title: Is residents' progress on individualized learning plans related to the type of learning goal set?
abstract: OBJECTIVE
  To determine the types of learning goals residents select for their individualized learning plans (ILPs) and the relationship between goal type and progress toward achieving that goal.
  
  
  METHODS
  Pediatric and combined pediatric residents at 46 U.S. training programs completed a Web-based survey on ILPs in 2008-2009, describing their most important learning goal and the goals on which they made the most and least progress. Using iterative inductive review, responses were categorized into seven types (six corresponding with the Accreditation Council for Graduate Medical Education general competencies). Descriptive statistics and regression models were used to assess the relationship between goal type and progress made.
  
  
  RESULTS
  Of 1,739 eligible residents, 992 (57%) completed the survey; 668 (38%) had previously completed an ILP and described their learning goals. Residents were more likely to report medical knowledge (MK) (53.7%) and patient care (PC) (25.9%) goals as most important and less likely to report professionalism (1.5%) and systems-based practice (SBP) (1.0%) goals as most important. Compared with progress on MK goals, residents reported significantly greater progress on PC (odds ratio [OR]: 2.20; 95% confidence interval [CI]: 1.57-3.09) and practice-based learning and improvement teaching (OR: 2.99; 95% CI: 1.59-5.63) goals and less progress on SBP goals (OR: 0.16; 95% CI: 0.05-0.56).
  
  
  CONCLUSIONS
  Residents most commonly identified MK and PC learning goals as the most important. Residents made more progress on goals related to everyday tasks, such as PC and teaching, compared with goals less integrated in everyday training, such as SBP.
authors.affiliation: Department of Pediatrics, University of California, Davis, School of Medicine, Sacramento, California, USA. su-ting.li@ucdmc.ucdavis.edu
authors.forename: Su-Ting T
authors.initials: ST
authors.lastname: Li
authors.forename: Debora A
authors.initials: DA
authors.lastname: Paterniti
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Tancredi
authors.forename: John Patrick T
authors.initials: JP
authors.lastname: Co
authors.forename: Daniel C
authors.initials: DC
authors.lastname: West
mesh_terms: D002648:Child; D002983:Clinical Competence; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D007858:Learning; D010372:Pediatrics / Q000193:education*; D016730:Program Development / Q000379:methods*; D011795:Surveys and Questionnaires; D014481:United States