Approach to Clinical Assessment of Children With Medical Complexity
| Autor: | Jessica Mader, Anne Marie Sbrocchi, Kathleen Huth, Sara Long-Gagne |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Medicine (General) Original Publication education Physical examination macromolecular substances Pediatrics Education R5-920 medicine Humans Physical Examination medicine.diagnostic_test business.industry Teaching technology industry and agriculture Internship and Residency General Medicine Medical Complexity musculoskeletal system body regions Family medicine Chronic Disease Community setting Clinical Competence business |
| Zdroj: | MedEdPORTAL, Vol 14 (2018) MedEdPORTAL : the Journal of Teaching and Learning Resources |
| ISSN: | 2374-8265 |
| DOI: | 10.15766/mep_2374-8265.10765 |
| Popis: | Introduction General pediatricians have a major role in the care of children with medical complexity (CMC) in hospital and community settings. CMC are often affected by chronic multisystem diseases and functional limitations and may use a wheelchair or other aids for mobility. Dedicated training opportunities to perform comprehensive clinical assessments for this specialized population are lacking. Methods We developed a module focused on special considerations for CMC history taking and physical examination that was piloted in a pediatric residency program. The 60-minute session included a video of a clinical assessment of a child in a wheelchair. The module offered suggestions for incorporating patients or standardized patients as optional activities. Target learners answered formative pre- and posttest questions to check understanding and completed a 1-minute paper to convey lessons learned. Qualitative content analysis identified themes in written responses. Results Fifteen pediatrics residents in a single program participated in the module. Most had not received any formal training in complex care. Themes in learner knowledge of steps in a clinical encounter included defining family goals and providing anticipatory guidance. Themes from responses about anticipated changes in clinical practice included systematic and comprehensive approach to history taking, thorough examination, and importance of safe transfers. Discussion Developed as part of a national initiative in complex care curriculum development, this module can be adapted for interprofessional learners who provide care for CMC, with the goal of enabling future members of health care teams to provide high-quality clinical assessments for CMC. |
| Databáze: | OpenAIRE |
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