{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:09:38Z","timestamp":1792087778258,"version":"4.4.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>Pediatric Emergency Medicine (PEM) fellows are expected to perform many procedures during their fellowship, but they often have limited opportunities to practice rare procedures. The number of procedures required to achieve competence remains unclear; however, research suggests that increased practice correlates with skill development. The objective of this study is to quantify the frequency of procedures performed by fellows. Also, we describe how programs currently track their trainees\u2019 experiences.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This was a retrospective, multicenter, cross-sectional, descriptive study exploring procedures performed by PEM fellows enrolled in ACGME-accredited programs between July 2019 and June 2020. Fellow and program demographics were collected. We analyzed procedural tracking collected through self-reported logs and documentation within the electronic medical record. In addition, we explored how programs currently track these experiences. Procedures were standardized based on the ACGME list of required procedures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Eleven fellowship programs submitted the self-reported procedure logs of 104 fellows. Of those, 2 sites reported electronic medical record\u2013based logs. The most frequently documented procedures included medical and trauma resuscitations, procedural sedations, and intubations. The most infrequently reported were nasal packing for nosebleeds and cardiac pacing. Most participating programs tracked experiences through fellow self-report and many offer opportunities for faculty to assess competence.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>PEM fellows do not consistently report performing all ACGME-required procedures during the fellowship. In addition, there is significant variation in how fellowship programs track trainees\u2019 procedural experiences. This study may inform the development of supplemental educational curricula and the potential revision of the ACGME list of required procedures. Future research could focus on assessing procedural competence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003377","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T12:01:11Z","timestamp":1746532871000},"page":"566-572","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Pediatric Emergency Medicine Fellows\u2019 Procedural Experiences During Training"],"prefix":"10.1097","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5374-4596","authenticated-orcid":false,"given":"Elizabeth D.","family":"Moran","sequence":"first","affiliation":[{"name":"Baylor College of Medicine, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Hsu","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Wisbon","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Camp","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Duncan","sequence":"additional","affiliation":[{"name":"NYU Grossman School of Medicine, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Elkarim","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Michigan, Pleasant, MI\ufeff"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee Baer","family":"Ellington","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Georgia, Augusta University, Augusta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Graff","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Norton Children\u2019s Emergency Medicine, University of Louisville School of Medicine, Louisville, KY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen A.","family":"Mangold","sequence":"additional","affiliation":[{"name":"Feinberg School of Medicine, Northwestern University, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"McVety","sequence":"additional","affiliation":[{"name":"Central Michigan University, Pleasant, MI\ufeff"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Nagler","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Harvard Medical School, Boston, MA\ufeff"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Patel","sequence":"additional","affiliation":[{"name":"Children\u2019s Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selin T.","family":"Sagalowsky","sequence":"additional","affiliation":[{"name":"NYU Grossman School of Medicine, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy D.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Nemours Children\u2019s Hospital of Delaware, Sydney Kimmel Medical College of Thomas Jefferson University, Debtford, NJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tien T.","family":"Vu","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Yang","sequence":"additional","affiliation":[{"name":"Primary Children\u2019s Hospital, University of Utah, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther M.","family":"Sampayo","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"R2-20250701","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1111\/j.1553-2712.1999.tb00444.x","article-title":"Procedural competency in Emergency Medicine: the current range of resident experience","volume":"6","author":"Hayden","year":"1999","journal-title":"Acad Emerg Med"},{"key":"R3-20250701","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12245-018-0167-x","article-title":"Procedure rates performed 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