为患有复杂疾病的儿童提供护理的不同专业儿科医生的继续教育需求。
Continuing education needs of pediatricians across diverse specialties caring for children with medical complexity.
作者信息
Bogetz Jori F, Bogetz Alyssa L, Gabhart Julia M, Bergman David A, Blankenburg Rebecca L, Rassbach Caroline E
机构信息
Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA, USA
Stanford Center for Medical Education Research and Innovation (SCeMERI), Stanford University School of Medicine, Palo Alto, CA, USA.
出版信息
Clin Pediatr (Phila). 2015 Mar;54(3):222-7. doi: 10.1177/0009922814564049. Epub 2015 Jan 5.
OBJECTIVE
Care for children with medical complexity (CMC) relies on pediatricians who often are ill equipped, but striving to provide high quality care. We performed a needs assessment of pediatricians across diverse subspecialties at a tertiary academic US children's hospital about their continuing education needs regarding the care of CMC.
METHODS
Eighteen pediatricians from diverse subspecialties were asked to complete an online anonymous open-ended survey. Data were analyzed using modified grounded theory.
RESULTS
The response rate was 89% (n = 16). Of participants, 31.2% (n = 5) were general pediatricians, 18.7% (n = 3) were hospitalists, and 50% (n = 8) were pediatric subspecialists. Pediatricians recognized the need for skills in care coordination, giving bad news, working in interprofessional teams, and setting goals of care with patients.
CONCLUSIONS
Practicing pediatricians need skills to improve care for CMC. Strategically incorporating basic palliative care education may fill an important training need across diverse pediatric specialties.
目的
对患有复杂疾病的儿童（CMC）的护理依赖于儿科医生，而他们往往准备不足，但仍努力提供高质量护理。我们对美国一家三级学术儿童医院不同亚专业的儿科医生进行了需求评估，了解他们在CMC护理方面的继续教育需求。
方法
邀请了18名不同亚专业的儿科医生完成一项在线匿名开放式调查。使用改良的扎根理论对数据进行分析。
结果
回复率为89%（n = 16）。参与者中，31.2%（n = 5）是普通儿科医生，18.7%（n = 3）是住院医师，50%（n = 8）是儿科亚专科医生。儿科医生认识到在护理协调、传达坏消息、跨专业团队协作以及与患者设定护理目标方面需要技能。
结论
执业儿科医生需要提高对CMC护理的技能。战略性地纳入基础姑息治疗教育可能满足不同儿科专业的重要培训需求。
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