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Table 2 Changes implemented for each EPAT domain

From: International accreditation of a pediatric hematology/oncology fellowship program in Guatemala: a quantitative assessment

Domain

Modifications

Hospital Infrastructure

• No changes deemed necessary

Patient Care

• BMT program started

Education Infrastructure

• GME committee created

• Program leadership roles segregated into DIO, PD, APD

• Hiring of assigned administrative support

Program Basics

• Creation of systematic recruitment similar to US MATCH process

• New non-malignant hematology rotation added

Clinical Exposure

• BMT program started

• New non-malignant hematology rotation added

Theory

• Addition of lectures on BMT, benign hematology, and research methodology

Research

• Addition of lectures on research methods and research time

• Support to attend yearly international conference

Evaluation

• Creation of online evaluations for fellows, faculty, and program

• Creation of clinical competency committee

Educational Culture

• Medical insurance covered for trainees

• New policy for conflict resolution

• New policy on work hour limit policy

Graduate Impact

• Strengthening of research support

  1. Abbreviations: APD associate program director, BMT bone marrow transplant, DIO designated institutional official, EPAT Education Program Assessment Tool, GME graduate medical education, PD program director