• Kathleen Huth, Lori Newman, and Laurie Glader.
• Department of Pediatrics, Boston Children's Hospital, Boston, Mass (K Huth and L Glader). Electronic address: kathleen.huth@childrens.harvard.edu.
• Acad Pediatr. 2020 May 1; 20 (4): 558-564.

BackgroundPrevious studies of pediatric residents have identified educational gaps in caring for children with medical complexity. Training opportunities in complex care vary across residency programs. Defining core curricular topics in complex care is a priority in medical education.ObjectiveTo identify core topics to include in a standard complex care curriculum for pediatric residents.MethodsAn initial topic list was generated through literature review and proceedings of national meetings. Expert panelists were identified based on experience in complex care and residency education. A modified Delphi method was used to determine group consensus by asking participants to rate the importance of complex care curricular topics for pediatric residents. Consensus was defined as >70% of experts identifying a topic as essential. There was a predetermined maximum of 3 iterative, electronic survey rounds, with feedback provided to participants between each round.ResultsSixteen experts participated. Response rate was 100% for all rounds. Experts were from the United States (44%) and Canada (56%); most were affiliated with an academic medical center (96%) involved in both inpatient and outpatient care (69%). Eleven topics were identified as essential across 3 rounds: feeding difficulties, pain/irritability, transition, feeding tube management, difficult discussions, team management/care coordination, dysmotility, aspiration, safety/emergency planning, neuromuscular/skeletal issues, and advocacy. Essential topics were organized according to the International Classification of Functioning, Disability and Health.ConclusionsEleven curricular priorities in complex care were identified across multiple domains of the International Classification of Functioning, Disability and Health framework, serving as a guide for standardized curriculum development for future pediatricians.Copyright © 2020 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

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