Implementation of a Competency-Based Training Program in Pediatric Surgery: A Pilot Study

jpedsurg.org

Current surgical trainees experience less autonomy in their training than prior generations. Intentionally integrating graduated autonomy into the educational development of fellows would enhance trainee competence while providing the safety net of fellowship programming. The objective of this study was to pilot a competency-based training (CBT) approach for pediatric surgery fellowship programs.

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Article · Feb 2025 · 1 min read

In brief

This pilot study examines a competency-based training approach for pediatric surgery fellowships that addresses declining trainee autonomy through structured, graduated independence. The program aims to systematically develop surgical competence within the protected fellowship environment while ensuring patient safety.

Modern surgical trainees have reduced autonomy compared to previous generations, creating a training gap.
Competency-based training (CBT) can systematically integrate graduated autonomy into fellowship curricula.
Structured CBT frameworks provide a safety net while enhancing trainee competence in pediatric surgery.
Fellowship programs offer an ideal setting to implement progressive autonomy models for surgical education.

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