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Social pediatrics: weaving horizontal and vertical threads through pediatric residency
Meta van den Heuvel1,2,3, Maria Athina Tina Martimianakis4,5, Rebecca Levy4,5
1Department of Paediatrics, University of Toronto, Toronto, ON, Canada. mathilda.vandenheuvel@sickkids.ca.
BMC Medical Education
|January 15, 2017
Summary
Social pediatrics is integrated throughout pediatric residency training, despite lacking explicit objectives. Addressing the hidden curriculum and time constraints is key to effective social pediatric education.
Area of Science:
- Medical Education
- Pediatrics
- Social Determinants of Health
Background:
- Social pediatrics is crucial for understanding patient contexts but lacks defined teaching methods.
- This study aimed to characterize social pediatric education within residency training to identify strengths and gaps.
Purpose of the Study:
- To determine and characterize social pediatric education in pediatric residency training.
- To identify strengths and gaps in current social pediatric curricula.
Main Methods:
- Developed a social pediatrics curriculum map analyzing intended, formal, and informal/hidden curricula.
- Examined learning objectives from the Royal College of Physicians and Surgeons of Canada (RCPSC) and residency program materials.
Main Results:
- 41 social pediatric learning objectives were identified, primarily within Medical Expert and Health Advocate competencies.
- Social pediatrics was integrated across multiple rotations, with Adolescent Medicine, Pediatric Ambulatory Medicine, and Developmental Pediatrics featuring prominently.
- The informal curriculum highlighted resident and teacher perceptions of social pediatrics as integral, but time constraints and perceived value relative to medical expertise were barriers.
Conclusions:
- Social pediatric topics are integrated throughout the residency curriculum, even without explicit thematic objectives.
- The hidden curriculum and systemic barriers, such as time constraints, require attention to enhance social pediatric education.
Keywords:
CompetenciesCurriculum mapPediatric resident educationSocial determinants of healthSocial pediatricsMore Related Videos
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