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A Case-Based, Longitudinal Curriculum in Pediatric Behavioral and Mental Health
Michelle E Kiger1, Lauryn Fowler2, Maggie Eviston3
1Associate Professor, Department of Pediatrics, Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine; Military Pediatric Residency Program Director, Wright-Patterson Medical Center.
Mededportal : the Journal of Teaching and Learning Resources
|April 30, 2024
Summary
A new curriculum improved pediatric residents' confidence and knowledge in managing behavioral and mental health (BMH) conditions. The case-based approach enhanced skills in diagnosing and treating common pediatric BMH disorders.
Area of Science:
- Pediatrics
- Medical Education
- Behavioral and Mental Health
Background:
- Pediatric behavioral and mental health (BMH) disorders are prevalent.
- Pediatricians often lack adequate training to manage these conditions.
- A need exists for effective training in pediatric BMH.
Purpose of the Study:
- To implement and evaluate a case-based, longitudinal curriculum in pediatric BMH.
- To enhance pediatric residents' diagnostic and management skills for BMH conditions.
- To assess the impact of the curriculum on resident confidence and knowledge.
Main Methods:
- A BMH curriculum was implemented in a pediatric residency program.
- The curriculum utilized five simulated cases with continuity of care.
- Monthly small-group sessions with faculty facilitators were conducted.
- Pre-post surveys and knowledge tests assessed resident confidence and learning.
Main Results:
- Significant improvements in resident confidence were reported across various BMH conditions, including ADHD and depression.
- Residents showed increased confidence in managing suicidality and recognizing autism.
- Knowledge-based tests demonstrated significant improvement post-curriculum.
- 47 residents participated, with 81% completing confidence surveys.
Conclusions:
- A case-based, longitudinal curriculum effectively improved pediatric residents' confidence and knowledge.
- Simulated patient continuity enhances training in diagnosing and managing pediatric BMH conditions.
- This educational model is valuable for preparing pediatricians for BMH challenges.
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