title: Continuing education needs of pediatricians across diverse specialties caring for children with medical complexity.
abstract: OBJECTIVE
  Care for children with medical complexity (CMC) relies on pediatricians who often are ill equipped, but striving to provide high quality care. We performed a needs assessment of pediatricians across diverse subspecialties at a tertiary academic US children's hospital about their continuing education needs regarding the care of CMC.
  
  
  METHODS
  Eighteen pediatricians from diverse subspecialties were asked to complete an online anonymous open-ended survey. Data were analyzed using modified grounded theory.
  
  
  RESULTS
  The response rate was 89% (n = 16). Of participants, 31.2% (n = 5) were general pediatricians, 18.7% (n = 3) were hospitalists, and 50% (n = 8) were pediatric subspecialists. Pediatricians recognized the need for skills in care coordination, giving bad news, working in interprofessional teams, and setting goals of care with patients.
  
  
  CONCLUSIONS
  Practicing pediatricians need skills to improve care for CMC. Strategically incorporating basic palliative care education may fill an important training need across diverse pediatric specialties.
authors.affiliation: Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA, USA jbogetz@stanford.edu.
authors.forename: Jori F
authors.initials: JF
authors.lastname: Bogetz
authors.affiliation: Stanford Center for Medical Education Research and Innovation (SCeMERI), Stanford University School of Medicine, Palo Alto, CA, USA.
authors.forename: Alyssa L
authors.initials: AL
authors.lastname: Bogetz
authors.affiliation: Lucile Packard Children's Hospital, Palo Alto Medical Foundation, Palo Alto, CA, USA.
authors.forename: Julia M
authors.initials: JM
authors.lastname: Gabhart
authors.affiliation: Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Bergman
authors.affiliation: Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA, USA.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Blankenburg
authors.affiliation: Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA, USA.
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Rassbach
mesh_terms: D002908:Chronic Disease; D004496:Education, Continuing / Q000379:methods*; D019538:Health Care Surveys; D020445:Hospitalists / Q000706:statistics & numerical data; D006776:Hospitals, Pediatric; D006801:Humans; D008511:Medicine; D020380:Needs Assessment; D010372:Pediatrics / Q000193:education*; D010820:Physicians / Q000706:statistics & numerical data*; D062606:Tertiary Care Centers; D014481:United States
keywords: children; chronic disease; continuing medical education; faculty development; palliative care; pediatric