title: Development of a gastroenterology educational curriculum for pediatric residents using fellows as teachers.
abstract: OBJECTIVE
  At many institutions, the teaching provided on subspecialty gastroenterology rotations is not structured. The purpose of the present study was to describe the development, implementation, and assessment of a structured gastroenterology curriculum for pediatric residents.
  
  
  METHODS
  A needs assessment was performed via a survey of former pediatric resident graduates presently working in general pediatrics. Topics for the curriculum were developed based upon the needs assessment. Second-year residents on the inpatient gastroenterology rotation attended 4 case-based, small group sessions per week for 1 month. Sessions were taught primarily by upper-level gastroenterology fellows. The curriculum was assessed via a pre-posttest, postrotation survey, and group feedback sessions.
  
  
  RESULTS
  Resident rating of education received during the rotation was high. Posttest scores increased slightly but significantly compared with pretest values. The curriculum has continued to be used >4 years after its development.
  
  
  CONCLUSIONS
  The creation of a structured subspecialty curriculum with the use of fellows as teachers is both feasible and effective despite limitations in available time for resident teaching.
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA. Scott.Pentiuk@cchmc.org
authors.forename: Scott
authors.initials: S
authors.lastname: Pentiuk
authors.forename: Raymond
authors.initials: R
authors.lastname: Baker
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D005257:Fellowships and Scholarships; D005762:Gastroenterology / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D020380:Needs Assessment; D010372:Pediatrics / Q000193:education*; D016730:Program Development; D015397:Program Evaluation; D056164:Teaching Rounds