PURPOSE: There are increasing numbers of children with chronic,
complex conditions requiring comprehensive care, however post-graduate
training in this field is limited. Lack of training may contribute to
reticence in engaging with their care. Although children with medical
complexity (CMC) are heterogeneous, their care needs are similar. We aimed
to address a lack of explicit training via a standardized curriculum. As an
initial step, a collaborative needs assessment of key content was developed.
METHODS: An on-line survey with drafted learning objectives was
sent to professionals skilled in complex care. Participants indicated if an
objective should be obtained by the end of Junior residency (PGY2), Senior
residency (PGY4), or not at all.
RESULTS: Eighty-two Canadian and US professionals participated;
60.3% practiced in a University Health Centre and 60% cared for CMC
and participated in pediatric postgraduate education. Over 80% felt that
the medical home concept should be understood by the end of PGY2, and that
trainees should develop a care plan by the end of PGY4.
CONCLUSION: This needs assessment supported the learning objectives
and provided information on the expected competency time line for knowledge
and skill acquisition. Additional comments will be used to revise the
objectives.
