Journal of graduate medical education · 2026
Development and Execution of a Pediatric Hospice and Palliative Medicine Fellowship in Latin America.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Martínez-Jiménez Susana, Gradick Katie, Guarda Jaime, Irwin Leeanna Fox, Garcia-Quintero Ximena, Rassam Rima Saad, Cowfer Brittany, Madni Arshia, McNeil Michael J, Montufar Shirley, Moreira Daniel C, Antillón Federico, Delgado-Corcoran Claudia, Pinargote Pico Vanessa, Rivas Silvia
Аннотация
BACKGROUND: Pediatric hospice and palliative medicine (PHPM) is a growing subspecialty worldwide; however, formal graduate medical education pathways remain limited in low- and middle-income countries, including most of Latin America, constraining workforce development and access to specialized care.
OBJECTIVE: To describe an educational innovation that provides formal fellowship training in PHPM to physicians in Latin America.
METHODS: From 2023 to 2026, Unidad Nacional de Oncología Pediátrica (Guatemala), St Jude Children's Research Hospital, and the University of Utah developed and implemented a PHPM fellowship program in Latin America. The curriculum emphasizes culturally responsive training and ACGME International (ACGME-I) core competencies. Program outcomes, feasibility, and acceptability were assessed using mixed methods. Quantitative data were collected via anonymous ACGME-I program evaluation surveys completed by 10 participants over 2 years, representing a 100% response rate from fellows (n=2) and a 57% response rate from core faculty mentors (n=8 of 14 eligible). Qualitative data were obtained from written reflections and monthly structured debriefings with faculty (n=14) and fellows (n=2) from March to August 2025.
RESULTS: Three fellows completed or are completing training, and the program received ACGME-I initial accreditation in February 2026. Graduates demonstrated early workforce impact, including expansion of PHPM services in Chile and planned implementation of the Dominican Republic's first non-oncologic public PHPM program. All survey respondents agreed that the program provided a high-quality curriculum and effective career preparation. Qualitative analysis identified themes of strong mentorship, clinical relevance, and feasibility.
CONCLUSIONS: This trilateral PHPM fellowship is an internationally partnered, regionally grounded training that demonstrates early feasibility, acceptability, and educational value.
OBJECTIVE: To describe an educational innovation that provides formal fellowship training in PHPM to physicians in Latin America.
METHODS: From 2023 to 2026, Unidad Nacional de Oncología Pediátrica (Guatemala), St Jude Children's Research Hospital, and the University of Utah developed and implemented a PHPM fellowship program in Latin America. The curriculum emphasizes culturally responsive training and ACGME International (ACGME-I) core competencies. Program outcomes, feasibility, and acceptability were assessed using mixed methods. Quantitative data were collected via anonymous ACGME-I program evaluation surveys completed by 10 participants over 2 years, representing a 100% response rate from fellows (n=2) and a 57% response rate from core faculty mentors (n=8 of 14 eligible). Qualitative data were obtained from written reflections and monthly structured debriefings with faculty (n=14) and fellows (n=2) from March to August 2025.
RESULTS: Three fellows completed or are completing training, and the program received ACGME-I initial accreditation in February 2026. Graduates demonstrated early workforce impact, including expansion of PHPM services in Chile and planned implementation of the Dominican Republic's first non-oncologic public PHPM program. All survey respondents agreed that the program provided a high-quality curriculum and effective career preparation. Qualitative analysis identified themes of strong mentorship, clinical relevance, and feasibility.
CONCLUSIONS: This trilateral PHPM fellowship is an internationally partnered, regionally grounded training that demonstrates early feasibility, acceptability, and educational value.