{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:03:25Z","timestamp":1790067805199,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AEM Education and Training"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Effective career development guidance during fellowship is essential to prepare pediatric emergency medicine (PEM) fellows for diverse career paths. However, little is known about how PEM fellowships structure and deliver career development support. Our objectives were (1) To describe how PEM fellowship Program Directors (PDs) provide career development support to their fellows and (2) To explore how PEM junior faculty (JF) experienced career development during fellowship and how the process could be optimized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this qualitative study, we recruited PEM PDs and JF for semi\u2010structured 1:1 interviews, purposively sampling across United States geographic regions and program sizes. We developed an interview guide to explore perceptions of career development. Interviews were audio\u2010recorded, transcribed, coded, and analyzed thematically to identify key themes in PEM fellowship career development. Participants completed a survey collecting demographic data and information on fellowship career development curricula.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We conducted 39 interviews (20 PDs and 19 JF) and identified 12 themes across four career development domains: exploration and niche development, academic versus non\u2010academic careers, mentorship, and transition to employment. PDs described individualized career development opportunities, whereas JF expressed a desire for more explicit structure and early scaffolding around niche exploration and mentorship assignment. Both groups noted a strong emphasis on academic careers, with limited exposure to non\u2010academic pathways. Job search preparation included guidance on applications and networking, but JF described less clarity around hiring timelines, negotiation, and contracts. Across domains, participants highlighted that fellow initiative is required to drive their career development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By integrating both PD and JF perspectives on career development, this study identifies a dynamic interplay between program support and fellow initiative. Earlier scaffolding, specifically in niche exploration and mentorship, broader exposure to diverse career pathways, and greater transparency in job search preparation may strengthen how career development is provided during PEM fellowship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/aet2.70262","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:25:59Z","timestamp":1790065559000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Career Development in Pediatric Emergency Medicine Fellowships: A Qualitative Study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9464-2446","authenticated-orcid":false,"given":"Andzelika","family":"Dechnik","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavya","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Ashley","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Hannon","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trishell","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren S.","family":"Chernick","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"},{"name":"Mailman School of Public Health Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy G.","family":"Roskind","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.chest.2017.11.006","article-title":"Strategies for Success in Fellowship","volume":"153","author":"Ashton R. W.","year":"2018","journal-title":"Chest"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.3402\/meo.v15i0.5063","article-title":"Does Mentoring Matter: Results From a Survey of Faculty Mentees at a Large Health Sciences University","volume":"15","author":"Feldman M. D.","year":"2010","journal-title":"Medical Education Online"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1097\/00001888-200306000-00022","article-title":"Junior Faculty's Perspectives on Mentoring","volume":"78","author":"Chew L. D.","year":"2003","journal-title":"Academic Medicine"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","DOI":"10.3402\/meo.v20.26714","article-title":"Investing in Future Pediatric Subspecialists: A Fellowship Curriculum That Prepares for the Transition to Academic Careers","volume":"20","author":"Rama J. A.","year":"2015","journal-title":"Medical Education Online"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","DOI":"10.1002\/pbc.30226","article-title":"Perceptions of the Stressful Job Search for Pediatric Hematology\/Oncology Fellows","volume":"70","author":"Nishitani M.","year":"2023","journal-title":"Pediatric Blood & Cancer"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"e176","DOI":"10.1097\/PCC.0000000000001097","article-title":"Career Development Support in Pediatric Critical Care Medicine: A National Survey of Fellows and Junior Faculty","volume":"18","author":"Cifra C. L.","year":"2017","journal-title":"Pediatric Critical Care Medicine"},{"key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.annemergmed.2023.01.026","article-title":"The Knowledge Gap: Mentorship in Emergency Medicine Residency","volume":"82","author":"Sobel J.","year":"2023","journal-title":"Annals of Emergency Medicine"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1097\/PEC.0000000000003192","article-title":"Pediatric Emergency Medicine and Mentoring: What Women Want","volume":"40","author":"Bechtel K.","year":"2024","journal-title":"Pediatric Emergency Care"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1093\/jpids\/piad079","article-title":"Laying the Groundwork for a Fulfilling Career in Pediatric Infectious Diseases: The Transition From Fellowship to Faculty","volume":"12","author":"Kushner L. E.","year":"2023","journal-title":"Journal of the Pediatric Infectious Diseases Society"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.24908\/pocus.v9i1.17372","article-title":"Pediatric Emergency Medicine Ultrasound Fellowship Programs","volume":"9","author":"Kharasch S. J.","year":"2024","journal-title":"POCUS Journal"},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"e80","DOI":"10.36834\/cmej.56953","article-title":"Status of Global Health Fellowship Training in the United States and Canada","volume":"10","author":"Evensen A.","year":"2019","journal-title":"Canadian Medical Education Journal"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/PEC.0000000000002691","article-title":"Pediatric Emergency Medicine Fellowship Programs","volume":"38","author":"Nagler J.","year":"2022","journal-title":"Pediatric Emergency Care"},{"key":"e_1_2_11_14_1","first-page":"75","article-title":"Criteria for Assessing the Trustworthiness of Naturalistic Inquiries","volume":"29","author":"Guba E. G.","year":"1981","journal-title":"Educational Technology Research and Development"},{"key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1164\/rccm.200503-325OC","article-title":"Academic and Career Development of Pulmonary and Critical Care Physician\u2010Scientists","volume":"173","author":"Weinert C. R.","year":"2006","journal-title":"American Journal of Respiratory and Critical Care Medicine"},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.amjmed.2011.04.004","article-title":"Career Development of Physician Scientists: A Survey of Leaders in Academic Medicine","volume":"124","author":"Shea J. A.","year":"2011","journal-title":"American Journal of Medicine"},{"key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1097\/PEC.0000000000000944","article-title":"Essentials of Pediatric Emergency Medicine Fellowship Part 7: Careers in PEM","volume":"32","author":"Allen C. H.","year":"2016","journal-title":"Pediatric Emergency Care"},{"key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.jsurg.2012.11.006","article-title":"ACGME Core Competency Training, Mentorship, and Research in Surgical Subspecialty Fellowship Programs","volume":"70","author":"Monn M. F.","year":"2013","journal-title":"Journal of Surgical Education"},{"key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1002\/jhm.13452","article-title":"Mentoring: Shaping the Professional Identity of the Academic Internal Medicine Hospitalist","volume":"19","author":"Bloom\u2010Feshbach K.","year":"2024","journal-title":"Journal of Hospital Medicine"},{"key":"e_1_2_11_20_1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/ACM.0b13e318163700a","article-title":"Advancing Institutional Efforts to Support Research Mentorship: A Conceptual Framework and Self\u2010Assessment Tool","volume":"83","author":"Keyser D. 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F.","year":"2020","journal-title":"Pediatric Emergency Care"}],"container-title":["AEM Education and Training"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aet2.70262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aet2.70262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aet2.70262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:26:02Z","timestamp":1790065562000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/aet2.70262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/aet2.70262"],"URL":"https:\/\/doi.org\/10.1002\/aet2.70262","archive":["Portico"],"relation":{},"ISSN":["2472-5390","2472-5390"],"issn-type":[{"value":"2472-5390","type":"print"},{"value":"2472-5390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]},"assertion":[{"value":"2026-07-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70262"}}