Literature DB >> 23867427

Are pediatric critical care medicine fellowships teaching and evaluating communication and professionalism?

David A Turner1, Richard B Mink, K Jane Lee, Margaret K Winkler, Sara L Ross, Christoph P Hornik, Jennifer J Schuette, Katherine Mason, Stephanie A Storgion, Denise M Goodman.   

Abstract

OBJECTIVES: To describe the teaching and evaluation modalities used by pediatric critical care medicine training programs in the areas of professionalism and communication.
DESIGN: Cross-sectional national survey.
SETTING: Pediatric critical care medicine fellowship programs.
SUBJECTS: Pediatric critical care medicine program directors.
INTERVENTIONS: None.
MEASUREMENTS AND MAIN RESULTS: Survey response rate was 67% of program directors in the United States, representing educators for 73% of current pediatric critical care medicine fellows. Respondents had a median of 4 years experience, with a median of seven fellows and 12 teaching faculty in their program. Faculty role modeling or direct observation with feedback were the most common modalities used to teach communication. However, six of the eight (75%) required elements of communication evaluated were not specifically taught by all programs. Faculty role modeling was the most commonly used technique to teach professionalism in 44% of the content areas evaluated, and didactics was the technique used in 44% of other professionalism content areas. Thirteen of the 16 required elements of professionalism (81%) were not taught by all programs. Evaluations by members of the healthcare team were used for assessment for both competencies. The use of a specific teaching technique was not related to program size, program director experience, or training in medical education.
CONCLUSIONS: A wide range of techniques are currently used within pediatric critical care medicine to teach communication and professionalism, but there are a number of required elements that are not specifically taught by fellowship programs. These areas of deficiency represent opportunities for future investigation and improved education in the important competencies of communication and professionalism.

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Mesh:

Year:  2013        PMID: 23867427      PMCID: PMC4112058          DOI: 10.1097/PCC.0b013e31828a746c

Source DB:  PubMed          Journal:  Pediatr Crit Care Med        ISSN: 1529-7535            Impact factor:   3.624


  40 in total

1.  Defining and evaluating professionalism: a core competency for graduate emergency medicine education.

Authors:  Gregory Luke Larkin; Louis Binder; Debra Houry; James Adams
Journal:  Acad Emerg Med       Date:  2002-11       Impact factor: 3.451

2.  Basing the evaluation of professionalism on observable behaviors: a cautionary tale.

Authors:  Shiphra Ginsburg; Glenn Regehr; Lorelei Lingard
Journal:  Acad Med       Date:  2004-10       Impact factor: 6.893

3.  The pediatrics milestones: conceptual framework, guiding principles, and approach to development.

Authors:  Patricia J Hicks; Daniel J Schumacher; Bradley J Benson; Ann E Burke; Robert Englander; Susan Guralnick; Stephen Ludwig; Carol Carraccio
Journal:  J Grad Med Educ       Date:  2010-09

Review 4.  Measuring professionalism: a review of studies with instruments reported in the literature between 1982 and 2002.

Authors:  J Jon Veloski; Sylvia K Fields; James R Boex; Linda L Blank
Journal:  Acad Med       Date:  2005-04       Impact factor: 6.893

5.  Training in difficult conversations: a national survey of pediatric hematology-oncology and pediatric critical care physicians.

Authors:  Leslie Kersun; Lin Gyi; Wynne Ellen Morrison
Journal:  J Palliat Med       Date:  2009-06       Impact factor: 2.947

Review 6.  General considerations regarding assessment of professional behaviour.

Authors:  Walther N K A van Mook; Scheltus J van Luijk; Helen O'Sullivan; Valerie Wass; Lambert W Schuwirth; Cees P M van der Vleuten
Journal:  Eur J Intern Med       Date:  2008-12-21       Impact factor: 4.487

7.  Ethics and professionalism in the pediatric curriculum: a survey of pediatric program directors.

Authors:  Colleen Walsh Lang; Peter J Smith; Lainie Friedman Ross
Journal:  Pediatrics       Date:  2009-09-14       Impact factor: 7.124

8.  Human Emotion and Response in Surgery (HEARS): a simulation-based curriculum for communication skills, systems-based practice, and professionalism in surgical residency training.

Authors:  Anne C Larkin; Mitchell A Cahan; Giles Whalen; David Hatem; Susan Starr; Heather-Lyn Haley; Demetrius Litwin; Kate Sullivan; Mark Quirk
Journal:  J Am Coll Surg       Date:  2010-08       Impact factor: 6.113

9.  Education in professionalism: results from a survey of pediatric residency program directors.

Authors:  Jennifer C Kesselheim; Theodore C Sectish; Steven Joffe
Journal:  J Grad Med Educ       Date:  2012-03

10.  Training nurses for interdisciplinary communication with families in the intensive care unit: an intervention.

Authors:  Nina S Krimshtein; Carol A Luhrs; Kathleen A Puntillo; Therese B Cortez; Elayne E Livote; Joan D Penrod; Judith E Nelson
Journal:  J Palliat Med       Date:  2011-12-01       Impact factor: 2.947

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  6 in total

1.  Professionalism and Communication Education in Pediatric Critical Care Medicine: The Learner Perspective.

Authors:  David A Turner; Geoffrey M Fleming; Margaret Winkler; K Jane Lee; Melinda F Hamilton; Christoph P Hornik; Toni Petrillo-Albarano; Katherine Mason; Richard Mink
Journal:  Acad Pediatr       Date:  2015-04-28       Impact factor: 3.107

2.  Speaking a Different Language: A Qualitative Analysis Comparing Language of Palliative Care and Pediatric Intensive Care Unit Physicians.

Authors:  Anne G Ciriello; Zoelle B Dizon; Tessie W October
Journal:  Am J Hosp Palliat Care       Date:  2017-03-21       Impact factor: 2.500

3.  An Intensive, Simulation-Based Communication Course for Pediatric Critical Care Medicine Fellows.

Authors:  Erin M Johnson; Melinda F Hamilton; R Scott Watson; Rene Claxton; Michael Barnett; Ann E Thompson; Robert Arnold
Journal:  Pediatr Crit Care Med       Date:  2017-08       Impact factor: 3.624

4.  Communication Training in Adult and Pediatric Critical Care Medicine. A Systematic Review.

Authors:  Michael P Mendez; Harin Patel; Jordan Talan; Michelle Doering; Jared Chiarchiaro; Rebecca M Sternschein; Trevor C Steinbach; Jacqueline O'Toole; Abdulghani Sankari; Jennifer W McCallister; May M Lee; W Graham Carlos; Patrick G Lyons
Journal:  ATS Sch       Date:  2020-07-14

5.  Does emotional intelligence predict breaking bad news skills in pediatric interns? A pilot study.

Authors:  Suzanne Reed; Karyn Kassis; Rollin Nagel; Nicole Verbeck; John D Mahan; Richard Shell
Journal:  Med Educ Online       Date:  2015-08-17

6.  Creation and Assessment of a Bad News Delivery Simulation Curriculum for Pediatric Emergency Medicine Fellows.

Authors:  Corrie E Chumpitazi; Chris A Rees; Bruno P Chumpitazi; Deborah C Hsu; Cara B Doughty; Martin I Lorin
Journal:  Cureus       Date:  2016-05-01
  6 in total

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