Brief Focused Interprofessional Encounters in a Developmental-Behavioral Rotation Facilitate Pediatric Resident Experiences,Foster Interprofessional Relationships,and Improve Confidence in Mental Health and High-Risk Developmental Conditions

Abstract

Experiences with mental health (MH) and high-risk developmental conditions (HRDC) are challenging to obtain during pediatric residency. This study describes Brief Focused Interprofessional Encounters (BFIE) during a developmental-behavioral pediatric (DBP) rotation. Postgraduate year 1 (PGY1) pediatric residents recorded diagnoses of children they interacted with at each BFIE site and completed a self-assessment at the start and end of their rotation. Of 48 residents, 67% (32/48) completed daily encounter records and 81% (39/48) completed self-assessment surveys. Residents’ self-reports showed significantly higher levels of confidence in 12 learning areas, with the highest gains in bereavement, autistic spectrum disorders, juvenile justice, and teen pregnancy (Ps < .001). By establishing BFIE customized to the local community, a DBP curriculum can effectively provide measurable, innovative curriculum content that addresses less commonly accessed areas of MH and HRDC; foster interprofessional relationships; and improve resident confidence.

Keywords

community multidisciplinary innovative developmental-behavioral rotation autism bereavement teen pregnancy juvenile justice quality improvement medical education

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References

McMillan

Land

Jr Leslie

LK.

Pediatric residency education and the behavioral and mental health crisis: a call to action. Pediatrics. 2017;139(1):e20162141. doi:10.1542/peds.2016-2141.

Rimal

Pokharel

Saha

Study on developmental- behavioural pediatrics training experiences of pediatricians and pediatric trainees working in Nepal. Kathmandu Univ Med J (KUMJ). 2013;11(43):191-195. doi:10.3126/kumj.v11i3.12502.

Rosenberg

Kamin

Glicken

Jones

Jr.

Training gaps for pediatric residents planning a career in primary care: a qualitative and quantitative study. J Grad Med Educ. 2011;3(3):309-314. doi:10.4300/JGME-D-10-00151.1.

Schor

Elfenbein

A need for faculty development in developmental and behavioral pediatrics. Issue Brief (Commonw Fund). 2004(785):1-8. #785 www.cmwf.org.

Bauer

Smith

Chien

Berry

Msall

ME.

Educating pediatric residents about developmental and social–emotional health. Infants Young Child. 2009;22(4):309-320. doi:10.1097/IYC.0b013e3181bc4da0.

Boreman

Thomasgard

Fernandez

Coury

DL.

Resident training in developmental/behavioral pediatrics: where do we stand. Clin Pediatr (Phila). 2007;46(2):135-145. doi:10.1177/0009922806290456.

Bridgemohan

Bauer

Nielsen

, et al. A workforce survey on developmental-behavioral pediatrics. Pediatrics. 2018;141(3):e20172164. doi:10.1542/peds.2017-2164.

Foy

Green

Earls

, Committee on Psychosocial Aspects of Child and Family Health Mental Health Leadership Work Group. Mental health competencies for pediatric practice. Pediatrics. 2019;144(5):e20192757. doi:10.1542/peds.2019-2757.

Coury

Berger

Stancin

Tanner

JL.

Curricular guidelines for residency training in developmental-behavioral pediatrics. J Dev Behav Pediatr. 1999;20(suppl 2):S1-S38.

10.

Zucchero

Psychology student experience of a brief, interprofessional team training. Psychol Learn Teach. 2017;16(1):84-92. doi:10.1177/1475725716680459.

11.

Glegg

Ryce

Lamphear

Beyond CME: translating knowledge into action. Workshop Society for Developmental and Behavioral Pediatrics Annual Meeting; September 17, 2016; Savannah, GA.

12.

Hean

Craddock

O’Halloran

Learning theories and interprofessional education: a user’s guide. Learning in Health and Social Care. 2009(8):260-262. doi:10.1111/j.1473-6861.2009.00227.x.

13.

Burcher

Interprofessional training: not optional in good medical education. AMA J Ethics. 2016;18(9):898-902. doi:10.1001/journalofethics.2016.18.9.ecas2-1609.

14.

Kutner

Olson

Schlozman

Goldstein

Warner

Beresin

EV.

Training pediatric residents and pediatricians about adolescent mental health problems: a proof-of-concept pilot for a proposed national curriculum. Acad Psychiatry. 2008;32(5):429-437. doi:10.1176/appi.ap.32.5.429.

15.

Sargeant

Theories to aid understanding and implementation of interprofessional education. J Contin Educ Health Prof. 2009;29(3):178-184. doi:10.1002/chp.20033.

16.

The American Board of Pediatrics. General Pediatric Content Outline. Effective September 1, 2017. Accessed March 1, 2018. https://www.abp.org/content/general-pediatrics-content-outline.

17.

Chandran

Zuniga

Meloy

Chen

Residency Review Committee (RRC) guidelines for pediatric residency training. Ambul Pediatr. 2004;4(6):519-520. doi:10.1367/A04-036R.1.

18.

Yancy

Coury

Drotar

Gottlieb

Kohen

Sarles

RM.

A curriculum guide for developmental-behavioral pediatrics. J Dev Behav Pediatr. 1988;9(suppl 6):S1-S8. doi:10.1097/00004703-198812001-00001.

19.

Frazer

Emans

Goodman

Luoni

Bravender

Knight

Teaching residents about development and behavior: meeting the new challenge. Arch Pediatr Adolesc Med. 1999;153(11):1190-1194. doi:10.1001/archpedi.153.11.1190.

20.

Council on Community Pediatrics. Poverty and child health in the United States. Pediatrics. 2016;137(4):e20160339. doi:10.1542/peds.2016-0339.

21.

Cook

Cameron

Social issues of teenage pregnancy. Obstet Gynaecol Reprod Med. 2015;25(9):243-248. doi:10.1016/j.ogrm.2010.08.003.

22.

Corcoran

Teenage pregnancy and mental health. Societies. 2016;6(3):21. doi:10.3390/soc6030021.

23.

Harrison

Weinstangel

Dalziel

Moreau

KA.

A collaborative outreach clinic for pregnant youth and adolescent mothers: description of a pilot clinic and its patients. Paediatr Child Health. 2014;19(5):247-250. doi:10.1093/pch/19.5.247.

24.

World Health Organization. ICD-10: international statistical classification of diseases and related health problems. Tenth revision, 2nd ed. World Health Organization. Accessed July 29, 2015. https://apps.who.int/iris/handle/10665/42980.

25.

Sullivan

Artino

Jr.

How to create a bad survey instrument. J Grad Med Educ. 2017;9(4):411-415. doi:10.4300/JGME-D-17-00375.1.

26.

Skovlund

Fenstad

GU.

Should we always choose a nonparametric test when comparing two apparently nonnormal distributions. J Clin Epidemiol. 2001;54(1):86-92. doi:10.1016/s0895-4356(00)00264-x.

27.

Kellerman

Herold

Physician response to surveys. A review of the literature. Am J Prev Med. 2001;20(1):61-67. doi:10.1016/s0749-3797(00)00258-0.

28.

Spinelli

Chen

JG.

A learner-completed objectives log as an instrument to determine effectiveness of a developmental and behavioral rotation. Poster presented at Society for Developmental and Behavioral Pediatrics; September 18, 2016; Savannah, GA.

29.

Watkins

Interprofessional education in healthcare: exploring the benefits. Ausmed. Published September 25, 2018. Accessed June 2, 2020. https://www.ausmed.com/cpd/articles/interprofessional-education-in-healthcare.

30.

Wharton

Levine

Jellenik

MS.

Pediatrician’s role after hospital-based death and permanent disability in school-aged children. Clin Pediatr (Phila). 1993;32(11):675-680. doi:10.1177/000992289303201106.

31.

Ninth Circuit Court of Florida. Judge Harris Educational information session for two pediatricians in training; September 10, 2020. Retrieved from https://www.facebook.com.

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