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NICHQ Releases Report on Changing Pediatric Residency Training to Improve Quality of Care for Children and Youth with Special Healthcare Needs

August 2, 2011

A large percentage of children and youth with special healthcare needs do not have an established Family Centered Medical Home nor do they obtain comprehensive, coordinated from other sources. Rather, these children and their families often depend primarily on pediatric subspecialists who address the individual medical issues for which they are trained, resulting in families experiencing inadequate care coordination and lack of integration of health services and the system generating avoidable high healthcare costs. These challenges are particularly severe for those children with complex conditions.

One cause for this situation—among several—is the failure of graduate training programs to properly train pediatricians to care for these complex patients.

In order to address this need, a collaborative planning partnership was established between NICHQ, the Lucile Packard Foundation for Children’s Health, and Mattel Children’s Hospital UCLA. The final report produced by this partnership, entitled Changing Pediatric Residency Training to Improve Quality of Care for Children and Youth with Special Healthcare Needs, proposes using quality improvement methods to close this gap through new residency training experiences and curricula. The result would be a re-designed training program that strengthens the competency of graduating pediatricians in the management of children with chronic conditions/special healthcare needs.

The project was conducted from July 2010-November 2010, and the results were synthesized into a final report over the course of the following four months. Data was collected from a literature review and interviews and meetings with experts in the fields of medical education, care of children with special health care needs, and the application of improvement methods to training.
 

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