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

Catherine Diskin1,2, Naomi Gryfe Saperia1, Erin Brandon1

  • 1Division of Paediatric Medicine, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

Paediatrics & Child Health
|August 4, 2025
PubMed

Insights

Caring for children with medical complexity (CMC) requires specialized training for pediatricians. Enhanced postgraduate education in managing CMC and supporting families is crucial for improving care outcomes.

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.

Keywords:
Children with medical complexityCompetency-based educationInterprofessional

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