Lannon Carole M, Schuler Christine L, Thomas LaCrecia, Gehring Emily, Mann Keith J, Leslie Laurel K
From the James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
American Board of Pediatrics, Chapel Hill, NC (CML as Senior Quality Advisor).
Pediatr Qual Saf. 2024 Sep 18;9(5):e768. doi: 10.1097/pq9.0000000000000768. eCollection 2024 Sep-Oct.
Living with a chronic condition often impacts the emotional health of children. Pediatricians frequently feel unprepared to address these concerns. The American Board of Pediatrics Roadmap Project aims to support these clinicians. We describe the results from the initial cohort of pediatricians who completed the American Board of Pediatrics Maintenance of Certification (MOC) Roadmap Part 4 activity.
The Roadmap MOC activity uses a standardized improvement template with accompanying resources to guide participants. Physicians self-assess their ability to provide emotional health support by completing a Roadmap Readiness Checklist and creating a personal project relevant to their practice. They collect data at three time points: baseline, midpoint, and completion for two measures (the Readiness Checklist and a participant-selected measure). Physicians also reflect on their experience.
Of the initial cohort of 29 physicians, 22 submitted three sequential checklist assessments. Scores increased for "developing a family resource list" (by 90%), "confidence to address emotional health" (79%), "having a family crisis plan" (78%), and "staff awareness" (34%). Twenty-four physicians who measured whether clinical encounters addressed emotional health documented an increase from 21% to 77%. Physician feedback was positive, for example, "This project has had a profound impact on our care of children."
This initial cohort of participants improved on the Readiness Checklist and emotional health assessment. Both generalist and subspecialty pediatricians found the activity useful and relevant, suggesting that this MOC Part 4 activity is a feasible resource for supporting physicians in addressing emotional health.
患有慢性病往往会影响儿童的情绪健康。儿科医生常常觉得自己没有做好应对这些问题的准备。美国儿科学会路线图项目旨在为这些临床医生提供支持。我们描述了完成美国儿科学会继续认证（MOC）路线图第4部分活动的首批儿科医生的结果。
路线图MOC活动使用标准化的改进模板及配套资源来指导参与者。医生通过完成路线图准备情况清单并创建与他们的实践相关的个人项目来自我评估他们提供情绪健康支持的能力。他们在三个时间点收集数据：基线、中点和完成时，用于两项指标（准备情况清单和参与者选择的指标）。医生们还反思了他们的经历。
在首批29名医生中，22人提交了三份连续的清单评估。“制定家庭资源清单”（提高了90%）、“解决情绪健康问题的信心”（79%）、“制定家庭危机计划”（78%）和“员工意识”（34%）的得分有所提高。24名测量临床问诊是否涉及情绪健康的医生记录显示，这一比例从21%上升到了77%。医生们的反馈是积极的，例如，“这个项目对我们照顾儿童产生了深远的影响。”
首批参与者在准备情况清单和情绪健康评估方面有所改进。普通儿科医生和专科儿科医生都认为该活动有用且相关，这表明MOC第4部分活动是支持医生解决情绪健康问题的可行资源。
