Evidence map›Paper›PMID 42236995›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2026

Compressing neonatal-perinatal medicine fellowship training: a critical appraisal of the American Board of Pediatrics proposed 2-year pathway.

Brooke Vergales, Melissa Scala, Christie Bruno, Cynthia Crabtree, Megan Gray, Suma Hoffman, Courtney McLean, Deirdre O'Reilly, Vilmaris Quinones Cardona, Erynn M Bergner and 20 more

Abstract readReview
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Brooke VergalesNorthwell Health; Cohen Children's Medical Center and the Zucker School of Medicine at Hofstra, New Hyde Park, NY, USA. Bvergales@northwell.edu.
Melissa ScalaStanford University School of Medicine, Palo Alto, CA, USA. Mscala@stanford.edu.ORCID http://orcid.org/0000-0002-5120-8077
Christie BrunoYale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-2275-1855
Cynthia CrabtreeUniversity of Louisville School of Medicine, Norton Children's Hospital, Louisville, KY, USA.
Megan GrayUniversity of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-3272-9432
Suma HoffmanChildren's National Hospital, George Washington School of Medicine, Washington, DC, USA.ORCID http://orcid.org/0000-0002-1228-128X
Courtney McLeanUniversity of Nebraska Medical Center, Omaha, NE, USA.ORCID http://orcid.org/0000-0003-0373-3448
Deirdre O'ReillyUniversity of Vermont College of Medicine, Burlington, VT, USA.
Vilmaris Quinones CardonaDrexel University School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5384-2429
Erynn M BergnerUniversity of Oklahoma College of Medicine, Oklahoma City, OK, USA.
Jennifer M BradyUniversity of Cincinnati School of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-2464-480X
Lindsay JohnstonYale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-0428-0479
Patrick MyersNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-1939-5770
Misty GoodUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Patrick J McNamaraUniversity of Iowa Stead Family Children's Hospital, Iowa City, IO, USA.ORCID http://orcid.org/0000-0001-7648-8872
Sara DeMauroPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-1647-4000
John LoydUniversity of Texas at Austin Dell School of Medicine, Austin, TX, USA.
Jill MaronThe Warren Alpert School of Medicine at Brown University, Providence, RI, USA.ORCID http://orcid.org/0000-0002-1071-8468
Camilia R MartinWeill Cornell Medicine, New York, NY, USA.
Steven J McElroyUniversity of California Davis School of Medicine, Sacramento, CA, USA.
Annemarie StroustrupNorthwell Health; Cohen Children's Medical Center and the Zucker School of Medicine at Hofstra, New Hyde Park, NY, USA.ORCID http://orcid.org/0000-0002-5667-6195
Sarah N TaylorYale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-6948-8329
Trent E TippleUniversity of Oklahoma College of Medicine, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-5156-4282
Ravi M PatelEmory School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-7444-5550
Shetal ShahMaria Fareri Children's Hospital, New York Medical College, Valhalla, NY, USA.
Clara SongSouthern California Permanente Medical Group, Anaheim, CA, USA.ORCID http://orcid.org/0000-0002-8319-8686
Alexis DavisStanford University School of Medicine, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-7862-8661
Munish GuptaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Marilyn EscobedoUniversity of Oklahoma College of Medicine, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-8895-847X
Heather FrenchPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American Board of Pediatrics (ABP) has proposed a competency-based fellowship model offering a 2-year clinical pathway with 18 training blocks and no scholarly requirement. This position statement, representing neonatal-perinatal medicine (NPM) training program directors, division leaders, and key stakeholders, contends that the model is not viable for NPM training. Compressing 18 clinical blocks into 24 months would require approximately 3500 annual training hours, nearly double a sustainable NICU workload, approaching Accreditation Council for Graduate Medical Education duty-hour limits, while reducing didactic education by one-third. Survey data from 110 of 111 NPM programs show 76% opposition. Concerns include trainee wellness, reduction in program complement, workforce and funding implications, and the erosion of scholarly training essential to advancing neonatal care. We propose alternatives, including a 2-year residency + 3-year fellowship (2 + 3) pathway and restructured residency tracks, addressing competency gaps while preserving training quality, duration, and collaborative governance.

Indexed as

Education, Medical, GraduateFellowships and ScholarshipsInternship and ResidencyNeonatologyPediatricsPerinatologyClinical CompetenceHumansSpecialty BoardsUnited States

Identifiers

PMID42236995
PMCPMC13290477

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.