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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Life at the interface: adults with "pediatric" disorders of the nervous system
1Departments of Pediatrics, Neurology, and Neurobiology & Anatomy, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Insights
Pediatric successes have increased patient longevity, creating more adults with childhood neurological conditions. Medical training must evolve to support their lifelong health needs and promote independence.
Area of Science:
- Neurology
- Pediatrics
- Health Services Research
Background:
- Pediatric advancements have significantly increased survival rates for individuals with congenital and developmental neurological disorders over the past two decades.
- This success has led to a growing population of adults with long-term effects from childhood diseases and treatments.
- There is a critical need to address the unique medical, psychological, and social requirements of this expanding demographic.
Purpose of the Study:
- To highlight the importance of physician training for the transition of pediatric patients with special healthcare needs to adulthood.
- To emphasize the need for research into the specific needs of this population and optimal educational strategies for physicians and families.
Main Methods:
- This study is a review and synthesis of current trends in pediatric healthcare and neurology.
- It analyzes the implications of increased patient longevity on healthcare systems and training programs.
- The study emphasizes the need for health services and education research.
Main Results:
- Increased longevity in pediatric neurology patients presents new challenges for adult healthcare.
- Existing medical and social support systems are often inadequate for adults with lifelong neurological conditions.
- There is a gap in specialized training for physicians managing this population.
Conclusions:
- Residencies and subspecialty fellowships must incorporate training for the transition of care for patients with special healthcare needs.
- Further research is essential to define the needs of this growing adult population.
- Empowering patients and families through education is key to maximizing independence and quality of life.
Abstract:
The increasing longevity of patients with congenital and developmental disorders of the nervous system reflects the palliative and social success of pediatrics in the past 2 decades. This success has resulted in an increasing number of adult patients with residua or sequelae of childhood disease and/or its treatment. It is critically important that residencies and subspecialty fellowships train a cadre of physicians to prepare patients and families for the transition of children with special health care needs to adulthood and to attend to their unique medical, psychological, and social concerns. Health services and education research must better define the needs of this growing population and the best ways to educate their physicians and families and empower them to become as independent as their fullest potential allows.
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