title: Humanism and professionalism education for pediatric hematology-oncology fellows: A model for pediatric subspecialty training.
abstract: Humanism and professionalism are virtues intrinsic to the practice of medicine, for which we lack a standard, evidence-based approach for teaching and evaluation. Pediatric hematology-oncology (PHO) fellowship training brings new and significant stressors, making it an attractive setting for innovation in humanism and professionalism training.
  
  
  
  We electronically surveyed a national sample of PHO fellows to identify fellows' educational needs in humanism and professionalism. Next, we developed a case-based, faculty-facilitated discussion curriculum to teach this content within pilot fellowship programs. We assessed whether fellowships would decide to offer the curriculum, feasibility of administering the curriculum, and satisfaction of fellow and faculty participants.
  
  
  
  Surveys were completed by 187 fellows (35%). A minority (29%) reported that their training program offers a formal curriculum in humanism and/or professionalism. A majority desires more formal teaching on balancing clinical practice and research (85%), coping with death/dying (85%), bereavement (78%), balancing work and personal life (75%), navigating challenging relationships with patients (74%), and depression/burn out (71%). These six topics were condensed into four case-based modules, which proved feasible to deliver at all pilot sites. Ten fellowship programs agreed to administer the novel curriculum. The majority (90%) of responding fellows and faculty reported the sessions touched on issues important for training, stimulated reflective communication, and were valuable.
  
  
  
  Pediatric hematology-oncology fellows identify numerous gaps in their training related to humanism and professionalism. This curriculum offers an opportunity to systematically address these educational needs and can serve as a model for wider implementation. Pediatr Blood Cancer 2015;62:335-340. © 2014 Wiley Periodicals, Inc.
authors.affiliation: Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Kesselheim
authors.affiliation: Cohen's Children's Medical Center, New Hyde Park, NewYork.
authors.forename: Mark
authors.initials: M
authors.lastname: Atlas
authors.affiliation: Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio.
authors.forename: Denise
authors.initials: D
authors.lastname: Adams
authors.affiliation: Cohen's Children's Medical Center, New Hyde Park, NewYork.
authors.forename: Banu
authors.initials: B
authors.lastname: Aygun
authors.affiliation: Duke University, Durham, North Carolina.
authors.forename: Ray
authors.initials: R
authors.lastname: Barfield
authors.affiliation: Children's Hospital Colorado, Aurora, Colorado.
authors.forename: Kristen
authors.initials: K
authors.lastname: Eisenman
authors.affiliation: Children's Mercy Hospital, Kansas City, Missouri.
authors.forename: Joy
authors.initials: J
authors.lastname: Fulbright
authors.affiliation: Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Katharine
authors.initials: K
authors.lastname: Garvey
authors.affiliation: Children's Hospital of Philadephia, Philadelphia, Pennsylvania.
authors.forename: Leslie
authors.initials: L
authors.lastname: Kersun
authors.affiliation: Division of Pediatric Hematology-Oncology, Mayo Clinic, Rochester, Minnesota.
authors.forename: Amulya
authors.initials: A
authors.lastname: Nageswara Rao
authors.affiliation: Division of Pediatric Hematology-Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Anne
authors.initials: A
authors.lastname: Reilly
authors.affiliation: Division of Pediatric Hematology-Oncology, Children's Mercy Hospital, Kansas City, Missouri.
authors.forename: Mukta
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Doernbecker Children's Hospital, Oregon Health Sciences University, Portland, Oregon.
authors.forename: Evan
authors.initials: E
authors.lastname: Shereck
authors.affiliation: Children's Hospital Colorado, Aurora, Colorado.
authors.forename: Michael
authors.initials: M
authors.lastname: Wang
authors.affiliation: University of Texas-Southwestern Children's Medical Center, Dallas, Texas.
authors.forename: Tanya
authors.initials: T
authors.lastname: Watt
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Patrick
authors.initials: P
authors.lastname: Leavey
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D005260:Female; D006405:Hematology / Q000193:education*; D006808:Humanism; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000193:education*; D000068616:Professionalism / Q000193:education*; D011795:Surveys and Questionnaires
keywords: fellowship training; hematology-oncology; humanism; professionalism