title: Ethics and professionalism in the pediatric curriculum: a survey of pediatric program directors.
abstract: OBJECTIVE
  Since 1982, pediatric residency programs have been asked to evaluate trainees for ethical behavior. In 2007, the Accreditation Council for Graduate Medical Education required documenting teaching and evaluation of professionalism. Pediatric residency program directors were surveyed to ascertain what they know about the content and process of their ethics and professionalism curricula.
  
  
  METHODS
  From February to May 2008, 394 program directors from the Association of Pediatric Program Directors were surveyed.
  
  
  RESULTS
  Of 386 eligible survey respondents, 233 (60%) returned partial or complete surveys. Programs were evenly divided on whether ethics was taught as an organized curriculum or integrated. Professionalism was combined with the ethics curriculum in 27% of programs and taught independently in 38% of programs, but 35% had no professionalism curriculum. More than one third of the respondents did not answer each content and structure question. Approximately two thirds of those who responded stated that their program dedicated <10 hours per year to ethics and professionalism, respectively. Nearly three fourth of programs identified crowding of the curriculum and one third identified lack of faculty expertise as curricular constraints. Respondents expressed interest in more curricular materials from the American Board of Pediatrics or Association of Pediatric Program Directors.
  
  
  CONCLUSIONS
  Despite requirements to train and evaluate residents in ethics and professionalism, there is a lack of structured curriculum, faculty expertise, and evaluation methodology. Effectiveness of training curricula and evaluation tools need to be assessed if the Accreditation Council for Graduate Medical Education requirements for competencies in these areas are to be meaningfully realized.
authors.affiliation: Department of Pediatrics, University of Chicago, Chicago, Illinois 60637, USA. lross@uchicago.edu
authors.forename: Colleen Walsh
authors.initials: CW
authors.lastname: Lang
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Smith
authors.forename: Lainie Friedman
authors.initials: LF
authors.lastname: Ross
mesh_terms: D000068:Accreditation; D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000941:ethics* / Q000458:organization & administration; D005180:Faculty, Medical / Q000458:organization & administration; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000193:education*; D008486:Physician Executives / Q000941:ethics*; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014481:United States