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Clinical competence in developmental-behavioural paediatrics: raising the bar
1Child Development Service, Child and Youth Community Health Service, Brisbane, Queensland, Australia.
Specialist paediatricians need advanced skills in developmental-behavioural paediatrics (DBP) to manage childhood illnesses. Competency-based training and new assessments, including entrustable professional activities, are proposed to enhance DBP expertise.
Area of Science:
- Pediatrics
- Medical Education
- Child Development
Background:
- Current paediatric workforce requires enhanced competency in developmental-behavioural paediatrics (DBP) to address contemporary childhood morbidity.
- Existing training and assessment models may not adequately prepare specialists for DBP challenges.
Purpose of the Study:
- To propose an evolution of DBP training and assessment.
- To introduce competency-based medical education as the core framework.
- To recommend specific assessment tools for DBP.
Main Methods:
- Development of a competency-based medical education model for DBP.
- Integration of entrustable professional activities (EPAs) for summative assessment.
- Creation of a menu of formative workplace-based assessments tailored to DBP.
Main Results:
- A proposed framework for DBP training and assessment.
- Identification of EPAs as a key component for evaluating specialist competence.
- Development of context-specific formative assessments for DBP.
Conclusions:
- A competency-based approach is essential for equipping paediatric specialists in DBP.
- Entrustable professional activities and targeted formative assessments are crucial for effective DBP training.
- A pilot project is recommended to implement and evaluate the proposed training and assessment changes.
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