Organized in 2006 by the leadership of US pediatrics to address issues of concern to all pediatric subspecialties.
Our mission is to integrate approaches to subspecialty education, research and patient care by providing a forum for members and other organizations and by serving as the common voice for the pediatric subspecialties.
Council of Pediatric Subspecialties IOM RECOMMENDATION CoPS POSITION 80 Hour Rule No Changes CoPS agrees . However, non-patient care educational activities should be exempt from the 80 hour rule. Maximum Shift Length 30 hours; admitting patients for up to 16 hours; 5 hours of protected sleep CoPS opposes this recommendation. More data are needed on the relationship between continuous duty hours and competency of fellows. Maximum frequency of in-hospital shifts 4 night maximum; 48 hours off after 3 or 4 nights CoPS opposes this recommendation. This is costly to implement for small programs.
Council of Pediatric Subspecialties IOM RECOMMENDATION CoPS POSITION Days off per month Mandatory 5 days off per month CoPS agrees . Moonlighting External and internal moonlighting should count toward the 80 hour rule. CoPS agrees . However, educational debt is a major concern. Any reduction in moonlighting must be linked to new mechanisms to reduce the burden of educational debt for fellows.
Council of Pediatric Subspecialties IOM RECOMMENDATION CoPS POSITION On Site Supervision Establish measurable standards of supervision CoPS agrees. However, fellows must receive sufficient opportunities for autonomy, especially in their final year of training. Continuity of Care Programs should train teams how to handover efficiently and effectively CoPS agrees . Studies must be performed to define the necessary and sufficient elements.
Program directors in critical care specialties observe that residents are increasingly less well prepared for fellowship.
Additional duty hour restrictions will necessitate educational strategies that could include increasing the length of training in categorical and fellowship programs which may negatively affect subspecialty career choices.