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Competencies for Pediatric Shared Decision Making: A Delphi Consensus Study.

Vanessa I Orellana-Villazon1, Jennifer E deSante-Bertkau2,3, Barbara K Giambra1,3,4,5

  • 1James M. Anderson Center for Health Systems Excellence, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|March 26, 2026
PubMed
Summary
This summary is machine-generated.

This study established 32 core competencies for pediatric shared decision making (SDM), guiding clinicians to effectively involve children and families in healthcare choices. These competencies enhance pediatric SDM training and practice.

Keywords:
Delphi techniquecompetency-based educationconsensusmedical educationpediatricsshared decision making

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Area of Science:

  • Pediatric Healthcare
  • Shared Decision Making (SDM)
  • Medical Education

Background:

  • Pediatric shared decision making (SDM) is crucial for aligning healthcare choices with children's and families' values.
  • Current pediatric SDM frameworks are adapted from adult models and lack specific competencies.
  • There is a need to define core competencies for effective pediatric SDM implementation.

Purpose of the Study:

  • To establish consensus-based core competencies for clinicians implementing SDM in pediatric care.
  • To create a framework for effective clinician engagement with pediatric patients and families in decision-making.

Main Methods:

  • A modified Delphi study involving pediatric clinicians, SDM researchers, ethicists, and medical educators.
  • Multi-round survey process to identify, refine, and achieve consensus on essential SDM competencies.
  • Consensus defined by ≥80% agreement on importance, median score ≥3.5, and interquartile range ≤1.

Main Results:

  • A final framework of 32 core competencies for pediatric SDM was developed.
  • Competencies are organized into six domains: Fundamentals, Pediatric Specifics, Communication, Preference Integration, Collaboration, and Recommendations.
  • The study identified essential knowledge, skills, values, and attitudes for pediatric healthcare professionals.

Conclusions:

  • This research provides the first pediatric-specific SDM competency framework.
  • The defined competencies support competency-based education, curriculum development, and assessment in pediatrics.
  • The framework aims to strengthen SDM practice by equipping clinicians with necessary skills and knowledge.