The Ambulatory Pediatric Association Fellowship in Pediatric Environmental Health: A 5-Year Assessment

The Ambulatory Pediatric Association Fellowship in Pediatric Environmental Health: A 5-Year Assessment

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The Ambulatory Pediatric Association Fellowship in Pediatric Environmental Health: A 5-Year Assessment

dc.contributor.author	Gitterman, Ben
dc.contributor.author	Lanphear, Bruce
dc.contributor.author	Forman, Joel
dc.contributor.author	Karr, Catherine
dc.contributor.author	Moshier, Erin L.
dc.contributor.author	Godbold, James
dc.contributor.author	Crain, Ellen
dc.contributor.author	Landrigan, Philip J.
dc.contributor.author	Woolf, Alan David
dc.date.accessioned	2011-02-17T03:36:43Z
dc.date.issued	2007
dc.identifier.citation	Landrigan, Philip J., Alan David Woolf, Ben Gitterman, Bruce Lanphear, Joel Forman, Catherine Karr, Erin L. Moshier, James Godbold, and Ellen Crain. 2007. The ambulatory pediatric association fellowship in pediatric environmental health: A 5-year assessment. Environmental Health Perspectives 115(10): 1383-1387.	en_US
dc.identifier.issn	0091-6765	en_US
dc.identifier.uri	http://nrs.harvard.edu/urn-3:HUL.InstRepos:4726976
dc.description.abstract	Background: Evidence is mounting that environmental exposures contribute to causation of disease in children. Yet few pediatricians are trained to diagnose, treat, or prevent disease of environmental origin. Objectives: To develop a cadre of future leaders in pediatric environmental health (PEH), the Ambulatory Pediatric Association (APA) launched a new 3-year fellowship in 2001—the world’s first formal training program in PEH. Sites were established at Boston Children’s Hospital, Mount Sinai School of Medicine, George Washington University, University of Cincinnati, and University of Washington. Fellows are trained in epidemiology, biostatistics, toxicology, risk assessment, and preventive medicine. They gain clinical experience in environmental pediatrics and mentored training in clinical research, policy development, and evidence-based advocacy. Thirteen fellows have graduated. Two sites have secured follow-on federal funding to enable them to continue PEH training. Discussion: To assess objectively the program’s success in preparing fellows for leadership careers in PEH, we conducted a mailed survey in 2006 with follow-up in 2007. Conclusions: Fifteen (88%) of 17 fellows and graduates participated; program directors provided information on the remaining two. Nine graduates are pursuing full-time academic careers, and two have leadership positions in governmental and environmental organizations. Ten have published one or more first-authored papers. Seven graduates are principal investigators on federal or foundation grants. The strongest predictors of academic success are remaining affiliated with the fellowship training site and devoting <20% of fellowship time to clinical practice. Conclusion: The APA fellowship program is proving successful in preparing pediatricians for leadership careers in PEH.	en_US
dc.language.iso	en_US	en_US
dc.publisher	National Institute of Environmental Health Sciences	en_US
dc.relation.isversionof	doi:10.1289/ehp.10015	en_US
dc.relation.hasversion	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2022661/pdf/	en_US
dash.license	LAA
dc.subject	community pediatrics	en_US
dc.subject	environmental medicine	en_US
dc.subject	environmental pediatrics	en_US
dc.subject	fellowship training	en_US
dc.subject	medical education	en_US
dc.title	The Ambulatory Pediatric Association Fellowship in Pediatric Environmental Health: A 5-Year Assessment	en_US
dc.type	Journal Article	en_US
dc.description.version	Version of Record	en_US
dc.relation.journal	Environmental Health Perspectives	en_US
dash.depositing.author	Woolf, Alan David
dc.date.available	2011-02-17T03:36:43Z
dash.affiliation.other	HMS^Pediatrics-Children's Hospital	en_US