Tools and Strategies to Enhance Care for Pediatric Patients

Tools and Strategies to Enhance Patient-Centered Care in the Pediatric Setting

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Home Medication Education and Support (HOMES): A Resident Module on Home Care in Children

Home Medication Education and Support (HOMES): A Resident Module on Home Care in Children

This study addressed the challenges that families face, when caring for chronically ill children, by training new physicians to be sensitive and responsive to parents needs and to proactively provide parents with the support need to successfully care for children with chronic conditions at home. The overarching goal was to develop a curriculum to give residents the knowledge and clinical skills needed to support safe home medication use for children and families in their practice. The curriculum was implemented within three pediatric resident rotations: primary care clinic, inpatient wards, and hematology/oncology. Incorporating photos and testimonials from my home visits, the curriculum included two didactic power point talks, one web-based module, a resident-parent communication tool that will encourage residents to take what they have learned into their clinical encounters, experience teaching parents to give medications, and a “prescribing” Always Event®.    

The effect of a longitudinal curriculum teaching pediatric residents patient- and family-centered care (PFCC) on physician ‘centeredness’ and patient satisfaction

The Effect of a Longitudinal Curriculum Teaching Pediatric Residents PFCC
The curriculum begins during orientation. This year, family members were introduced in their innovative role as educators and recognized as members of the health care team. They met residents over lunch and discussed their experiences as a parent or grandparent of a child in our health care system. The evaluations were overwhelmingly positive and we look forward to many years of collaboration with these families. In addition, the interns completed their initial Patient Practitioner Orientation Scale (PPOS) at that event. The PPOS will help gauge the effect of this longitudinal curriculum once this group of residents has completed training (June 30, 2012). A communication workshop at the first-year resident retreat focused on collaborating with families, a critical skill for residents. An expert facilitator used the Myers-Briggs type indicator to assess interns’ preferences taught how to utilize this knowledge to better collaborate with families. The retreat evaluation is included below. The projec team hypothesizes that a longitudinal curriculum incorporating family as faculty, PFCC learning experiences, and focused retreats will increase the ‘centeredness’ of physicians.

Caring for Children with Special Health Care Needs

Caring for Children with Special Health Care Needs
This initiative is an experiential and online curriculum to help pediatric residents acquire the necessary knowledge, attitudes, and skills to deliver effective, patient‐centered care to children with special health care needs. This initiative will utilize direct experience in care delivery, individual and collective reflections, and collaboration with a broad health care and community team, all in the setting of residency continuity clinic experience. A component of this initiative is for residents to engage in reflective blogging with feedback from faculty and peers as an innovative method to learn professionalism in the context of caring for children with special healthcare needs in resident continuity clinics. The Always Event will be that, at the close of each clinical encounter, the physician and patient/family agree on next steps and on the specific responsibilities of the physician and the patient/family.

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