Competency-based training for paediatric residents caring for children with medical complexity.

Area of Science:

• Pediatrics
• Medical Education
• Healthcare Management

Background:

• Children with medical complexity (CMC) present with medical fragility, multisystem involvement, and reliance on technology.
• The prevalence of CMC is rising due to advances in medical technology.
• Existing postgraduate pediatric training may not adequately prepare trainees for the unique needs of CMC and their families.

Purpose of the Study:

• To highlight the need for enhanced postgraduate pediatric training focused on the care of children with medical complexity.
• To emphasize the importance of integrating comprehensive training in complex chronic disease management, technology use, and family-centered care.

Main Methods:

• This study is a review and synthesis of current practices and recommendations for postgraduate pediatric education.
• It emphasizes competency-based education principles applied to the care of CMC.

Main Results:

• Current postgraduate training requires enhancement to adequately prepare pediatricians for managing CMC.
• Integrating specific competencies related to CMC care throughout training is essential.

Conclusions:

• Pediatric postgraduate training must evolve to include robust education on caring for children with medical complexity.
• Improved training will enhance the experience and outcomes for physicians, patients, and families involved with CMC.