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MPPDA 2014Presidential Address
Russ Kolarik, MDMPPDA National Meeting
April 10, 2014
• MPPDA.org
• 2014 Match Results
• 2012 ABIM and ABP Results
• Accreditation for Pediatric Hospital Medicine
• The first year of the NAS
2013-14 Year in Review
MPPDA.org
• First year of new web resource for our organization.
• Will briefly review site at the end of the day today. Please review it today and subscribe.
• Designed as a comprehensive information hub for everything you should need to access quickly as a Med-Peds PD.
MPPDA.org
• All feedback about the site, however small is highly welcomed!
• [email protected] goes directly to me. Please email me.
• Please take a moment to send your name, institution and academic rank to me at [email protected]
2014 Med-Peds Match Results
2014 2013 2012
Total # of Programs
79 77 77
Total Positions Offered
374 366 366
Total Positions Filled
362 363 344
Fill Rate 96.8% 99.2% 95.0%
% of Positions filled by US Graduates (MD)
75.9% 85.2% 76.2%
2014 Med-Peds Match Results
2014 Med-PedsInternal Medicine
PediatricsFamily Medicine
Total # of Programs
79 408 194 480
Total Positions Offered
374 6,524 2,640 3,109
Total Positions Filled
362 6,465 2627 2,977
Total # of Unfilled Positions
12 59 13 132
Total Unfilled Programs
7 21 4 64
2014 Med-Peds Match Results
2014 Med-PedsInternal Medicine
PediatricsFamily Medicine
Total # of Applicants
582 11,236 3,993 5,999
Total # of US Graduates Applying
334 3,762 2,065 1,664
Fill Rate 96.8% 99.1% 99.5% 95.8%
Positions filled by US Graduates
75.9% 48.5% 68.9% 45%
2014 ERAS Data
• Applicants that applied to at least 1 Med-Peds program:
• US Allopathic applicants was 439 down from 468 total in 2013.
• US Osteopathic applicants 65 (14.8%) up from 48 in 2013 (10% of total).
Conclusions and Next Steps
• The total number of candidates applying to Med-Peds decreased from 603 in 2013 to 582 in 2014, but is still higher than the 560 in 2012.
• Local recruiting efforts are needed to promote our specialty.
• Get involved with NMPRA and creating Med-Peds Student Interest Groups
2012 ABIM Results
01020304050
60708090100
2005 2006 2007 2008 2009 2010 2011 2012
InternalMedicineIM-Peds
2012 ABP Results
Conclusions and Next Steps
• We have some breathing room, but still need to pursue board preparation aggressively with our at-risk residents.
• Maintaining equivalence with categorical programs is VITAL for our specialty.
• To compare favorably at this rate, only 40 MP residents nationwide can fail the ABP, and 56 the ABIM.
Board Preparation for at risk residents
• At risk residents include those with USMLE I less than 220, or ITE in final year of training of less than 65%
• 14 respondents to survey for up to four at-risk residents per program.
• Roughly 50% of respondents reported mandating resident-specific study programs for at-risk residents that involve additional board study and questions.
Board Preparation for at risk residents
• About 50% of respondents also said that they would recommend that they would recommend deferring the ABIM for at risk residents so they could focus on passing the ABP.
• About 30% did not counsel either way because the decision is up to the resident.
• 20% counseled them to take both exams.
From the PD Survey
• 43% of programs use the USMLE scores to determine residents at risk for failing the board certification exams, 79% use the ITE’s, and 43% use other or personal reasons.
• 72% who were identified at risk passed the ABIM, and 71% passed the ABP.
Next Steps
• We should know who our high risk residents are.
• We should take a personal interest in our at-risk passing their boards, starting as early in training as possible. Reach out to other programs and the MPPDA for assistance.
Accreditation for Pediatric Hospital Medicine
• JCPHM: Joint Council for Pediatric Hospital Medicine has initiated the application process for acreditation.
• Applying for an accredited two-year pediatric hospitalist fellowship that if approved would start in about 6 years time.
Intended impact
• Standardize care for pediatric inpatient clinical diagnoses.
• Focus on specialized clinical services and procedures for hospitalized children.
• Emphasis on healthcare systems, quality leadership and advocacy
Intended Impact
• Develop leaders in pediatric hospital medicine at academic medical centers and community hospital medical directors.
• Not intended to restrict ability of general pediatricians or Med-Peds physicians to practice hospital medicine in academic or community settings.
Potential unintended effects
• Board certification may ultimately become standard for medical staff offices hiring new hospitalists or leaders.
• Concern about grandfathering criteria for current Med-Peds hospitalist who see proportionately fewer pediatric patients.
Potential unintended effects
• Could potentially limit scope of employment opportunities for general pediatrics or Med-Peds graduates wishing to pursue jobs as hospitalists.
• Effectively increases training time to 6 years for Med-Peds graduates wishing to work primarily as hospitalists. Medical students are already inquiring about this as a significant concern.
Current proposal
• I am working to make criteria for grandparenting to sit for boards as encompassing as possible for current Med-Peds hospitalists.
• I have also proposed a one-year pediatric fellowship option for Med-Peds trainees that may or may not be combined with adult hospital or transitional care activities.
Follow-up
• Will share data with JCPHM leadership.
• Need for Med-Peds representation on Committees and at society meetings.
• Jen O’Toole is conducting a hospitalist workforce survey inquiring about recent graduates. PLEASE complete this survey.
Next Accreditation System
• First year of using the Milestones, implementing Clinical Competency Committees, and CLER visits.
• First reporting of Internal Medicine and Pediatric Milestones to the ACGME in May/June.
• Need to share experiences – website and listserve.
Next Accreditation System
• Need for ongoing Med-Peds representation with national organizations and feedback regarding milestone evaluation process.
• Need to share assessment and evaluation tools to help track milestones and other outcomes of training.
• Just one last thing….– I invite each of you, think of just ONE thing
you can do when you go back home after this meeting is over that will help the specialty of Med-Peds.
– Take a moment, write down one thing that you are going to do and the date you plan to do it. When you are successful, let the rest of us know.
