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<p>The shortages in pediatric subspecialist workforce are threatening care of children in the US. A prolonged residency plus fellowship of 6 years and relatively low salaries may discourage medical students from choosing pediatric fellowship training. To address this “subspecialty shortage,” the American Board of Pediatrics (ABP) recently announced a fundamental shift toward competency-based medical education (CBME). This proposal reduces fellowship training duration to a two-year clinical track option. This change is likely to start as early as 2028. We propose an alternate approach that is similar in length (5-years) but with a shorter residency (2-years) and a three-year fellowship for procedural-based subspecialties in pediatrics, cardiology and intensive care fields, such as neonatal-perinatal medicine (NPM), and pediatric critical care medicine (PCCM).</p>

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Farewell to PGY-6? Addressing the realities of pediatric fellowship training

  • 期刊论文

  • 发表日期：

    2026年5月26日

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  • Satyan Lakshminrusimha,
  • Clara Song,
  • Robin H. Steinhorn

摘要

The shortages in pediatric subspecialist workforce are threatening care of children in the US. A prolonged residency plus fellowship of 6 years and relatively low salaries may discourage medical students from choosing pediatric fellowship training. To address this “subspecialty shortage,” the American Board of Pediatrics (ABP) recently announced a fundamental shift toward competency-based medical education (CBME). This proposal reduces fellowship training duration to a two-year clinical track option. This change is likely to start as early as 2028. We propose an alternate approach that is similar in length (5-years) but with a shorter residency (2-years) and a three-year fellowship for procedural-based subspecialties in pediatrics, cardiology and intensive care fields, such as neonatal-perinatal medicine (NPM), and pediatric critical care medicine (PCCM).