摘要：The authors conducted a scoping review to investigate the structure, content, and potential
impact of post-residency medical education fellowships. The authors searched eight databases to identify English-language articles describing longitudinal, post-residency medical
fellowships that both focused on medical education and described the structure and content
of the curriculum. The authors summarized the findings of each article and, for those articles
that included a program evaluation, assessed the potential impact of the program via the
Kirkpatrick’s Four-Level Training Evaluation Model and the Medical Education Research Study
Quality Instrument. Nine articles, describing a total of ten post-residency medical education
fellowships, met inclusion criteria. Half of the programs were dedicated medical education
fellowships and half were medical education tracks within a subspecialty fellowship. The
content and educational strategies varied, with no two programs having the same curriculum.
Most programs most focused on teaching skills, adult learning theory, curricular development, and medical education research/scholarship. Most programs used project-based learning, workshops, and faculty mentorship as educational strategies. Six of the articles included
an evaluation of their program(s), all of which suggested positive changes, at least at the level
of fellow behavior (Kirkpatrick level 3), and designs limited the strength of any conclusions
drawn. This scoping review highlights the variation among medical education fellowships and
the need for common curricular components, as well as program evaluation, across and
within these fellowships. Additional assessment at higher levels of trainee outcomes will help
guide the creation and revision of medical education fellowships, and inform the development of a core curriculum shared across programs. Such a core curriculum could then serve
as the foundation for a certification program, by which a medical educator’s expertise could
be recognized, thus elevating medical education to the stature it deserves within the
academic mission.
关键词：Medical education ; fellowships training ; clinician educator ; post-residency fellowship ; career development
