Pamela A Koch, Randi L Wolf, Raynika J Trent, Ian Yi Han Ang, Matthew Dallefeld, Elizabeth Tipton, Heewon L Gray, Laura Guerra, Jennifer Di Noia
Wellness in the Schools: A Lunch Intervention Increases Fruit and Vegetable Consumption
Nutrients
topic neonatal cardiovascular care neonatalperinatal medicine npm fellowship training continued transform due increased complexity patients development specialized units continued accreditation council graduate medical education requirements clinical practice variation across centers care neonates congenital heart disease chd developed neonatal cardiac curriculum comprised eight interactive sessions novel active learning concepts specific npm fellows selfassessment survey comfort managing infants chd perceived competency neonatal cardiology topics performed neonatology fellows baseline completion curriculum american board pediatrics subspecialty intraining exam site scores fellows compared national average average comfort score 0100 firstyear fellows increased 33 76 second thirdyear fellows increased 72 86 75 86 respectively firstyear fellows improved competency score 44 points 3 standard deviations secondyear fellows improved score 26 points one standard deviation overall 9point increase competency score fellows one standard deviation average local site score lower national average initiation curriculum became nearly equal national average score end first year curriculum implemented progressively become higher since due variable clinical exposure differing practice models managing chd neonatal cardiac curriculum may beneficial npm trainees