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Sunday, February 26 • 2:45pm - 3:30pm
SUNDANCE - [Oral Presentation] 3. Inclusion of a formal pediatric curriculum in an adult rheumatology fellowship training program for application in areas underserved by pediatric rheumatologists

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3:15 PM - 3:30 PM

Inclusion of a formal pediatric curriculum in an adult rheumatology fellowship training program for application in areas underserved by pediatric rheumatologists

S. Stern, A. Woodward, A. Hersh, A. Sawitzke, D. Lebiedz-Odrobina, University of Utah
 Abstract Body: Context There is a critical shortage of pediatric rheumatologists in the Intermountain West and in other geographic regions across the United States as there are states without a full-time pediatric rheumatologist (ID, WY, MT) and others with severely limited access to pediatric rheumatology care. The current number of fellows being trained in pediatric rheumatology is unlikely to meet this need. Therefore, adult rheumatologists are frequently asked to evaluate pediatric patients’ care with limited training in pediatric rheumatology, pediatrics, or transition medicine. Given the substantial differences between pediatric and adult rheumatology practices, this has the potential to lead to significant delays in care. In July 2016, the University of Utah School of Medicine Rheumatology Division implemented a curriculum involving a 10% compulsory pediatric rheumatology experience to address this need. Objective To describe a curriculum for adult rheumatology fellowship that focuses on enhancing pediatric rheumatology knowledge. Key Message The adult and pediatric rheumatology divisions at the University of Utah collaborated to develop a 10% pediatric rheumatology curriculum which is incorporated into the general adult rheumatology fellowship training program. During the pediatric rheumatology rotation, fellows participate in inpatient and outpatient rheumatology care, manage phone calls from pediatric patients and their families, triage pediatric rheumatology phone consults, attend lectures in pediatric rheumatology, and present at pediatric rheumatology journal clubs focusing on gaps in pediatric rheumatology knowledge and transition care. This collaboration has strengthened the bond between the rheumatology and pediatric rheumatology divisions and enabled increased knowledge sharing. Barriers to the implementation of this program have been lack of knowledge of pediatrics among internal medicine trained rheumatology fellows, the addition of another hospital system with its own electronic health record, and uncertainty of the impact this program will have on increasing access to pediatric rheumatology expertise in geographic areas lacking a pediatric rheumatologist. Conclusion This is an innovative curriculum that incorporates a 10% pediatric rheumatology experience in an adult rheumatology fellowship training program. There is a lack of research to inform the education of internal medicine trained rheumatology fellows in pediatric rheumatology. The next step is to assess the comfort and knowledge base gained in pediatric rheumatology by the rheumatology fellows and to evaluate how this program impacts the fellows’ future clinical practice. 

Sunday February 26, 2017 2:45pm - 3:30pm

Attendees (2)