Proposal ID: 4850

PI
Fromme

Survey Title
Pediatric Chief Resident Selection Survey

Date survey distributed to APPD membership (eg., 3/2015):
12/2019

Portion of APPD membership surveyed (eg., Program Directors and Associate Program Directors):
Program Directors

Response rate (eg., 50%; 99/198):
46%; 92/200

Summary of main findings:
16% of chief residents are under-represented in medicine (UIM). The most commonly cited influential factors in selection were nominations from faculty (84%) and peers (77%), followed by fit with other co-chiefs (68%). 25% of programs cite ITE scores as influential in the selection process. 17% report having a specific method to mitigate bias in CR selection, with the most common being the involvement of multiple stakeholders in the process. People who were influential in CR selection include PDs (99%), APDs (80%), current chiefs (66%), coordinators (63%), and the chair (38%). "Leader" or "leadership" was the most common word to describe the CR (37%), followed by "organized" (11%). The program director-reported range of the number of chief residents was 1-5 per year, with an average of 2.4 across all responding programs. The chief year is an additional year in 84% of programs, whereas 16% embed it into the third year of residency. 90% select CR during the second year of residency (or third year for medicine-pediatrics), and 10% select during the third year. Most (84%) select in October through February. Only 8% of residency programs pay CR a full junior faculty salary. Most commonly, they are paid more than PGY-4 salary, but less than full junior faculty salary (54%), followed by PGY-4 salary (23%), PGY-3 plus stiped (12%), and PGY-3 salary (3%). 12% of programs sometimes recruit CR from outside institutions. Chief residents most commonly enter fellowship (48%) after the CR year, followed by community-based practice (26%), university-based job (20%), and other (6%).

Presentations:
2020 APPD Spring Meeting (Virtual Poster) 2020 PHM Virtual Conference (initially selected for an oral presentation, published in abstract form): https://apps.academicpeds.org/phm/2020/presentations/?page=view&id=851754

Publications:
none to date