title: Outcomes of a randomized controlled educational intervention to train pediatric residents on caring for children with special health care needs.
abstract: OBJECTIVE
  To evaluate an innovative curriculum meeting new pediatric residency education guidelines, Special Care Optimization for Patients and Education (SCOPE).
  
  
  METHODS
  Residents were randomized to intervention (n = 23) or control (n = 25) groups. Intervention residents participated in SCOPE, pairing them with a child with special health care needs (CSHCN) and faculty mentor to make a home visit, complete care coordination toolkits, and participate in case discussions. The primary outcome was resident self-efficacy in nine skills in caring for CSHCN. Secondary outcomes included curriculum feasibility/acceptance, resident attitudes, and family satisfaction.
  
  
  RESULTS
  Response rates were ≥65%. Intervention residents improved in their self-efficacy for setting patient-centered goals compared with controls (mean change on 4-point Likert-type scale, 1.36 vs 0.56, P < .05). SCOPE was feasible/acceptable, residents had improved attitudes toward CSHCN, and families reported high satisfaction.
  
  
  CONCLUSIONS
  SCOPE may serve as a model for efforts to increase residents' self-efficacy in their care of patients with chronic disease.
authors.affiliation: Lucile Packard Children's Hospital at Stanford University School of Medicine, Palo Alto, CA. USA jbogetz@stanford.edu.
authors.forename: Jori F
authors.initials: JF
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 at Stanford University School of Medicine, Palo Alto, CA. USA.
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Rassbach
authors.affiliation: Lucile Packard Children's Hospital at Stanford University School of Medicine, Palo Alto, CA. USA.
authors.forename: Lee M
authors.initials: LM
authors.lastname: Sanders
authors.affiliation: Lucile Packard Children's Hospital at Stanford University School of Medicine, Palo Alto, CA. USA.
authors.forename: Fernando S
authors.initials: FS
authors.lastname: Mendoza
authors.affiliation: Lucile Packard Children's Hospital at 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 at Stanford University School of Medicine, Palo Alto, CA. USA.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Blankenburg
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000628:therapy*; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003479:Curriculum / Q000706:statistics & numerical data*; D004503:Education, Medical, Graduate / Q000379:methods / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D006792:House Calls; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007396:Internship and Residency / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D008611:Mentors; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010372:Pediatrics / Q000193:education* / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods* / Q000706:statistics & numerical data; D011446:Prospective Studies; D020377:Self Efficacy
keywords: children with special health care needs; chronic illness; curriculum; graduate medical education; patient-centered care; resident