Safety, quality & education

A Consensus-Driven Revision of the Accreditation Council for Graduate Medical Education Case Log System: Pediatric Anesthesiology Fellowship Education

Anesth AnalgPublished Delphi consensus study

Authors' conclusion

The pediatric anesthesiology case log system continues to have a place in the assessment of fellowship programs, but it requires an update.

Study context

Population
Stakeholders in US pediatric anesthesiology fellowship education (Accreditation Council of Graduate Medical Education (ACGME) case log system)
Participants
37 Delphi participants
Outcome
Evidence-based, consensus-driven update to the pediatric anesthesiology case log system
Methodological details2 phases, iterative survey rounds, two-thirds agreement threshold, nationally representative, stakeholder-based, Case log task force of 10 program directors developed proposed categories from literature; approved by Pediatric Anesthesiology Program Directors Association (PAPDA) membership
  • 2 phases
  • Iterative survey rounds
  • Two-thirds agreement threshold
  • Nationally representative, stakeholder-based
  • Case log task force of 10 program directors developed proposed categories from literature; approved by PAPDA membership

Recommendations

As reported in the abstract

Consensus on case log revision

Agreed current case logs targeted the right types of cases

75.86%

Agreed requirements were too low

82.75%

Agreed case log system and minimums deserved an update

85.19%

Should be used as part of competency-based assessment in fellowships

96%

Original publication

A Consensus-Driven Revision of the Accreditation Council for Graduate Medical Education Case Log System: Pediatric Anesthesiology Fellowship Education. Anesth Analg. Published 17 February 2023. doi:10.1213/ane.0000000000006129

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