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COMSEP 2012 Indianapolis Meeting

Poster Presentation:


Teaching Family-Centered Rounds in the Pediatric Clerkship

Authors:
Mary E M Rocha, MD, MPH - Baylor College of Medicine; Cayla R Teal, PhD - Baylor College of Medicine

Background  

Family-centered rounds (FCR) has been proposed as a new standard in pediatrics. However, little is known about how FCR is taught to medical students in the pediatric clerkship (PC). 

Objectives 

To assess the proportion of PCs teaching FCR

To describe curricula for teaching FCR

To describe beliefs about FCR

Methods

We designed an instrument to conduct a cross-sectional survey of all US PC Directors about teaching FCR. All 133 allopathic US medical schools were invited to participate via the 2011 COMSEP Annual Survey. Validity of the survey instrument was established in several ways (literature search, cognitive interviewing, and pilot testing). Question types included multiple choice, best answer, checklists, and Likert-type scales. The survey remained open for three months.

Results

94 schools (70.7%) responded to the survey. 38.3% of respondents indicated that students participate in FCR ‘always’ or ‘frequently’, while 14.9% participate ‘sometimes’ or ‘rarely’.  34.1% of the respondents indicated that FCR is taught in the PC, however only 4.3% utilized a ‘formal curriculum’ to teach FCR. 

For PCs that used a ‘formal curriculum’, all addressed the following elements of knowledge (principles of FCR, team member roles, methods for improving rapport), skills (bedside presentation skills), and attitudes (having a collaborative, supportive and respectful attitude towards patients/families).

Directors of PCs that taught FCR were more likely to endorse that FCR enhances the education of medical students (p < .05) and is important to teach (p < .01). Further, their faculty were more likely to model FCR (p < .01) and to have FCR expertise (p < .01).

Discussion

In 2003 the AAP endorsed FCR as "standard practice" and stated that education in FCR "should be provided to all trainees."  However, the 2005 COMSEP Pediatric Clerkship Curriculum (PCC) does not address FCR.  More than half of PCs have students participate in FCR, but only 34% of PCs teach FCR and only 4.3% of PCs use a 'formal curriculum' to teach FCR.  However, existing FCR curricula for PC students share common domains of knowledge, skills, and attitudes.  There is an opportunity for FCR curricula to be incorporated into a future revision of the COMSEP PCC.