SEARCHCROSS-SECTIONALpediatrics, pediatric ophthalmology

cross-sectional·pediatrics, pediatric ophthalmology, clinical trial, observational study·PMC10174732

Is it too complex? A survey of pediatric residency program’s educational approach for the care of children with medical complexity

BMC Medical Education · 3 authors, 4 centres

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TL;DR

This cross-sectional survey of US pediatric residency program delegates found that while most agreed residents should be competent in caring for children with medical complexity upon graduation, only about a third of programs had specific educational offerings for this topic.

Full summary

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It assessed practice settings, educational offerings for care of children with medical complexity (CMC), perceived resident preparedness, and future implementation plans. The response rate was 29%. The majority agreed residents should be competent in CMC care, and 49% reported residents were very or extremely well prepared. Programs with CMC educational offerings reported significantly higher perceived resident preparedness in five of eleven Entrustable Professional Activities.

STUDY TYPE

cross-sectional

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10174732

Is it too complex? A survey of pediatric residency program’s educational approach for the care of children with medical complexity

BMC Medical Education

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ABSTRACT

Abstract Background Although Entrustable Professional Activities (EPAs) regarding pediatric training in care for children with medical complexity (CMC) exist, it is unknown what US pediatric training programs provide for education related to care of CMC and whether educators perceive that pediatric residents are prepared to care for CMC upon graduation. Methods From June, 2021 through March 2022, we surveyed US pediatric residency program delegates about practice settings, current educational offerings, perception of resident preparedness regarding care of CMC, and likelihood to implement CMC education in the future. Results Response rate was 29% (56 /195). A third of responding programs (34%, n = 19) provide a specific educational CMC offering including combinations of traditional didactics (84%, n = 16), asynchronous modules/reading (63%, n = 12), experiential learning (58%, n = 11), and simulation-based didactics (26%, n = 5). The majority (93%, n = 52) of respondents agreed residents should be competent in providing primary care for CMC upon graduation and CMC should receive primary care from a resident (84%, n = 47). A total of 49% ( n = 27) of respondents reported their residents are very or extremely well prepared to care for CMC after graduation. A total of 33% ( n = 18) of programs reported CMC receive primary care from residents. Respondent average perception of resident preparedness was significantly higher in programs with educational offerings in five of eleven EPAs (nutrition and weight, transitions, feeding tubes, advocacy, and care coordination). The majority (78%, n = 29) of programs without educational offerings are at least somewhat likely to implement CMC curricula in the next three years. Conclusion Pediatric residency programs report residents should be competent in care for CMC upon graduation. Pediatric residents are exposed to a wide variety of clinical care models for CMC. The minority of responding programs have intentional CMC educational offerings. Of those programs that provide CMC education, the offerings are variable and are associated with a perception of improved preparedness to care for CMC upon graduation. Supplementary Information The online version contains supplementary material available at 10.1186/s12909-023-04324-y. Keywords: Children with medical complexity, Graduate medical education, Pediatric residents

CITATION EXPORT

Kira Sieplinga, Christopher Kruger, Emily Goodwin. Is it too complex? A survey of pediatric residency program’s educational approach for the care of children with medical complexity. BMC Medical Education. (2023). https://doi.org/10.1186/s12909-023-04324-y

AUTHORS

3 · 4 CENTRES

Kira Sieplinga, Christopher Kruger, Emily Goodwin

1Michigan State University College of Human Medicine, 15 Michigan St NE, Grand Rapids, MI 49503 USA
2Department of Pediatrics, Spectrum Health Helen DeVos Children’s Hospital, 100 Michigan St NE MC 188, OME Suite Office #A624, Grand Rapids, MI 49503 USA
3Department of Pediatrics, University of Michigan C.S. Mott Children’s Hospital, 1540 E Hospital Dr, Ann Arbor, MI 48109 USA
4Division of General Academic Pediatrics, Children’s Mercy Kansas City, University of Missouri Kansas City School of Medicine; University of Kansas School of Medicine, 2401 Gillham Rd, Kansas City, MO 64108 USA