Integrating education for clinical practice change

作者：Elizabeth Chawla, Christine L. Schuler, Elizabeth W. Barnhardt, Lori A. Herbst, Aliese Sarkissian, Kenya A. McNeal-Trice, Amy Jo Merchant Newmeyer, Martha W. Perry, Sue E. Poynter, Carole Lannon · 发表于：The Clinical Teacher · 年份：2024 · DOI：10.1111/tct.13753 · 被引用次数：6 · 研究领域：Interprofessional Education and Collaboration、Innovations in Medical Education、Child and Adolescent Health

BACKGROUND: Children with chronic medical conditions and their families have significant emotional health concerns, yet paediatricians are often ill-equipped to address these needs. The American Board of Pediatrics launched the Roadmap Project to better support emotional health as part of routine care. We present pilot work in paediatric training programmes to test educational approaches and explore lessons learned. APPROACH: Four institutions implemented Roadmap tools into their paediatric training programmes, either incorporating them into existing educational structures or embedding them into the clinical workplace. One programme utilised an existing longitudinal curriculum, and another incorporated into a block rotation. Two programmes embedded training for residents into a larger programme for the healthcare team within the clinical space, one in outpatient clinics and one in an inpatient service. EVALUATION: Evaluation strategies at each site matched the intended outcomes. Sites working within education programmes evaluated learners, demonstrating increases in resident skills and confidence on pre-/post-self-assessments. Sites embedding tools into the practice context measured changes in the clinical practice of the healthcare team. Despite variability in implementation, all approaches improved trainee skills; sites embedding education into a clinical setting saw greater changes in clinical practice. IMPLICATIONS: Our pilot provided structure yet allowed for flexibility...