Clinical Sessions Research Articles

Caregivers' Knowledge of and Attitude towards Palliative Care in Iran.

Addressing the palliative care needs requires clinicians to have sufficient knowledge of and positive attitudes toward palliative care. The study aimed to determine nurses' and physicians' knowledge of and attitudes towards palliative care in Iran. This descriptive cross-sectional study was conducted in 2021 on 493 physicians and nurses, selected through convenience sampling. Three online questionnaires addressing caregivers' demographic and professional's questionnaire, Health Care Providers' Attitude toward PC Questionnaire, and Health Care Providers' Knowledge of PC Questionnaire were used. The data was analyzed in SPSS using correlational and descriptive statistics and regression analysis. The mean score of attitude towards palliative care was 142.03 ± 11.35 and the mean score of palliative care knowledge, 19.47 ± 2.62. Considering the regression coefficients between these two mean scores (P-value = 0.001, b = 1.304), it can be inferred that knowledge is a good predictor of attitude. In addition, the mean scores of knowledge and attitude have a significant relationship with age, female gender, holding a master's or PhD degree, the need for formal education in the field of palliative care and the need to take a palliative care course. The present study showed that Iranian nurses and physicians have a moderate level of knowledge and attitude towards palliative care. It is necessary to take measures in order to improve knowledge and attitude by holding retraining courses, theoretical and clinical training sessions and relevant seminars in short term, and also by integrating related topics into nursing and medical curriculums in long term.

Online Clinical Briefing for Radiologic Technology Students in Covid-19 Pandemic Outbreak: Efficiency, Application, and Feedback of Students.

To evaluate students' satisfaction and efficacy of online clinical briefing for radiologic technology students. The study aimed to evaluate the efficiency, the possibility of application, and students' feedback with the new form of clinical briefing during the COVID-19 pandemic outbreak. A cross-sectional survey was conducted on 120 full-time radiologic technology students after participating in online clinical briefing sessions at the Department of Radiology, Hue University of Medicine and Pharmacy Hospital. This training approach was implemented for students from April to July 2021. During the briefing, participants were asked to discuss on cases that were prepared by the previous on-duty nightshift students with the consultant of the senior staff. The discussion focused on the technical aspects, challenges, and clinical implementation of each technique. Descriptive statistics were used to analyze the responses of students using the Likert scale (1. Complete disagree, 2. Disagree, 3. Satisfy, 4. Partial agree, 5. Complete agree). Our findings show that 76.5% of students were very satisfied and/or satisfied with the online clinical briefing. In particular, the mean score for satisfaction with teaching resources and platforms, and assessment tools were 4.21; less fear in giving feedback than on-site briefings were 3.57; satisfaction with faculty accessibility and availability in giving feedback as well as answering questions for students was 4.29; satisfaction with student's performance and final grade was 3.55. 94.2% of students were willing to continue studying online during the COVID-19 breakout or similar circumstances. Online clinical briefing is an appropriate teaching approach during a prolonged COVID-19 breakout. However, it cannot completely replace traditional teaching methods in providing essential clinical skills for radiologic technology students due to the unique characteristics of medicine and medical imaging teaching which require a substantial amount of clinical practice.

Artificial Intelligence Literacy: Developing a Multi-institutional Infrastructure for AI Education

To evaluate the effectiveness of an artificial intelligence (AI) in radiology literacy course on participants from nine radiology residency programs in the Southeast and Mid-Atlantic United States. A week-long AI in radiology course was developed and included participants from nine radiology residency programs in the Southeast and Mid-Atlantic United States. Ten 30 minutes lectures utilizing a remote learning format covered basic AI terms and methods, clinical applications of AI in radiology by four different subspecialties, and special topics lectures on the economics of AI, ethics of AI, algorithm bias, and medicolegal implications of AI in medicine. A proctored hands-on clinical AI session allowed participants to directly use an FDA cleared AI-assisted viewer and reporting system for advanced cancer. Pre- and post-course electronic surveys were distributed to assess participants' knowledge of AI terminology and applications and interest in AI education. There were an average of 75 participants each day of the course (range: 50-120). Nearly all participants reported a lack of sufficient exposure to AI in their radiology training (96.7%, 90/93). Mean participant score on the pre-course AI knowledge evaluation was 8.3/15, with a statistically significant increase to 10.1/15 on the post-course evaluation (p= 0.04). A majority of participants reported an interest in continued AI in radiology education in the future (78.6%, 22/28). A multi-institutional AI in radiology literacy course successfully improved AI education of participants, with the majority of participants reporting a continued interest in AI in radiology education in the future.

187 ‘OUR LANGUAGE’: AN INITIATIVE TO RAISE STAFF AWARENESS OF THE IMPACT OF OUR CHOICE OF WORDS ON PATIENTS

Abstract Background In a hospital specialising in older persons’ rehabilitation, the Speech & Language Therapy team (SLT) commenced an initiative to raise awareness of the impact of all staff’s language on patients. Our language can either support or undermine patient well-being. Supportive language is easy-to-follow, everyday English and respects each person’s autonomy (‘Would you like help to eat?’). Unnecessary jargon or impersonal words can be undermining (e.g. ‘He needs supervision with feeding’). This is supported by national and international guidance tools such as the online ‘Plain Language Style Guide’ by the Health Service Executive Health Promotion Unit and National Adult Literacy Agency. Methods Quality improvement methodology was adopted to facilitate an ongoing, flexible approach. SLT delivered pilot workshops on person-centred language to ward staff. Afterward, staff spent a week self-identifying examples of language that could be improved during their work day. Examples were collated and presented back to teams. Online feedback surveys were conducted. Trolley rounds were then rolled out with quiz-style exercises to raise staff awareness across the hospital. Examples of person-centred language generated by staff were shown on rolling videos in key areas across the hospital. Results Staff engaged actively in workshop and trolley activities generating a range of examples of more person-centred language. Surveys revealed a new awareness of the need to adapt our language. Several months later, staff continue to demonstrate increased vigilance with their choice of words and regularly consult SLT for advice on language in clinical sessions, documentation or signage. There is still room for improvement in the language used in other areas such as Care Planning Meetings and clinical documentation. Conclusion This initiative has started to increase staff awareness of the importance of our choice of words to patient well-being. With the support of hospital management, this initiative will be continued, reviewed and reported on a rolling basis.

Hyperoside protects against cyclophosphamide induced ovarian damage and reduced fertility by suppressing HIF-1α/BNIP3-mediated autophagy

Ovarian damage and infertility are the main side effects of chemotherapy for women of childbearing age with cancer. The main objective of this study was to investigate the protective effects and mechanisms of hyperoside against cyclophosphamide (Cy) -induced ovarian damage and reduced fertility. This study consists of two parts: in vivo experiments using Cy intraperitoneal injections to simulate clinical chemotherapy sessions and in vitro experiments using 4-HC, a precursor of an activated form of Cy, to intervene in human granulosa-like cell line (KGN). We found that Cy disrupted the estrous cycle in mice, resulting in decreased serum Anti-Mullerian hormone (AMH) levels, loss of primordial follicles, primary follicle and secondary follicle, increased atretic follicles, and diminished ovarian reserve function. Cy prolonged the time between mating and pregnancy in mice and increased the number of absorbed embryos. Western Blot analysis demonstrate that Cy activated key proteins of HIF-1α/BNIP3-associated autophagy both in vivo and in vitro, while in vivo experiments we also found that 4-HC increased KGN cell apoptosis, damaged mitochondrial membrane potential, and activated autophagic flow. Co-treatment with hyperoside diminished follicular depletion of the primordial follicles, decreased follicular atresia, prevented Cy-induced excessive hypoxia and autophagy activation, increased mitochondrial membrane potential, thereby increasing follicular reserve and rescuing fertility in Cy-treated mice. It suggests that HIF-1α/BNIP3-mediated autophagy is an essential mechanism by which Cy impairs ovarian function and fertility in mice, by blocking this activation, hyperoside shows potential as an ovarian protectant that may be capable of preserving fertility in women undergoing chemotherapy.

The Application of Telemedicine Among Self-administered Eye Drop Users: the Accuracy and Patient Satisfaction

Introduction: Telemedicine has comparable benefits to face-to-face consultation in certain healthcare settings. The purposes of this study were to determine the accuracy and patient satisfaction levels following telemedicine and in-house clinic teaching sessions on self-administered eye drop techniques. Methods: A case-control study was conducted on eye drop users who received instruction in the self-administered eye drop technique teaching via telemedicine and face-to-face sessions. The respondents’ self-administration of eye drops was video-recorded and graded independently by two qualified optometrists on a scale of 1 to 10. Patient satisfaction levels with both platforms were determined using a 5-point Likert scale questionnaire. Results: This study enrolled 50 eye drop users (N = 25 face-to-face, N = 25 telemedicine) with a mean age of 33.84 ± 15.85 years old. Nearly half of them (48%) had been using the eye drops for more than a year, and 52% had not been instructed on how to administer the eye drops. The accuracy of self-administered eye drops was high (M = 9.5, IQR = 1.5) and did not differ significantly between groups (p > 0.05). While both groups reported high levels of satisfaction (90%), listening difficulties were found to be significantly associated with patient satisfaction (p = 0.02). Conclusion: Both the in-house clinic and telemedicine sessions are significantly comparable to the face-to-face approach for clinical education purposes. The potential for telemedicine delivery is somewhat promising, but additional areas must be explored in the future to demonstrate the effectiveness of the practice.

Cultural competence education for undergraduate medical students: An ethnographic study

The COVID-19 pandemic and the escalation of the Black Lives Matter Movement worldwide have foregrounded the long-standing inequality in society and healthcare. The provision of culturally competent care has become more necessary than at any other time. However, cultural competence (CC) education remains inconsistent across medical schools, and little is known about how students develop their CC through campus-based classroom teaching. We took an ethnographic approach to study students’ development of CC in campus-based formal classroom teaching. This study was conducted in a large London medical school in England. We triangulated data collected from 6-month participant observation, 25 individual interviews, and three focus groups to generate reliable accounts of students’ CC developmental experience. Thick descriptions were developed through iterative, inductive, interactive, and reflexive review and interpretation of data using NVivo 11. The results show that students undergo staged cultural learning throughout their undergraduate medical curriculum through bespoke CC lectures, workshops, clinical/research projects, and integrated clinical simulations that incorporate CC and other clinical subjects. The early learning mainly takes place in the pre-clinical year of the curriculum, among which a range of valued-based sessions is observed as conducive to students’ development of CC. As they progress, students develop their CC by attending clinical sessions with embedded cultural content. The curriculum in senior years presents reduced mandatory teaching, but more clinical exposure and opportunities to reach out to other subjects and disciplines. It means students start to have more diverse and dispersed learning experiences based on their individual choices, some of which may contribute to their development of CC. This study provides a rare insight into medical students’ CC development through participation in campus-based classroom teaching. Various learning opportunities contribute to different aspects of CC development and cater to different learning preferences of the diverse student population. To support students’ comprehensive development of CC, educators need to work collaboratively and use overt signposting to related disciplines and subjects. There needs to be recognition of students’ learning not only in the formal curriculum but also in the informal and hidden curricula.

Adapting a Telehealth Network for Emergency COVID-19 Pandemic Response, 2020-2021.

In March 2020, a tribal telehealth program—the Indian Country Extension for Community Health Outcomes (ECHO)—added emergency COVID-19 to its programming to support the pandemic response. A long-standing relationship with a network of Indian Health Service, tribal, and urban Indian clinicians supported a rapid launch of the COVID-19 telehealth program. This nationwide service offered primary care clinicians and staff serving American Indian/Alaska Native people access to virtual learning opportunities, expert clinical recommendations, technical assistance, and capacity building. From March 12, 2020, through April 30, 2021, the program provided 85 clinical sessions in 12 months, with an average participation of 120 attendees per clinic (N = 11 710). Attendees could complete a voluntary evaluation form for each session via an online link. A total of 2595 forms were completed. Attendees came from 33 states and 206 unique locations, primarily from the Pacific Northwest (n = 931, 35.9%). Most pharmacists (78.1%), providers (ie, medical doctor, doctor of osteopathy, advanced practice nurse, physician assistant, or clinical nurse midwife; 70.8%), and nurses (59.6%) gave the sessions the highest rating of “very satisfied.” The highest proportion of attendees indicating that they planned a change in practice were pharmacists (68.0%), nurses, (64.1%), and providers (61.3%). Most attendees (93.1%) said that the COVID-19 sessions gave them a sense of social support. Lessons learned were that (1) a telehealth platform can be quickly retasked for emergency response with no further delays, (2) a telehealth network can be scaled up quickly with participation from preexisting relationships, and (3) the platform is flexible and adaptable to the needs of participants. An existing telehealth program can be a key part of timely, relevant, large-scale emergency readiness and response efforts.

The concerning disaggregation of gender disparity and racial disparity investigation at recent ASCO annual meetings.

164 Background: There has been a recent emphasis in the peer-reviewed oncology literature on examining disparities by gender. Such emphasis provides an excellent opportunity to provide parallel disparities analysis. The degree to which gender disparities research has been performed concomitantly with racial disparities research at prominent oncologic societies has yet to be investigated. Methods: Abstracts presented at the American Society of Clinical Oncology (ASCO) annual meeting, the largest worldwide clinical oncology conference, were reviewed. Highly-valued abstracts selected for the elite oral abstract or clinical science symposium sessions at the 2020, 2021, and 2022 annual meetings were stratified to determine the amount of gender disparities research presented. Such research was then further assessed to determine whether racial disparities were examined simultaneously. Results: From 2020-2022, a total of 1,217 abstracts were presented at the ASCO annual meetings oral abstract or clinical science symposium sessions. Of these, seven involved gender disparities examination, of which only two (29%) concomitantly examined race. No study since 2020 concomitantly examined gender and racial disparities. Conclusions: More than 70% of elite gender disparities work presented at ASCO has been disaggregated from concomitant racial disparities examination, with complete disaggregation since 2021. Gender disparities work remains a miniscule aspect of the overall elite research landscape. Future work in examining gender disparities may be best aggregated with racial disparities in order to optimize timely solutions in both areas; such work could potentially be incentivized by stipulations of future funding mechanisms.

Improving lung cancer screening in a community healthcare system by electronic health record (EHR) optimization.

437 Background: In March 2021, the United States Preventative Services Taskforce updated its lung cancer screening guidelines to improve overall survival rates, decrease disparities and provide a net cost savings to the healthcare system. With many patients having advanced lung cancer at the time of their diagnosis, it is imperative that screening is performed as soon as applicable. The objective of this study was to improve documentation in EPIC to help prompt low-dose CT (LDCT) scan reminders for providers on the EHR. Methods: This was a prospective study that utilized patient data from EPIC from the Baylor Scott & White Healthcare primary care clinic in Round Rock, Texas. Our version of EPIC used the guidelines prior to the 2021 change. To prompt a reminder on EPIC, there needs to be sufficient numerical data in the smoking history entry form to calculate the pack-years for a patient. EPIC will then automatically generate a notification for providers to order screening LDCT scans for patients that fulfill the screening criteria. We utilized “SlicerDicer” on EPIC to create a custom report of patients that qualified for the study in terms of the inclusion and exclusion criteria. From October 2021 to January 2022, we collected a pre-intervention representative sample to assess how well smoking had been documented during this period. We manually reviewed each medical record number (MRN) listed in the report to verify if proper documentation was used. Our intervention was to contact the clinic manager multiple times with specific instructions on proper smoking history charting. This was then distributed to all ancillary clinic staff via team meetings and flyers. We planned an intervention period from February 2022 to May 2022 that involved data totaling 1178 patients with similar abstraction methods as the pre-intervention data set. Results: We were able to increase lung cancer screening reminders on EPIC for this higher risk patient population. Specifically, 37% of patients pre-intervention had complete data compared to 49% of patients post-intervention. Therefore, an absolute difference of 12% (31.80% increase) of proper documentation was achieved to increase LDCT reminders. The most common mistake by staff was documenting smoking history into the free-text portion of the entry-data forms, which EPIC is not able to calculate pack-years from. Conclusions: Following the intervention at the outpatient clinic, we were able to boost LDCT reminders via an already established process. Increased reminders will eventually lead to more screening orders placed, which we plan to assess for in the next phase of our study. This study can be easily replicated at other centers by instilling similar clinical staff information sessions about documentation. Proper documentation by all healthcare providers is a shared responsibility that has both immediate and longer-lasting impacts on an individual and population level.

TRENDS OF EARLY INVASIVE STRATEGY FOR PATIENTS WITH NON-ST SEGMENT ELEVATION MYOCARDIAL INFARCTION: ANALYSIS OF A NATIONAL INPATIENT SAMPLE (2011-2018)

SESSION TITLE: Cardiovascular Disease and Comorbidities: Relevance to Clinical PracticeSESSION TYPE: Original InvestigationsPRESENTED ON: 10/18/22 2:45 pm - 3:45 pmPURPOSE: In high-risk NSTEMI patients, an early invasive strategy (EIS), defined as coronary angiography (CA) ± PCI (when appropriate) within 24 hours of presentation is a Class I recommendation per the 2014 AHA/ACC guidelines. We aimed to investigate the temporal trends of the use of an EIS in the US between 2011 and 2018.METHODS: We queried the Healthcare Cost and Utilization National Inpatient Sample 2011-2018. EIS was defined as CA ± revascularization within day 0 or 1 of admission. Descriptive and comparative statistics were performed.RESULTS: From 2011-2018, a total of 3,528,951 admissions for NSTEMI were identified. Of these admissions, 66.2% (n=2,334,900) underwent CA during admission, and 45% (n=1,589,582) underwent EIS. The prevalence of CA during admission in NSTEMI has increased over time; however, the percentage of EIS/CA showed a negative trend (Figure 1). The percentage of NSTEMI cases with CA during admission were comparable between admissions during weekdays (66.5%, n=1,743,578) vs weekends (65.2%, n=591,321); however, EIS was less prevalent during weekend admissions [35.6% (n=323,026) vs 48.3% (n=1,266,555)].CONCLUSIONS: The number of admissions for NSTEMI has been rising between the years 2011 and 2018. Whether this increase is due to better recognition of NSTEMI (in part due to the utilization of higher sensitive troponin assays) or due to higher true incidence (in part due to the increase in life expectancy and comorbidities during this time period) is yet to be investigated. The barriers to EIS must be further explored to ensure ongoing improvement in clinical outcomes.CLINICAL IMPLICATIONS: Early invasive strategy has been shown to be associated with improved outcomes in patients with high-risk NSTEMI. Nontheless, we observed a downtrend in the performance of EIS, especially on weekends. The effect of this downtrend on patients outcomes remain to be investigated.DISCLOSURES: No relevant relationships by Firas AjamNo relevant relationships by Abbas AlshamiNo relevant relationships by Steven DouediNo relevant relationships by Anton MararenkoNo relevant relationships by Mihir OdakNo relevant relationships by Brett SealoveNo relevant relationships by Jeffrey SelanNo relevant relationships by Vandan Upadhyaya SESSION TITLE: Cardiovascular Disease and Comorbidities: Relevance to Clinical Practice SESSION TYPE: Original Investigations PRESENTED ON: 10/18/22 2:45 pm - 3:45 pm PURPOSE: In high-risk NSTEMI patients, an early invasive strategy (EIS), defined as coronary angiography (CA) ± PCI (when appropriate) within 24 hours of presentation is a Class I recommendation per the 2014 AHA/ACC guidelines. We aimed to investigate the temporal trends of the use of an EIS in the US between 2011 and 2018. METHODS: We queried the Healthcare Cost and Utilization National Inpatient Sample 2011-2018. EIS was defined as CA ± revascularization within day 0 or 1 of admission. Descriptive and comparative statistics were performed. RESULTS: From 2011-2018, a total of 3,528,951 admissions for NSTEMI were identified. Of these admissions, 66.2% (n=2,334,900) underwent CA during admission, and 45% (n=1,589,582) underwent EIS. The prevalence of CA during admission in NSTEMI has increased over time; however, the percentage of EIS/CA showed a negative trend (Figure 1). The percentage of NSTEMI cases with CA during admission were comparable between admissions during weekdays (66.5%, n=1,743,578) vs weekends (65.2%, n=591,321); however, EIS was less prevalent during weekend admissions [35.6% (n=323,026) vs 48.3% (n=1,266,555)]. CONCLUSIONS: The number of admissions for NSTEMI has been rising between the years 2011 and 2018. Whether this increase is due to better recognition of NSTEMI (in part due to the utilization of higher sensitive troponin assays) or due to higher true incidence (in part due to the increase in life expectancy and comorbidities during this time period) is yet to be investigated. The barriers to EIS must be further explored to ensure ongoing improvement in clinical outcomes. CLINICAL IMPLICATIONS: Early invasive strategy has been shown to be associated with improved outcomes in patients with high-risk NSTEMI. Nontheless, we observed a downtrend in the performance of EIS, especially on weekends. The effect of this downtrend on patients outcomes remain to be investigated. DISCLOSURES: No relevant relationships by Firas Ajam No relevant relationships by Abbas Alshami No relevant relationships by Steven Douedi No relevant relationships by Anton Mararenko No relevant relationships by Mihir Odak No relevant relationships by Brett Sealove No relevant relationships by Jeffrey Selan No relevant relationships by Vandan Upadhyaya

TEMPORAL TRENDS OF ISCHEMIC AND HEMORRHAGIC STROKE AFTER LEFT VENTRICULAR ASSIST DEVICE IMPLANTATION IN THE UNITED STATES (2017-2019)

TEMPORAL TRENDS OF ISCHEMIC AND HEMORRHAGIC STROKE AFTER LEFT VENTRICULAR ASSIST DEVICE IMPLANTATION IN THE UNITED STATES (2017-2019)

PARTIAL HOSPITALIZATION FOR YOUTH WITH ASD AND OTHER DEVELOPMENTAL DISORDERS

This Clinical Perspectives session will describe 3 specialized partial hospitalization program (PHP) treatment models for youth with ASD and other developmental disorders (DDs), identifying key program characteristics, adaptations to the COVID-19 pandemic, and preliminary outcomes.

IMPACT OF HOSPITAL TEACHING STATUS ON OUTCOME OF HOSPITALIZATION FOR ATRIAL FIBRILLATION

IMPACT OF HOSPITAL TEACHING STATUS ON OUTCOME OF HOSPITALIZATION FOR ATRIAL FIBRILLATION

(TSD)2: THERAPIST SELF-DISCLOSURE THROUGH STAGES (OF) DEVELOPMENT

This Clinical Perspectives session is designed to explore the important considerations around therapist self-disclosure (TSD) when working with patients across development. The focus will be on TSD as it pertains to working with young children and their caretakers, school-aged children, adolescents, and those with ASD. Participants will gain an understanding of the unique developmental aspects that inform TSD occurrences and guide decision making when working with children and adolescents across development.

AORTIC INVOLVEMENT IN TAKAYASU ARTERITIS: A NATIONAL INPATIENT SAMPLE ANALYSIS

AORTIC INVOLVEMENT IN TAKAYASU ARTERITIS: A NATIONAL INPATIENT SAMPLE ANALYSIS

PREVALENCE AND PREDICTORS OF TYPE 2 MYOCARDIAL INFARCTION IN COPD-RELATED HOSPITALIZATIONS: A NATIONWIDE ANALYSIS

PREVALENCE AND PREDICTORS OF TYPE 2 MYOCARDIAL INFARCTION IN COPD-RELATED HOSPITALIZATIONS: A NATIONWIDE ANALYSIS

INTERSECTION OF SEPSIS, ATRIAL FIBRILLATION, AND SEVERE OBESITY: A POPULATION-BASED ANALYSIS IN THE UNITED STATES

INTERSECTION OF SEPSIS, ATRIAL FIBRILLATION, AND SEVERE OBESITY: A POPULATION-BASED ANALYSIS IN THE UNITED STATES

Status of patient safety in selected Ghanaian hospitals: a national cross-sectional study

BackgroundSafety is one of the dimensions of healthcare quality and is core to achieving universal health coverage and healthcare delivery worldwide. In Ghana, the status of patient safety in the...

The First Two Years of the Association of Pediatric Surgery Training Program Directors (APSTPD) Transition to Fellowship Course: Lessons Learned and Future Directions

The first transition to fellowship course for incoming pediatric surgery fellows was held in the US in 2018 and the second in 2019. The course aimed to facilitate a successful transition in to fellowship by introduction of the professional, patient care, and technical aspects unique to pediatric surgery training. The purpose of this study was to evaluate the feasibility and effectiveness of the first two years of this course in the US and discuss subsequent evolution of this endeavor. This is a descriptive and qualitative analysis of two years' experience with the Association of Pediatric Surgery Training Program Directors' (APSTPD) Transition to Fellowship course. Course development and curriculum, including clinical knowledge, soft skills, and hands-on skills labs, are presented. Participating incoming fellows completed multiple choice, boards-style pre- and post-tests. Scores were compared to determine if knowledge was effectively transferred. Participants also completed post-course evaluations and subsequent 3- or 12-month surveys inquiring on the lasting impact of the course on their transition into fellowship. Standard univariate statistics were used to present results. The first APSTPD Transition to Fellowship course was held at the Johns Hopkins Hospital in Baltimore, Maryland in 2018, and the second course was held at the Oregon Health and Science University in Portland, Oregon in 2019. All fellows entering ACGME-certified Pediatric Surgery fellowships in the United States were invited to participate. Twenty fellows accepted and attended in 2018, and fourteen fellows participated in 2019. There were 34 incoming pediatric surgery fellow participants over 2 years. Faculty represented more than 10 institutions each year. Pre- and post-test scores were similar between years, with a significant improvement of scores after completion of the course (67±10% vs 79±8%, p < 0.001). Feedback from participants was overwhelmingly positive, with skills labs being attendees' favorite component. When asked about usefulness of individual course sessions, more attendees found clinical sessions more useful than soft skills (93% vs 73%, p = 0.011). Almost all (90%) of participants reported the course met its stated purpose and would recommend the course to future fellows. This was further reflected on 3 and 12 month follow up surveys wherein 85% stated they found the course helpful during the first few months of fellowship and 90% would still recommend it. A transition to fellowship course in the US for incoming pediatric surgery fellows is logistically feasible, effective in transfer of knowledge, and highly regarded among attendees. Feedback from each course has been used to improve the subsequent courses, ensuring that it remains a valuable addition to pediatric surgical training in the US.