In a recently releases Monthly Features article in Pediatrics, Dr. Christopher Gaw discusses how trainees can be involved in advancing shared decision making (SDM) in pediatrics ( 10.1542/peds.2017-1772). Dr. Gaw’s thoughts are incredibly timely. A quick look for any articles in Pediatrics in 2017 that address SDM brought up 6 additional manuscripts on such diverse topics as the febrile infant, children with disabilities, children with hearing impairment, and seriously ill children. Additionally, the AAP released a Policy Statement in 2016 on Informed Consent in Decision-Making in Pediatric Practice ( 10.1542/peds.2016-1484) which includes information about the role of shared decision making. A now 2 year old systematic review (Wyatt et al Academic Pediatrics 2015) concluded that, “A limited evidence base suggests that pediatric SDM interventions improve knowledge and decisional conflict, but their impact on other outcomes is unclear.” We are in the infancy of SDM in pediatrics: enthusiasm is high and evidence is starting to pour in.
- Development of a Curricular Framework for Pediatric Hospital Medicine Fellowships
- The Whole “PROOF”: Incorporating Evidence-Based Medicine Into Clinical Teaching
- Lessons From the 2013 Boston Marathon: Incorporating Residents Into Institutional Emergency Plans
- When Should Trainees Call for Help With Invasive Procedures?
- Factors Associated With Provider Burnout in the NICU
- Pediatric Resident Burnout and Attitudes Toward Patients
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