title: Trainee Needs in Pediatric Transplant Infectious Diseases Education.
abstract: BACKGROUND
  Pediatric transplant infectious diseases (PTID) is emerging as an area of expertise within pediatric infectious diseases. Although guidelines for training in PTID have been published, no prior national survey has been conducted to identify trainee-described needs for instruction in PTID.
  
  
  METHODS
  A survey was designed through collaboration between the American Society of Transplantation and the Pediatric Infectious Diseases Society, to assess trainee exposure, self-knowledge, and self-competency in PTID.
  
  
  RESULTS
  Sixty of 169 trainees replied (response rate 35%) with 93% of respondents from centers that performed transplants. Eighty-two percent of trainees were unaware of the recommended curriculum for PTID. Although a majority of trainees (78%) indicated they had received structured teaching in PTID, most (>50%) ranked their knowledge in donor selection, donor-derived infections, and candidate risk assessment as poor or fair. A majority (>50%) also reported their competency in areas regarding pre- and posttransplant guidance as poor or fair. Trainees identified the following strategies to augment their PTID training: additional rotations, teaching by experts, case-based learning, and a reference guide.
  
  
  CONCLUSIONS
  This survey highlights significant trainee-identified gaps in PTID knowledge and competency. Limitations include low survey response rate but appears weighted towards centers with transplantation. Suggested strategies can inform the development of learner-specific initiatives and curriculum in PTID.
authors.affiliation: Division of Infectious Diseases, Boston Children's Hospital/Harvard Medical School, Massachusetts.
authors.forename: Lakshmi
authors.initials: L
authors.lastname: Ganapathi
authors.affiliation: Division of Infectious Diseases, Cincinnati Children's Hospital/University of Cincinnati, Ohio.
authors.forename: Lara
authors.initials: L
authors.lastname: Danziger-Isakov
authors.affiliation: Division of Infectious Diseases, Massachusetts General Hospital/Harvard Medical School, Boston.
authors.forename: Camille
authors.initials: C
authors.lastname: Kotton
authors.affiliation: Multi-Organ Transplant Program and Transplant Infectious Diseases, University Health Network, Toronto, Canada.
authors.forename: Deepali
authors.initials: D
authors.lastname: Kumar
authors.affiliation: Division of Infectious Diseases, Mount Sinai Hospital/Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Shirish
authors.initials: S
authors.lastname: Huprikar
authors.affiliation: Division of Infectious Diseases, Children's Hospital of Pittsburgh of UPMC/University of Pittsburgh School of Medicine, Pennsylvania.
authors.forename: Marian G
authors.initials: MG
authors.lastname: Michaels
authors.affiliation: Division of Infectious Diseases, Seattle Children's Hospital/University of Washington.
authors.forename: Janet A
authors.initials: JA
authors.lastname: Englund
mesh_terms: D002648:Child; D002983:Clinical Competence; D003479:Curriculum; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D018380:Hematopoietic Stem Cell Transplantation / Q000706:statistics & numerical data; D006801:Humans; D007239:Infections / Q000209:etiology*; D011795:Surveys and Questionnaires; D014180:Transplantation / Q000009:adverse effects / Q000193:education*; D014481:United States
keywords: education; pediatric infectious diseases; training; transplant infectious diseases