Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum
Introduction Caring for children with medical complexity (CMC) requires specialized knowledge and skills. However, no standardized curricula are used across training programs as institutions have varying needs and resources. Methods We created a patient-focused, interactive curriculum for two CMC to...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2024-01-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11380 |
| _version_ | 1797339174958792704 |
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| author | Brittany Lattanza Divya Lakhaney Theresa Scott Ashley Croker-Benn Mirna Giordano Sumeet L. Banker |
| author_facet | Brittany Lattanza Divya Lakhaney Theresa Scott Ashley Croker-Benn Mirna Giordano Sumeet L. Banker |
| author_sort | Brittany Lattanza |
| collection | DOAJ |
| description | Introduction Caring for children with medical complexity (CMC) requires specialized knowledge and skills. However, no standardized curricula are used across training programs as institutions have varying needs and resources. Methods We created a patient-focused, interactive curriculum for two CMC topics: feeding/nutrition and pain/irritability. We integrated the 45-minute sessions into morning protected patient-care time on an inpatient pediatric team at an urban tertiary care hospital. Targeted toward all pediatric residents and medical students rotating in inpatient pediatrics over a 12-month period, the sessions used a mix of didactic, discussion, and hands-on activities. Learners on one of two inpatient teams received the curriculum, while those on the other received a curriculum unrelated to CMC and served as a control group. Both groups completed retrospective pre/post self-assessments to evaluate self-efficacy with respect to the learning objectives. Results Over the 12-month period, 72 surveys were completed for the feeding/nutrition session, 78 surveys for the pain/irritability session, and 42 control surveys. The intervention group saw the greatest increase in self-efficacy scores generally in the feeding/nutrition session. All eight learning objectives saw significant improvement in self-efficacy scores for the intervention group. There was significantly greater improvement in self-efficacy for the intervention group compared to the control for all eight learning objectives. Discussion Through this patient-focused curriculum, learners had improved self-efficacy scores compared to the natural learning occurring on the inpatient service. The curriculum could be adapted to fit the needs of other institutions and provides a practical, hands-on approach to learning about caring for CMC. |
| first_indexed | 2024-03-08T09:42:09Z |
| format | Article |
| id | doaj.art-cdb410d99fa942c08fe80b6936dcf66d |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-03-08T09:42:09Z |
| publishDate | 2024-01-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-cdb410d99fa942c08fe80b6936dcf66d2024-01-30T05:00:15ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652024-01-012010.15766/mep_2374-8265.11380Caring for Children With Medical Complexity: A Clinical, Patient-Focused CurriculumBrittany Lattanza0Divya Lakhaney1Theresa Scott2Ashley Croker-Benn3Mirna Giordano4Sumeet L. Banker5Fellow, Department of Pediatric Nephrology, Icahn School of Medicine at Mount SinaiAssistant Professor, Department of Pediatrics, Columbia University Irving Medical CenterAssistant Professor, Department of Pediatrics, Weill Cornell Medical CenterSecond-Year Student, Mailman School of Public Health, Columbia University Irving Medical CenterAssociate Professor, Department of Pediatrics, Columbia University Irving Medical CenterAssociate Professor, Department of Pediatrics, Columbia University Irving Medical CenterIntroduction Caring for children with medical complexity (CMC) requires specialized knowledge and skills. However, no standardized curricula are used across training programs as institutions have varying needs and resources. Methods We created a patient-focused, interactive curriculum for two CMC topics: feeding/nutrition and pain/irritability. We integrated the 45-minute sessions into morning protected patient-care time on an inpatient pediatric team at an urban tertiary care hospital. Targeted toward all pediatric residents and medical students rotating in inpatient pediatrics over a 12-month period, the sessions used a mix of didactic, discussion, and hands-on activities. Learners on one of two inpatient teams received the curriculum, while those on the other received a curriculum unrelated to CMC and served as a control group. Both groups completed retrospective pre/post self-assessments to evaluate self-efficacy with respect to the learning objectives. Results Over the 12-month period, 72 surveys were completed for the feeding/nutrition session, 78 surveys for the pain/irritability session, and 42 control surveys. The intervention group saw the greatest increase in self-efficacy scores generally in the feeding/nutrition session. All eight learning objectives saw significant improvement in self-efficacy scores for the intervention group. There was significantly greater improvement in self-efficacy for the intervention group compared to the control for all eight learning objectives. Discussion Through this patient-focused curriculum, learners had improved self-efficacy scores compared to the natural learning occurring on the inpatient service. The curriculum could be adapted to fit the needs of other institutions and provides a practical, hands-on approach to learning about caring for CMC.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11380Complex CareClinical Teaching/Bedside TeachingCurriculum DevelopmentPediatricsEditor's Choice |
| spellingShingle | Brittany Lattanza Divya Lakhaney Theresa Scott Ashley Croker-Benn Mirna Giordano Sumeet L. Banker Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum MedEdPORTAL Complex Care Clinical Teaching/Bedside Teaching Curriculum Development Pediatrics Editor's Choice |
| title | Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum |
| title_full | Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum |
| title_fullStr | Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum |
| title_full_unstemmed | Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum |
| title_short | Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum |
| title_sort | caring for children with medical complexity a clinical patient focused curriculum |
| topic | Complex Care Clinical Teaching/Bedside Teaching Curriculum Development Pediatrics Editor's Choice |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11380 |
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