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Caring for Children With Medical Complexity: A Clinical, Patient-Focused Curriculum.

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|January 31, 2024
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Summary
This summary is machine-generated.

A new patient-focused curriculum significantly improved healthcare trainees' self-efficacy in managing children with medical complexity (CMC). This interactive approach enhanced skills in nutrition and pain management, outperforming standard training.

Keywords:
Clinical Teaching/Bedside TeachingComplex CareCurriculum DevelopmentEditor's ChoicePediatrics

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Area of Science:

  • Medical Education
  • Pediatric Care
  • Patient-Centered Learning

Background:

  • Caring for children with medical complexity (CMC) demands specialized expertise, yet training programs lack standardized curricula.
  • Institutional variations in needs and resources contribute to the absence of a uniform educational approach for CMC.

Purpose of the Study:

  • To develop and evaluate a patient-focused, interactive curriculum for pediatric residents and medical students on managing children with medical complexity (CMC).
  • To assess the curriculum's impact on learner self-efficacy in key areas such as feeding/nutrition and pain/irritability management.

Main Methods:

  • An interactive curriculum focusing on feeding/nutrition and pain/irritability was implemented over 12 months in an urban tertiary care hospital.
  • Learners were divided into an intervention group receiving the CMC curriculum and a control group receiving unrelated training.
  • Retrospective pre/post self-assessments were used to measure changes in self-efficacy among participants.

Main Results:

  • The intervention group demonstrated significant improvements in self-efficacy across all eight learning objectives, particularly in feeding/nutrition.
  • Compared to the control group, the intervention group showed substantially greater gains in self-efficacy for all measured objectives.
  • A total of 72, 78, and 42 surveys were completed for the feeding/nutrition, pain/irritability, and control sessions, respectively.

Conclusions:

  • The patient-focused curriculum effectively enhanced healthcare learners' self-efficacy in caring for children with medical complexity (CMC).
  • This adaptable, hands-on curriculum offers a practical model for improving CMC education in various institutional settings.
  • The findings support the integration of specialized curricula to address the unique needs of children with medical complexity.