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A walk in the patients' shoes: a step toward competency development in systems-based practice
Elisa Alter Zenni1, Leslie Ravago, Carole Ewart
1Department of Pediatrics, University of Florida Health Science Center, Jacksonville, FL 32209, USA. elisa.zenni@jax.ufl.edu
Summary
Scenario-based learning effectively teaches pediatric residents systems-based practice. This active learning approach enhances residents
Area of Science:
- Medical Education
- Pediatrics
- Health Systems
Background:
- Systems-based practice is a core competency for pediatric residents.
- Traditional training methods may not adequately prepare residents for complex patient scenarios.
Purpose of the Study:
- To implement and evaluate scenario-based learning for teaching systems-based practice to pediatric residents.
- To assess the impact of active learning on resident competence in community pediatrics.
Main Methods:
- Twelve pediatric residents participated in a 1-month community pediatrics rotation.
- Residents engaged in simulated parent scenarios requiring problem prioritization and resource identification.
- Qualitative methods analyzed data from learning portfolios, evaluations, and interviews.
Main Results:
- Five themes emerged: increased empathy, understanding patient barriers, appreciating social determinants of health, improved self-perceived ability to serve patients, and benefits of active learning.
- Residents reported enhanced skills in navigating multiproblem life situations.
Conclusions:
- Scenario-based learning is an effective method for community pediatrics training.
- This active learning approach enhances residents' perceived competence in systems-based practice.