Perspectives of the Association of Academic Neonatology Division Directors on the American Board of Pediatrics recommendations for training in neonatal-perinatal medicine

Recommendations from the American Board of Pediatrics propose a two-year fellowship for Neonatal-Perinatal Medicine. A survey of members of the Association of Academic Neonatology Division Directors was conducted to gather perspectives on the recommendations. A minority of respondents were supportive of 2-year fellowships. Although there may be some financial benefit by transitioning to a faculty salary earlier, risk of burnout, attrition of the academic and physician scientist pipeline, and curtailing innovation and discovery were cited as major concerns. Division directors are supportive of enhancing clinical exposure, transition to competency-based assessment, and the creation of trainee pathways within 3-year fellowships.