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Resident Preferences for a Curriculum in Healthcare Transitions for Young Adults

Sarah Mennito, MD, MSCR
Volume: 105 Issue: 9 September, 2012

Abstract:

Objectives: Numerous national groups recognize that healthcare providers should be trained to care for patients with special healthcare needs who are transitioning from pediatric to adult health care, yet there is little emphasis on this training in most residency programs. The survey discussed here assessed resident preferences for a curriculum that addresses healthcare transitions for young adults.


Methods: Trainees in primary care residency programs at three institutions in South Carolina were surveyed. Residents were asked about their preferences for timing and modality of transition education and desire to see patients older/younger than dictated by training. Residents also ranked topics of transition by level of need/interest. Comparison of responses was analyzed via t tests and the Fisher exact test.


Results: Respondents (n = 84) represented three institutions and eight training programs. Eighty percent of residents prefer that a curriculum be continuous throughout training and include clinical experiences (79%), case discussions (60%), and lectures/didactics (56%). Pediatric residents were more likely than were internal medicine residents to value seeing patients older/younger than their program dictates (84% vs 42%; P < 0.01). Internal medicine residents were more likely than pediatric residents to rank as high need/interest “medical knowledge of pediatric disease persisting into adulthood” (77% vs 47%; P= 0.05) and “caring for adult-aged patients reliant on caregivers” (53% vs 9%; P < 0.01).


Conclusions: Residents prefer a healthcare transition curriculum that is continuous throughout residency and uses combined modalities for topic presentation. Residents training in different disciplines have varied levels of need/interest for transition-related topics and this should direct the development of healthcare transition curricula.

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References:

1. Child and Adolescent Health Measurement Initiative. National Survey of Children with Special Health Care Needs 2005-2006. Data Resource Center for Child and Adolescent Health Web site. childhealthdata.org/learn/NS-CSHCN. Accessed May 4, 2011.
 
2. A consensus statement on health care transitions for young adults with special health care needs. Pediatrics 2002; 110 (6 Pt 2): 1304–1306.
 
3. Nazarian BL, Glader L, Choueiri R, et al. Identifying what pediatric residents are taught about children and youth with special health care needs and the medical home. Pediatrics 2010; 126 (3 suppl): S183–S189.
 
4. Peter NG, Forke CM, Ginsburg KR, et al. Transition from pediatric to adult care: internists’ perspectives. Pediatrics 2009; 123: 417–423.
 
5. Patel MS, O’Hare K. Residency training in transition of youth with childhood-onset chronic disease. Pediatrics 2010; 126 (3 suppl): S190–S193.
 
6. White PH. Access to health care: health insurance considerations for young adults with special health care needs/disabilities. Pediatrics 2002; 110 (6 Pt 2): 1328–1335.
 
7. McDonagh JE, Southwood TR, Shaw KL. Unmet education and training needs of rheumatology health professionals in adolescent health and transitional care. Rheumatology (Oxford) 2004; 43: 737–743.
 
8. Reiss JG, Gibson RW, Walker LR. Health care transition: youth, family, and provider perspectives. Pediatrics 2005; 115: 112–120.
 
9. Callahan ST, Winitzer RF, Keenan P. Transition from pediatric to adult-oriented health care: a challenge for patients with chronic disease. Curr Opin Pediatr 2001; 13: 310–316.
 
10. Scal P, Evans T, Blozis S, et al. Trends in transition from pediatric to adult health care services for young adults with chronic conditions. J Adolesc Health 1999; 24: 259–264.
 
11. Hagood JS, Lenker CV, Thrasher S. A course on the transition to adult care of patients with childhood-onset chronic illnesses. Acad Med 2005; 80: 352–355.
 
12. Ruiz JG, Mintzer MJ, Leipzig RM. The impact of E-learning in medical education. Acad Med 2006; 81: 207–212.
 
13. Okumura MJ, Heisler M, Davis MM, et al. Comfort of general internists and general pediatricians in providing care for young adults with chronic illnesses of childhood. J Gen Intern Med 2008; 23: 1621–1627.
 
14. Freed GL. Research Advisory Committee of the American Board of Pediatrics. Comparing perceptions of training for medicine-pediatrics and categorically trained physicians. Pediatrics2006; 118: 1104–1108.
 
15. Grava-Gubins I, Scott S. Effects of various methodologic strategies: survey response rates among Canadian physicians and physicians-in-training. Can Fam Phys 2008; 54: 1424–1430.
 
16. Melgar T, Chamberlain JK, Cull WL, et al. Training experiences of U.S. combined internal medicine and pediatrics residents. Acad Med 2006; 81: 440–446.
 
17. National Resident Matching Program. Results and data: 2011 main residency match. http://www.nrmp.org/data/resultsanddata2011.pdf. Accessed August 25, 2011.

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