Pediatric Palliative Care Education in Child Neurology Residency: A National Needs Assessment

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

Pediatric neurology Pub Date : 2025-01-31 DOI:10.1016/j.pediatrneurol.2025.01.019

Grant L. Lin MD, PhD , Kayla A. Staub MD , Vanessa P. Nguyen DO , Hitoshi G. Koshiya MD , Cynthia J. Campen MD, MS , Talia C. Shear MD

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引用次数: 0

Abstract

Background

Child neurologists require primary palliative care (PC) skills to care for patients with high symptom burdens and variable prognoses. The existing scope of PC education in child neurology training is unclear. We conducted a national survey-based needs assessment of pediatric PC education in child neurology residencies in the United States.

Methods

Resident and program surveys were developed and distributed via direct recruitment of program directors/coordinators and the Child Neurology Society Connect platform. Surveys were analyzed using descriptive statistics and exploratory posthoc comparisons in specific comparison groups.

Results

Seventy-nine residents and 18 programs completed the survey. Respondents represented all US census regions and neurology training years. Curricular and clinical exposure to six core pediatric PC topics varied: 17 (22%) residents participated in a PC rotation, three programs (17%) require a PC rotation, and 13 programs (72%) offer a PC elective. Increasing postgraduate year (PGY) level and PC elective experience were associated with increased confidence in elements of serious illness communication, and increasing PGY level was also associated with increased confidence in elements of neuroprognostication and palliative symptom management. Both residents and programs reported a desire and motivation for additional pediatric PC education.

Conclusions

Current child neurology residents reported increased confidence over PGY level across three of six pediatric PC domains. Still, respondents reported desire and motivation for additional training. Our results highlight that although some primary PC skills are developed in child neurology residencies, there is a need for more formalized and enhanced pediatric PC education.

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来源期刊

Pediatric neurology 医学-临床神经学

CiteScore

4.80

自引率

2.60%

发文量

176

审稿时长

78 days

期刊介绍： Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.