The American Board of Pediatrics (ABP) instituted new requirements for subspecialty certification for all fellows beginning their training July 1, 2004, and thereafter. In this the ABP reaffirmed that the “goal of fellowship training will continue to be the development of future academic pediatricians” and that “a clinical-only pathway is not acceptable to the ABP. All fellows must demonstrate evidence of scholarly activity.” New to these requirements was the decision that the review of scholarly activity would occur at the local level by a Scholarship Oversight Committee (SOC) consisting of three or more individuals, at least one of whom is outside the subspecialty discipline. The trainee’s mentors and program director can advise but cannot be a standing member of the oversight committee. The American Board of Pediatrics’ charge to the local SOC committees is below:
ABP Charge to Local SOC Committees:
ABP Definition of Scholarly Activities:
The ABP requirements state “All fellows will be expected to engage in projects in which they develop hypotheses or in projects of substantive scholarly exploration and analysis that require critical thinking. Areas in which scholarly activity may be pursued include, but are not limited to: basic, clinical, or translational biomedicine; health services; quality improvement; bioethics; education; and public policy. Fellows must gather and analyze data, derive and defend conclusions, place conclusions in the context of what is known or not known about a specific area of inquiry, and present their work in oral and written form to their SOC. Involvement in scholarly activities must result in the generation of a specific work product.”
ABP Examples of Work Product of Scholarly Activity
U of C SOC Expectations for an Acceptable Written Work Product of Scholarly Activity
It is important to note the guidance form the ABP. The SOC is responsible for determining whether a specific activity is sufficient to meet the ABP guidelines for scholarly activity. Under the new guidelines the SOC is required to approve the written work product at completion of fellowship training (in most cases this will be at the end of year 3 of fellowship).
At times, recent graduates from multiple U of C Pediatric Fellowship programs have pursued research that is part of a long term project, where publication of results at the end of fellowship would be premature. The SOC shall ensure that the nature of this research clearly fits the ABP requirements for fellows to “engage in projects in which they develop hypotheses, and that require critical thinking.” We further believe that the intent of the ABP requirements is not to dissuade fellows from pursuing high-risk/high-yield, challenging research that will ultimately best prepare them for the rigors of an academic career in favor of projects that lead to an easy, less sophisticated publication.
We therefore describe the minimum acceptable work product for those completing their fellowships at U of C and who do not yet have a peer-reviewed manuscript, dissertation, or accepted extramural grant application but who are clearly engaged in meaningful, hypothesis-driven scholarly work. For such fellows, an acceptable written work product of scholarly activity can include a written progress report of their work to date. This written report will supplement the oral presentation of the project to the SOC. This document should be in the format of a journal article typical for the chosen field. Five pages plus references at a minimum shall be sufficient to demonstrate to the SOC that the work product fulfills the ABP requirement of hypothesis-driven work and analysis that requires critical thinking. This document shall include:
ABP Requirements for Application for Board Certifying Exam
The fellow and their respective program director coordinate the development of the ABP packet. Upon application for subspecialty certification, the ABP will require:
For additional information and complete ABP documentation regarding fellowship requirements, please see the Fellows’ College website which have the links to the important sections on the ABP website applicable to the work product discussion.
Full Guide to ABP Requirements for Subspecialty Training
http://www.pediatrics.medschool.ucsf.edu/fellowscollege/pdf/ABP_subspecialty_certification.pdf