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Using
Parent Educators and Video to Teach Students about Chronic Illness in Children Authors:
Blair S. Hammond, MD; Jennifer Koestler, MD Mount Sinai School of Medicine,
New York, New York Background: Chronic illness in the pediatric
population poses unique challenges to physicians. Our project focuses on increasing
medical students understanding of these challenges. Objective:
To assess a family-centered teaching module about children with chronic illness. Methods:
A multidisciplinary working group developed a 90 minute session where medical
students spoke with a parent of a child with Cerebral Palsy and viewed a videotape
of the child. The videotape portrayed the patient s and his family s experience
with illness. After the video, students debriefed with an faculty member and parent
educator. Students were given handouts and discussed the following issues: specific
language when breaking bad news, the psychosocial challenges families face when
living with a child with a chronic illness, and community resources available
for patients and caregivers. All participating students completed Pre and Post
workshop questionnaires to assess their knowledge and attitudes about children
with special needs. Results: 59 students participated in the sessions
during their pediatric clerkship. Students knowledge about issues faced by chronically
ill patients was 2.82 on a 5-point Likert scale before the session and 3.36 after
the session (p<0.05). 92% stated they would change their approach when speaking
with families about chronic illness. Conclusions: Caring for pediatric
patients with chronic illness presents unique challenges beyond the diagnosis
and management. This includes understanding the impact of the illness on the patient
and their family. Results of our pilot study indicate that incorporating video
and parent educators into didactic sessions about chronic illness can be an effective
teaching tool. |