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Continuing education needs of pediatricians across diverse specialties caring for children with medical complexity

Jori F Bogetz1, Alyssa L Bogetz2, Julia M Gabhart3

  • 1Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA, USA jbogetz@stanford.edu.

Clinical Pediatrics
|January 7, 2015
PubMed

Insights

Pediatricians need more training to care for children with medical complexity (CMC). Integrating palliative care education can enhance skills in care coordination, communication, and goal setting for these children.

Area of Science:

  • Pediatric Healthcare
  • Medical Education
  • Palliative Care

Background:

  • Children with medical complexity (CMC) require specialized care.
  • Pediatricians often lack adequate preparation for managing CMC.
  • Tertiary academic centers are crucial for advanced pediatric care.

Purpose of the Study:

  • Assess continuing education needs of pediatricians for CMC care.
  • Identify specific skill gaps in managing CMC.
  • Inform curriculum development for pediatric residency and beyond.

Main Methods:

  • Online anonymous survey distributed to pediatricians at a US children's hospital.
  • Eighteen pediatricians from various subspecialties participated.
  • Modified grounded theory used for qualitative data analysis.

Main Results:

  • High response rate (89%) from diverse pediatric specialties.
  • Pediatricians identified needs in care coordination and goal setting.
  • Key skill deficits included communication (e.g., delivering bad news) and interprofessional teamwork.

Conclusions:

  • Pediatricians require enhanced skills for optimal CMC care.
  • Basic palliative care education is a potential solution for training gaps.
  • Targeted education can improve care coordination and patient-centered communication.
Abstract

Keywords:
childrenchronic diseasecontinuing medical educationfaculty developmentpalliative carepediatric

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