Article in Japanese

Evaluation of clinical fellowship programs based on consultations in pediatric infectious diseases

Yuho HORIKOSHI¹⁾, Kenta ITO¹⁾, Takanori FUNAKI²⁾, Kensuke SHOJI²⁾, Isao MIYAIRI²⁾, Takayo SHOJI³⁾, Akihiko SAITOH⁴⁾

As recent medicine evolves rapidly, subspecialty of pediatric infectious diseases covers various areas in depth. Accredited subspecialty education of pediatric infectious diseases was introduced in the United States (US) and Canada in 1994, based on the consultation system. Later, the initial consultation-based, pediatric infectious diseases program started in Japan at the National Center for Child Health and Development and Tokyo Metropolitan Children's Medical Center in 2008 and 2010, respectively. The consultation-based program benefits trainees by enabling them to experience a wide variety of infectious diseases in children. The aim of this study was to evaluate the consultation-based program in pediatric infectious diseases in Japan. A structured questionnaire with 44 items of competency was developed for trainees, and modified from goals of the US and Canadian programs. Sixteen trainees were self-assessed and evaluated during the study period by eight attending physicians. Trainees who had completed over 24 months of training qualified by their average of targeted goals. Items of low evaluation were in the areas of especially sexual transmitted diseases, human immunodeficiency virus/acquired immunodeficiency syndrome, tropical medicine and travel medicine. Subsequently, the following areas were also of low evaluation; infection control, the antimicrobial stewardship program, primary immunodeficiency, autoinflammatory diseases and quality control in bacterial microbiology. Overall, the training programs were successful and both trainees and attending physicians have been satisfied with them. Programs modified in order to improve exposure to quality management activities, and outsourcing training such as an adult infectious diseases program may be needed in the future.

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1) Division of Infectious Diseases, Tokyo Metroporitan Children's Medical Center
2) Division of Infectious Diseases, National Ceneter for Child Health and Development
3) Division of Pediatric Infectious Diseases, Shizuoka Children's Hospital
4) Department of Pediatrics, Niigata University

Key words
Received	March 2, 2016
Accepted	July 7, 2016

28 (3)：159─165,2016