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<p>The American Board of Pediatrics (ABP) has proposed a competency-based fellowship model offering a 2-year clinical pathway with 18 training blocks and no scholarly requirement. This position statement, representing neonatal-perinatal medicine (NPM) training program directors, division leaders, and key stakeholders, contends that the model is not viable for NPM training. Compressing 18 clinical blocks into 24 months would require approximately 3500 annual training hours, nearly double a sustainable NICU workload, approaching Accreditation Council for Graduate Medical Education duty-hour limits, while reducing didactic education by one-third. Survey data from 110 of 111 NPM programs show 76% opposition. Concerns include trainee wellness, reduction in program complement, workforce and funding implications, and the erosion of scholarly training essential to advancing neonatal care. We propose alternatives, including a 2-year residency + 3-year fellowship (2 + 3) pathway and restructured residency tracks, addressing competency gaps while preserving training quality, duration, and collaborative governance.</p>

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Compressing neonatal-perinatal medicine fellowship training: a critical appraisal of the American Board of Pediatrics proposed 2-year pathway

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月3日

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  • Brooke Vergales,
  • Melissa Scala,
  • Christie Bruno,
  • Cynthia Crabtree,
  • Megan Gray,
  • Suma Hoffman,
  • Courtney McLean,
  • Deirdre O’Reilly,
  • Vilmaris Quinones Cardona,
  • Erynn M. Bergner,
  • Jennifer M. Brady,
  • Lindsay Johnston,
  • Patrick Myers,
  • Misty Good,
  • Patrick J. McNamara,
  • Sara DeMauro,
  • John Loyd,
  • Jill Maron,
  • Camilia R. Martin,
  • Steven J. McElroy,
  • Annemarie Stroustrup,
  • Sarah N. Taylor,
  • Trent E. Tipple,
  • Ravi M. Patel,
  • Shetal Shah,
  • Clara Song,
  • Alexis Davis,
  • Munish Gupta,
  • Marilyn Escobedo,
  • Heather French

摘要

The American Board of Pediatrics (ABP) has proposed a competency-based fellowship model offering a 2-year clinical pathway with 18 training blocks and no scholarly requirement. This position statement, representing neonatal-perinatal medicine (NPM) training program directors, division leaders, and key stakeholders, contends that the model is not viable for NPM training. Compressing 18 clinical blocks into 24 months would require approximately 3500 annual training hours, nearly double a sustainable NICU workload, approaching Accreditation Council for Graduate Medical Education duty-hour limits, while reducing didactic education by one-third. Survey data from 110 of 111 NPM programs show 76% opposition. Concerns include trainee wellness, reduction in program complement, workforce and funding implications, and the erosion of scholarly training essential to advancing neonatal care. We propose alternatives, including a 2-year residency + 3-year fellowship (2 + 3) pathway and restructured residency tracks, addressing competency gaps while preserving training quality, duration, and collaborative governance.