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Kurahara D, Hamamura FD, Ifuku C, Chen JJ, Liu CA, Seamon EM, Miwa CS, Maestas B, Oba R, Patel SJ, Shiramizu B. Medical School Location and Sex Affect the In-State Retention of Pediatric Residency Program Graduates in Hawai'i. Hawaii J Health Soc Welf 2020; 79:240-245. [PMID: 32789294 PMCID: PMC7417638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The objective of this study was to assess the impact of medical school, sex, career choice, and location of practice of one pediatric residency program on physician workforce. This is a retrospective study of all categorical pediatric graduates of a residency program located in Honolulu, Hawai'i from 1968 to 2015. Information on medical school training, sex, career choice (general pediatrics or specialty), and location of practice were studied by examining data into five 10-year graduation periods. The program graduated 319 residents over nearly a 50-year timespan. Of these, 181 (56.7%) residents remained in Hawai'i to practice (adjusted odds ratio [OR] = 7.46, 95% confidence interval [CI]: 3.61-15.43). There were 125 (39.1%) graduates who relocated to the continental US with the majority moving to the West (55.2%), while other graduates moved to the South, Midwest, and Northeast (25.6%, 13.6%, and 5.6%, respectively). The remaining 13 (4.1%) graduates moved internationally. Female residents steadily increased over time (P < .001), with females significantly choosing general pediatrics (OR = 3.05, 95% CI: 1.91-4.89). In the time periods with the highest percentage of University of Hawai'i medical school graduates, there was an increased percentage of graduates staying in Hawai'i. This study examined the regional and national impact of a small residency program. The results indicated that trends in gender and the impact of medical school location were important in establishing a pediatrician workforce for local communities. Support of both medical school and residency education should be considered when assessing future workforce needs.
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Affiliation(s)
- David Kurahara
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Faith D. Hamamura
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Christine Ifuku
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | | | - Chloe A. Liu
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Elisabeth M. Seamon
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Chloe S. Miwa
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Brienna Maestas
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Ria Oba
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Shilpa J. Patel
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
| | - Bruce Shiramizu
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (DK, FDH, CI, CAL, EMS, CSM, BM, RO, SJP, BS)
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Kelly M, Posa M. Transition to Pediatric Practice: A Residency Elective Experience to Prepare Senior Pediatric Residents for General Pediatric Primary Care. MedEdPORTAL 2016; 12:10506. [PMID: 30984848 PMCID: PMC6440492 DOI: 10.15766/mep_2374-8265.10506] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 11/07/2016] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Transition to practice (TTP), while impactful in other specialties, has been minimally studied and rarely offered in pediatric training residency programs. This pediatric TTP elective is designed to provide a glimpse into the world of a primary care pediatrician to residents who are interested in pursuing a career in primary care. METHODS During this elective residents hone their outpatient diagnostic skills by participating in a variety of clinical patient encounters; this is supplemented with selectives, learner-chosen supplemental educational activities that aim to help fulfill a resident's self-identified learning goals. This TTP experience was developed for third-year pediatric residents who are planning on entering primary care. The course is organized and facilitated by a general pediatric faculty member with an administrative assistant. RESULTS This TTP elective was evaluated highly by pediatric residents; the overall score of its effectiveness, rated by residents who participated in the elective, was 4.5-5.0 out of 5.0. Following completion of this TTP elective, residents demonstrated an overall improvement in outpatient procedural opportunities and self-reported competence for routine outpatient procedures. In addition, residents demonstrated an overall improvement in office-visit billing practices. DISCUSSION The 4-week rotation format maximizes the number of general pediatric outpatient clinical experiences and individualized learning selectives.
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Affiliation(s)
- Maria Kelly
- Associate Professor, Department of Pediatrics, University of Florida College of Medicine
| | - Molly Posa
- Assistant Professor, Department of Pediatrics, University of Florida College of Medicine
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