li, Robyn J. Blair, Maria Velazquez-Campbell, Margaret J. Kihlstrom, Emily Borman-Shoap, …

Pediatrics (Evanston), Vol.155(5), p.1

2025-05-01

DOI: https://doi.org/10.1542/peds.2024-070307

PMID: 40199502

Appears in Miller School of Medicine - Latest Publications

Abstract

<p>OBJECTIVE: This study sought to determine whether graduating residents were deemed ready for unsupervised practice for each of the 17 general pediatrics entrustable professional activities (EPAs). METHODS: At the end of the 2021-22, 2022-23, and 2023-24 academic years, the authors collected entrustment-supervision levels assigned by clinical competency committees for graduating residents from pediatric and medicine/pediatrics residency training programs to determine readiness for unsupervised practice at the time of graduation. They did this for each of the general pediatrics EPAs and examined the levels reported to determine the proportion of residents ready for unsupervised practice on each EPA and on all EPAs. They compared rates of readiness by academic year using a mixed-effects logistic regression model. RESULTS: Across all EPAs, 33 190 total entrustment-supervision levels were reported for 2276 graduating pediatrics residents, and 2607 entrustment-supervision levels were reported for 168 graduating medicine/pediatrics residents. There were no EPAs in which programs reported more than 89% of residents as ready for unsupervised practice at the time of graduation. Only 31.3% of graduating residents with observations on all EPAs (414/1322) were deemed ready for unsupervised practice for all EPAs. Graduating medicine/pediatrics residents were more likely than pediatrics residents to be deemed ready for all EPAs (P = .002). Across study years, the rates of readiness at graduation for all EPAs rose from 18.0% to 38.5% (linear contrast P < .001). CONCLUSION: While there are reasons beyond actual resident readiness that may contribute, this study highlights a gap in readiness for unsupervised practice at the time of graduation.</p>

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Title: Graduating Residents’ Readiness for Unsupervised Practice
Creators: Daniel J. Schumacher - Cincinnati Children's Hospital Medical Center
Catherine Michelson - Northwestern University
Ariel Winn - Harvard University
Duncan Henry - University of California, San Francisco
Meghan O’Connor - University of Utah
Su Ting T. Li - University of California, Davis
Robyn J. Blair - Stony Brook School
Maria Velazquez-Campbell - University of New Mexico
Margaret J. Kihlstrom - University of North Carolina at Chapel Hill
Emily Borman-Shoap - University of Minnesota Medical Center
Keith Ponitz - Case Western Reserve University
Joselyn Salvador-Sison - Icahn School of Medicine at Mount Sinai
Benjamin Kinnear - University of Cincinnati Medical Center
David A. Turner - American Academy of Pediatrics
Abigail Martini - Cincinnati Children's Hospital Medical Center
Heather L. Burrows - University of Michigan
Rita Patel - Community Health Network
Lauren M. Newhall - Augusta University
Rachel Osborn - Yale University
Mia Mallory - Duke University
Johannah M. Scheurer - University of Minnesota Medical Center
Matthew Grant - University of Maryland, Baltimore
Ross E. Myers - Case Western Reserve University
Shivika Jain - Ascension
Thao Vu - University of Florida Health Science Center
Alan Schwartz - University of Illinois Chicago
Benjamin Kinnear - University of Cincinnati Medical Center
Catherine Michelson - Northwestern University
Ariel Winn - Harvard University
David A. Turner - American Academy of Pediatrics
Abigail Martini - Cincinnati Children's Hospital Medical Center
Alan Schwartz - University of Illinois Chicago
Svetlana Kravtchenko - Advocate Children's Hospital
Joanna Lewis - Advocate Children’s Hospital, Park Ridge, IL, United States
Shivika Jain - Saint Vincent Health System
Rita Patel - Community Health Network
Elaine Fielder - Baylor College of Medicine
Brian Rissmiller - Baylor College of Medicine
Teri Turner - Baylor College of Medicine
Adam D. Wolfe - Baylor College of Medicine
Carolyn H. Marcus - Boston Children’s Hospital, United States
Erika Regalado - BronxCare Health System, United States
Suzanne McLaughlin - Brown University
Sydney Primis - Carolinas Medical Center
Jeanine Ronan - University of Pennsylvania
Dava Szalda - University of Pennsylvania
Anna K. Weiss - University of Pennsylvania
Jeremy Kern - Children’s National Hospital, United States
Jennifer O’Toole - University of Cincinnati
Sue E. Poynter - University of Cincinnati
Stacey Shubeck - Corewell Health William Beaumont University Hospital
Carol Lynn O’Dea - Dartmouth–Hitchcock Medical Center
Mia Mallory - Duke University
Kathleen A. McGann - Duke University Health System
Colby Feeney - Duke University Health System
Jane V. Trinh - Duke University Health System
Sylvia Yeh - Harbor–UCLA Medical Center
Kay Chea - Loma Linda University
Laura Schroeder - Maine Medical Center, United States
Brian P. Youth - Maine Medical Center, United States
Abigail Schuh - Medical College of Wisconsin
Bethany Auble - Medical College of Wisconsin
Rajat Pareek - Michigan State University
Ashley Anttila - Dupont Hospital
Michael D. Fox - Dupont Hospital
Hannah Famiglietti - New York University Grossman School of Medicine, United States
Heather B. Howell - New York University Grossman School of Medicine, United States
J. Gene Chen - Arnold Palmer Hospital for Children
Ronald Williams - Pennsylvania State University
Ross E. Myers - Case Western Reserve University
Nathan Stehouwer - University Hospitals Cleveland Medical Center
Christopher Bruti - Rush University Medical Center
Caroline E. Rassbach - Stanford School of Medicine, United States
Robyn J. Blair - Stony Brook School
Su Ting T. Li - University of California, Davis
Duncan Henry - University of California, San Francisco
Laura Lockwood - University of Colorado School of Medicine, United States
Nicole Black - University of Florida Health Shands Children’s Hospital, United States
Thao Vu - University of Florida Health Science Center
Jennifer R. Di Rocco - University of Hawaii System
Kelsie Avants - University of Illinois Chicago
Pavan Srivastava - University of Illinois Chicago
Bhavana Thota Kandikattu - University of Illinois Urbana-Champaign
Matthew J. Mischler - University of Illinois Urbana-Champaign
Katelyn E. Donohue - University of Maryland School of Medicine
Erin L. Giudice - University of Maryland School of Medicine
Matthew Grant - University of Maryland, Baltimore
Leah S. Millstein - University of Maryland School of Medicine
Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network (APPD LEARN) Crosswalk Study Group
Jonathan Tolentino - University of Miami
Monica Alba-Sandoval - University of Miami
Heather L. Burrows - University of Michigan
David A. Stewart - University of Michigan
Johannah M. Scheurer - University of Minnesota Medical Center
Elena C. Griego - University of Washington
Publication Details: Pediatrics (Evanston), Vol.155(5), p.1
Grant note: American Board of Pediatrics Foundation
This study was supported in full by the American Board of Pediatrics Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of the American Board of Pediatrics or the American Board of Pediatrics Foundation.
Academic Unit: Miller School of Medicine; UMMG Department of Medicine-Med Peds; UMMG Dept of Pediatrics - Critical Care; UMMG Department of Pediatrics
Language: English
Resource Type: Journal article
PMID: 40199502
Record Identifier: 991032796138202976