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Graduate Medical Education in Humanism and Professionalism: A Needs Assessment Survey of Pediatric Gastroenterology Fellows

Garvey, Katharine C.*; Kesselheim, Jennifer C.; Herrick, Daniel B.; Woolf, Alan D.; Leichtner, Alan M.

Journal of Pediatric Gastroenterology and Nutrition: January 2014 - Volume 58 - Issue 1 - p 34–37
doi: 10.1097/MPG.0b013e3182a4e5c9
Original Articles: Gastroenterology

ABSTRACT The deterioration of humanism and professionalism during graduate medical training is an acknowledged concern, and programs are required to provide professionalism education for pediatric fellows. We conducted a needs assessment survey in a national sample of 138 first- and second-year gastroenterology fellows (82% response rate). Most believed that present humanism and professionalism education met their needs, but this education was largely informal (eg, role modeling). Areas for formal education desired by >70% included competing demands of clinical practice versus research, difficult doctor–patient relationships, depression/burnout, angry parents, medical errors, work–life balance, and the patient illness experience. These results may guide curricula to formalize humanism and professionalism education in pediatric gastroenterology fellowships.

*Division of Endocrinology, Boston Children's Hospital

Department of Pediatric Oncology, Dana-Farber/Children's Hospital Cancer Center

Department of Medicine, Boston Children's Hospital, Boston, MA.

Address correspondence and reprint requests to Katharine Garvey, MD, MPH, Division of Endocrinology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 (e-mail:

Received 18 March, 2013

Accepted 5 July, 2013

K.C.G.'s work on this project was funded by a grant from the National Institute for Diabetes and Digestive and Kidney Diseases (K12-DK094721).

A portion of this study was presented in abstract form at the annual meeting of the Association of Pediatric Program Directors, Miami, FL, April 2011.

The authors report no conflicts of interest.

© 2014 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,