The value of the pediatric urgent care in pediatric resident education
Marsh MC, Adia G, Melissa D, et al. The value of the pediatric urgent care in pediatric resident education [published online ahead of print, 2023 Jul 12]. Acad Pediatr. 2023;S1876-2859(23)00267-X. doi:10.1016/j.acap.2023.07.001
Introduction: Pediatric urgent care (UC) is a growing field and may provide unique learning opportunities for pediatric residents. We aimed to assess whether a UC rotation could be feasible and meaningful and help fill educational gaps.
Methods: Within our current X+Y rotational model, we used Kern's six-step approach for curriculum development to create a longitudinal UC educational experience for post-graduate year 2 (PGY 2) pediatric residents. We assessed progress towards achieving our aim by using a mixed-methods approach matched to Kirkpatrick's levels of learning, including program annual evaluations, self-assessed UC competencies and 360 milestone evaluations.
Results: Fourteen PGY 2s participated in our yearlong longitudinal rotation without duty hour violations or deviations from well childcare. Thematic analysis revealed concepts of autonomy, procedural access, and intentionality of education. Residents showed statistical improvement in 4/10 milestones and 26/27 self-assessed performance items. Six of 14 residents scored ≥ 4 on all milestones by the end of the year.
Discussion: Our curriculum demonstrates a valuable role for the pediatric urgent care in the procedural and clinical education of pediatric residents. Practical implications and assessment tools of such a curriculum may be valuable for others interested in integrating this learning experience into their current educational model.