The Value of the Pediatric Urgent Care in Pediatric Resident Education.

OBJECTIVE: Pediatric urgent care (UC) is a growing field and may provide unique learning opportunities for pediatric residents. We aimed to assess whether a UC rotation could be feasible and meaningful and help fill educational gaps. METHODS: Within our current X + Y rotational model, we used Kern's...

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Publicado en:Academic Pediatrics Vol. 23; no. 8; pp. 1473 - 1479
Autores principales: Marsh, Melanie C., George, Adia, Daley, Melissa, Welter, Jacqueline, Berkemeyer, Andrea, Ndiaye, Mariane Cindy, Reed, Suzanne
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Nov/Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2023
      vid: 23
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.acap.2023.07.001
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        atl: The Value of the Pediatric Urgent Care in Pediatric Resident Education.
      aug:
        au:
          Marsh, Melanie C.
          George, Adia
          Daley, Melissa
          Welter, Jacqueline
          Berkemeyer, Andrea
          Ndiaye, Mariane Cindy
          Reed, Suzanne
        affil: Advocate Children's Hospital, Park Ridge, Ill
      sug:
        subj:
          Pediatrics
          Emergency Service
          Interns and Residents
          Education, Medical
          Educational Status Evaluation
          Course Evaluation
          Attitude of Health Personnel
          Human
          Multimethod Studies
          Thematic Analysis
          Learning Methods
          Self Assessment
          Clinical Competence
          Autonomy
          Health Services Accessibility
          Conceptual Framework
          Needs Assessment
          Paired T-Tests
          Wilcoxon Rank Sum Test
          Data Analysis Software
          Descriptive Statistics
      ab: OBJECTIVE: Pediatric urgent care (UC) is a growing field and may provide unique learning opportunities for pediatric residents. We aimed to assess whether a UC rotation could be feasible and meaningful and help fill educational gaps. METHODS: Within our current X + Y rotational model, we used Kern's 6-step approach for curriculum development to create a longitudinal UC educational experience for postgraduate year 2 (PGY2) pediatric residents. We assessed progress toward achieving our aim by using a mixed-methods approach matched to Kirkpatrick's levels of learning, including program annual evaluations, self-assessed UC competencies, and 360 milestone evaluations. RESULTS: A total of 14 PGY2s participated in our yearlong longitudinal rotation without duty hour violations or deviations from well child care. Thematic analysis revealed concepts of autonomy, procedural access, and intentionality of education. Residents showed statistical improvement in 4/10 milestones and 26/27 self-assessed performance items. Of 14 residents, 6 scored ≥4 on all milestones by the end of the year. CONCLUSIONS: Our curriculum demonstrates a valuable role for the pediatric UC in the procedural and clinical education of pediatric residents. Practical implications and assessment tools of such a curriculum may be valuable for others interested in integrating this learning experience into their current educational model.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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