{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:35:45Z","timestamp":1793352945277,"version":"4.5.0"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Pediatric emergency medicine (PEM) clinician educators (CEs) face challenges in balancing clinical, educational, and scholarship expectations. We describe an early-stage, Division-level program evaluation to support CE faculty in teaching and advancement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From August 2025 to April 2026, an Education Faculty Task Force (EFTF) was convened within an academic emergency department at a freestanding quaternary care children\u2019s hospital. The EFTF conducted a program evaluation incorporating (1) Division-level governance and College of Medicine promotion documents; (2) trainee evaluations; (3) a Division-wide survey; (4) a PEM fellow listening session; (5) a focused search of the external literature on education value unit models; and (6) an environmental scan of Division-level education structures within the Department of Pediatrics. We synthesized these data using concepts from complex adaptive systems and professional identity formation theories to identify areas of evidence convergence and inform implementation recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The Division appointed 22 new CE faculty since 2020 and trains ~300 learners annually. Division educational governance was organized around programmatic roles with reporting lines directly to the Division Chief. A focused literature search on educational value units identified both benefits and barriers to sustained educator engagement. Within the Department of Pediatrics, heterogeneity existed in Division-level educational tracking and faculty engagement, reflecting local needs with no easily replicable model. Division-level programs involving simulation, interprofessional education, and procedural teaching demonstrated programmatic strengths but fragmentation. Strengthening educational infrastructure was deemed essential to support learners and sustainable CE scholarship. From these findings, the EFTF identified 5 priority implementation recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>As academic medical centers grow in scale and complexity, thoughtful institutional support of PEM CEs is imperative. We utilized a systems-oriented approach to identify opportunities for improving educational infrastructure while accounting for structural barriers, local communities of practices, and professional identity, with the goal of supporting an engaged and sustainable academic workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/pec.0000000000003701","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:00:06Z","timestamp":1789628406000},"page":"878-886","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Identifying Opportunities to Strengthen Alignment Between Educational Mission and Faculty Effort in Pediatric Emergency Medicine"],"prefix":"10.1097","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2847-6372","authenticated-orcid":false,"given":"Christopher E.","family":"Gaw","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delia L.","family":"Gold","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charmaine B.","family":"Lo","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Center for Clinical Translational Research, Abigail Wexner Research Institute, Nationwide Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Coyle","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Kling","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Michelle","family":"Greene","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne P.","family":"Runkle","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"},{"name":"Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamini","family":"Jadcherla","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel M.","family":"Stanley","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Connecticut Children\u2019s Medical Center and University of Connecticut School of Medicine, Hartford, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya S.","family":"Iyer","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children\u2019s Hospital"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"R1-20261030","doi-asserted-by":"crossref","first-page":"e2023063678I.","DOI":"10.1542\/peds.2023-063678I","article-title":"Child health needs and the pediatric emergency medicine workforce: 2020\u20132040","volume":"153","author":"Iyer","year":"2024","journal-title":"Pediatrics"},{"key":"R2-20261030","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1007\/s11606-022-07969-5","article-title":"Mission critical: reimagining promotion for clinician-educators","volume":"38","author":"Chang","year":"2023","journal-title":"J Gen Intern Med"},{"key":"R3-20261030","doi-asserted-by":"crossref","first-page":"101175","DOI":"10.1016\/j.ienj.2022.101175","article-title":"Systematic review of interruptions in the emergency department work environment","volume":"63","author":"Danesh","year":"2022","journal-title":"Int Emerg Nurs"},{"key":"R4-20261030","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1067\/mem.2001.115440","article-title":"Work interrupted: a comparison of workplace interruptions in emergency departments and primary care offices","volume":"38","author":"Chisholm","year":"2001","journal-title":"Ann Emerg Med"},{"key":"R5-20261030","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1002\/aet2.10421","article-title":"Changes to the ACGME common program requirements and their potential impact on emergency medicine core faculty protected time","volume":"4","author":"Greenberger","year":"2020","journal-title":"AEM Educ Train"},{"key":"R6-20261030","doi-asserted-by":"crossref","first-page":"e10474","DOI":"10.1002\/aet2.10474","article-title":"Engagement and workplace satisfaction of emergency medicine faculty in the United States","volume":"5","author":"Lucas","year":"2021","journal-title":"AEM Educ Train"},{"key":"R7-20261030","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1056\/NEJM199909093411111","article-title":"Mission critical\u2014integrating clinician-educators into academic medical centers","volume":"341","author":"Levinson","year":"1999","journal-title":"N Engl J Med"},{"key":"R8-20261030","doi-asserted-by":"crossref","first-page":"e2256193","DOI":"10.1001\/jamanetworkopen.2022.56193","article-title":"Identifying value factors in institutional leaders\u2019 perspectives on investing in health professions educators","volume":"6","author":"Poncelet","year":"2023","journal-title":"JAMA Netw Open"},{"key":"R9-20261030","doi-asserted-by":"crossref","first-page":"3113","DOI":"10.1007\/s11606-021-06713-9","article-title":"Guiding academic clinician educators at research-intensive institutions: a framework for chairs, chiefs, and mentors","volume":"36","author":"Chang","year":"2021","journal-title":"J Gen Intern Med"},{"key":"R12-20261030","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"R13-20261030","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"J Biomed Inform"},{"key":"R14-20261030","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3390\/systems12020045","article-title":"Defining complex adaptive systems: an algorithmic approach","volume":"12","author":"Ahmad","year":"2024","journal-title":"Systems"},{"key":"R15-20261030","doi-asserted-by":"crossref","first-page":"132083","DOI":"10.1016\/j.jclepro.2022.132083","article-title":"Rethinking of higher education institutions as complex adaptive systems for enabling sustainability governance","volume":"359","author":"Priyadarshini","year":"2022","journal-title":"J Clean Prod"},{"key":"R16-20261030","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1017\/S0269888900008122","article-title":"Intelligent agents: theory and practice","volume":"10","author":"Wooldridge","year":"1995","journal-title":"Knowl Eng Rev"},{"key":"R17-20261030","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1080\/14719030802002923","article-title":"Understanding policy implementation processes as self-organizing systems","volume":"10","author":"Butler","year":"2008","journal-title":"Public Manage Rev"},{"key":"R18-20261030","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/ACM.0000000000005559","article-title":"Conceptualizing professional identity formation in medicine","volume":"99","author":"Sarraf-Yazdi","year":"2024","journal-title":"Acad Med"},{"key":"R19-20261030","doi-asserted-by":"crossref","first-page":"21","DOI":"10.29060\/TAPS.2022-7-1\/RA2537","article-title":"From clinician to educator: a scoping review of professional identity and the influence of impostor phenomenon","volume":"7","author":"Freeman","year":"2022","journal-title":"The Asia Pacific Scholar"},{"key":"R20-20261030","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1097\/00001888-200002000-00025","article-title":"Measuring faculty effort and contributions in medical education","volume":"75","author":"Nutter","year":"2000","journal-title":"Acad Med"},{"key":"R21-20261030","first-page":"743","article-title":"Education value units in medical education: a scoping review","volume":"98","author":"Gottlieb","year":"2023","journal-title":"Acad Med Wolters Kluwer Health"},{"key":"R22-20261030","first-page":"e36995.","article-title":"Educational relative value units as a measure of academic productivity: a systematic review.","volume":"15","author":"Beck Dallaghan","year":"2023","journal-title":"Cureus"},{"key":"R23-20261030","doi-asserted-by":"crossref","first-page":"136","DOI":"10.3390\/healthcare11010136","article-title":"A review on the use of the educational value unit (EVU) among teaching hospitals","volume":"11","author":"Husain","year":"2023","journal-title":"Healthcare"},{"key":"R24-20261030","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1097\/ACM.0000000000005635","article-title":"In search of a \u201cmetric system\u201d for measuring faculty effort: a qualitative study on educational value units at U.S. medical schools","volume":"99","author":"Maggio","year":"2024","journal-title":"Acad Med"},{"key":"R25-20261030","doi-asserted-by":"crossref","first-page":"939","DOI":"10.5811\/westjem.2019.8.43832","article-title":"An academic relative value unit system: do transparency, consensus, and accountability work?","volume":"20","author":"Carmody","year":"2019","journal-title":"West J Emerg Med"},{"key":"R26-20261030","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1197\/aemj.10.8.904","article-title":"Development and implementation of a relative value scale for teaching in emergency medicine: the teaching value unit","volume":"10","author":"Khan","year":"2003","journal-title":"Acad Emerg Med"},{"key":"R27-20261030","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/efh.EfH_332_18","article-title":"Establishing an educational value unit to promote teaching in an academic unit","volume":"34","author":"Butani","year":"2021","journal-title":"Educ Health"},{"key":"R28-20261030","doi-asserted-by":"crossref","first-page":"S96","DOI":"10.1097\/ACM.0000000000004904","article-title":"A critical review of professional identity formation interventions in medical education","volume":"97","author":"Mount","year":"2022","journal-title":"Acad Med"},{"key":"R29-20261030","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1097\/ACM.0000000000002695","article-title":"Strengthening teachers\u2019 professional identities through faculty development","volume":"94","author":"Steinert","year":"2019","journal-title":"Acad Med"},{"key":"R30-20261030","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/ACM.0000000000003843","article-title":"Influences on and characteristics of the professional identity formation of clinician educators: a qualitative analysis","volume":"96","author":"Triemstra","year":"2021","journal-title":"Acad Med"},{"key":"R31-20261030","doi-asserted-by":"crossref","first-page":"11265.","DOI":"10.15766\/mep_2374-8265.11265","article-title":"Formative assessments promote procedural learning and engagement for senior pediatric residents on rotation in the pediatric emergency department.","volume":"18","author":"Goldman","year":"2022","journal-title":"MedEdPORTAL"},{"key":"R32-20261030","doi-asserted-by":"crossref","first-page":"754","DOI":"10.4300\/JGME-D-15-00730.1","article-title":"Perceptions on the impact of a just-in-time room on trainees and supervising physicians in a pediatric emergency department","volume":"8","author":"Thomas","year":"2016","journal-title":"J Grad Med Educ"},{"key":"R33-20261030","doi-asserted-by":"crossref","first-page":"e1186","DOI":"10.1097\/PEC.0000000000001961","article-title":"Evaluation of learning effectiveness after a simulation-based training pediatric course for emergency physicians","volume":"37","author":"Ansquer","year":"2021","journal-title":"Pediatr Emerg Care"},{"key":"R34-20261030","doi-asserted-by":"crossref","first-page":"e10848","DOI":"10.1002\/aet2.10848","article-title":"Technology-enhanced simulation in emergency medicine: updated systematic review and meta-analysis 1991\u20132021","volume":"7","author":"Hildreth","year":"2023","journal-title":"AEM Educ Train"},{"key":"R35-20261030","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.resuscitation.2020.08.132","article-title":"Spaced learning versus massed learning in resuscitation\u2014a systematic review","volume":"156","author":"Yeung","year":"2020","journal-title":"Resuscitation"},{"key":"R36-20261030","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/CEH.0000000000000315","article-title":"Science of learning strategy series: article 1, distributed practice","volume":"41","author":"Van Hoof","year":"2021","journal-title":"J Continuing Educ Health Prof"},{"key":"R37-20261030","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1111\/medu.13895","article-title":"Effectiveness of the spaced education pedagogy for clinicians\u2019 continuing professional development: a systematic review","volume":"53","author":"Phillips","year":"2019","journal-title":"Med Educ"},{"key":"R38-20261030","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/S40037-021-00690-9","article-title":"Video-assisted self-reflection of resuscitations for resident education and improvement of leadership skills: a pilot study","volume":"11","author":"Kava","year":"2021","journal-title":"Perspect Med Educ"},{"key":"R39-20261030","doi-asserted-by":"crossref","first-page":"e10985","DOI":"10.1002\/aet2.10985","article-title":"Validity evidence for a team-leading assessment tool in pediatric emergency resuscitations using video review","volume":"8","author":"Hartwell","year":"2024","journal-title":"AEM Educ Train"},{"key":"R41-20261030","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.annemergmed.2004.08.007","article-title":"Creating effective learning in today\u2019s emergency departments: how accomplished teachers get it done","volume":"45","author":"Bandiera","year":"2005","journal-title":"Ann Emerg Med"},{"key":"R44-20261030","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/ACM.0000000000001826","article-title":"Medicine as a community of practice: implications for medical education","volume":"93","author":"Cruess","year":"2018","journal-title":"Acad Med"},{"key":"R45-20261030","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1080\/01421590802061613","article-title":"AMEE guide no. 34: teaching in the clinical environment","volume":"30","author":"Ramani","year":"2008","journal-title":"Med Teach"},{"key":"R46-20261030","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1097\/ACM.0000000000001570","article-title":"The academic RVU: ten years developing a metric for and financially incenting academic productivity at Oregon Health & Science University","volume":"92","author":"Ma","year":"2017","journal-title":"Acad Med"},{"key":"R47-20261030","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1097\/ACM.0000000000003158","article-title":"The definition of faculty must evolve: a call to action","volume":"95","author":"Bellini","year":"2020","journal-title":"Acad Med"},{"key":"R48-20261030","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1097\/ACM.0000000000001110","article-title":"Educational value units: a mission-based approach to assigning and monitoring faculty teaching activities in an academic medical department","volume":"91","author":"Regan","year":"2016","journal-title":"Acad Med"},{"key":"R49-20261030","doi-asserted-by":"crossref","first-page":"952","DOI":"10.5811\/westjem.2015.8.26136","article-title":"Implementation of an Education Value Unit (EVU) system to recognize faculty contributions","volume":"16","author":"House","year":"2015","journal-title":"West J Emerg Med"},{"key":"R50-20261030","doi-asserted-by":"crossref","first-page":"2096841","DOI":"10.1080\/10872981.2022.2096841","article-title":"The pipeline starts in medical school: characterizing clinician-educator training programs for U.S. medical students","volume":"27","author":"Bahar","year":"2022","journal-title":"Med Educ Online"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003701","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:02:00Z","timestamp":1793350920000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,17]]},"references-count":45,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003701","relation":{},"ISSN":["0749-5161","1535-1815"],"issn-type":[{"value":"0749-5161","type":"print"},{"value":"1535-1815","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,17]]},"assertion":[{"value":"2026-05-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}