Paediatric departments need to improve residents’ training in adolescent medicine and health: a position paper of the European Academy of Paediatrics

Michaud, Pierre; Schrier, Lenneke; Ross-Russel, Robert; Heijden, Laila van der; Dossche, Lien; Copley, Sian; Alterio, Tommaso; Mazur, Artur; Dembiński, Łukasz; Hadjipanayis, Adamos; Torso, Stefano del; Fonseca, Helena; Ambresin, Anne‐Emmanuelle

doi:10.1007/s00431-017-3061-2

Cited by 31 publications

(25 citation statements)

References 19 publications

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“…Similarly, both pediatric and adult residency training programs could have more training in adolescent and young adult health. 206,207 The AAP offers a series of case-based, educational modules designed for pediatric residency program directors and faculty. These modules focus on the patient-and family-centered medical home, care coordination, care planning, transition to adult care, and team-based care.…”

Section: Education and Training In The Care Of Youth And/or Young Adumentioning

confidence: 99%

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

2018

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Risk and vulnerability encompass many dimensions of the transition from adolescence to adulthood. Transition from pediatric, parent-supervised health care to more independent, patient-centered adult health care is no exception. The tenets and algorithm of the original 2011 clinical report, "Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home, " are unchanged. This updated clinical report provides more practice-based quality improvement guidance on key elements of transition planning, transfer, and integration into adult care for all youth and young adults. It also includes new and updated sections on definition and guiding principles, the status of health care transition preparation among youth, barriers, outcome evidence, recommended health care transition processes and implementation strategies using quality improvement methods, special populations, education and training in pediatric onset conditions, and payment options. The clinical report also includes new recommendations pertaining to infrastructure, education and training, payment, and research.

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Section: Education and Training In The Care Of Youth And/or Young Adumentioning

confidence: 99%

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

2018

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“…Appropriate support and supervision for staff involved with young people has been recognized as a core quality criterion for youth‐friendly health services, and this should also apply to staff involved in the transfer of long‐term patients to adult services. Likewise, training of both pediatric and adult staff in adolescent and young adult health care is important and has been identified as an important area for future research …”

Section: Discussionmentioning

confidence: 99%

“…Likewise, training of both pediatric and adult staff in adolescent and young adult health care is important and has been identified as an important area for future research. 53,54 This manuscript completes a trilogy of papers exploring the views and perceptions of transition in liver transplantation, with the previous two publications exploring patient and parent experiences. 55,56 This body of work provides important insight into the transition process from multiple key stakeholder perspectives, a greater understanding of the impact of transition on stakeholders and important recommendations for future transition planning.…”

Section: Discussionmentioning

confidence: 99%

Healthcare transition in pediatric liver transplantation: The perspectives of pediatric and adult healthcare professionals

Wright

Elwell

McDonagh

et al. 2019

Pediatric Transplantation

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Introduction Transition from pediatric to adult services of young people with a liver transplant is an important priority due to increasing numbers of young people surviving into adulthood. There is increased incidence of graft loss and non‐adherence following transfer to adult services. Although studies have considered the views and perceptions of young people who have undergone liver transplantation and their parents about transition, there is currently no qualitative research with healthcare professionals working in the field of liver transplantation. The aim of this study was to elicit the views of this group of stakeholders about barriers and facilitators of an effective transition process. Methods Semi‐structured interviews were carried out with 11 HCPs from pediatric and adult liver transplant programs and from a range of professional backgrounds. Interviews were transcribed verbatim and analyzed using thematic analysis. Results Four themes were identified: “non‐adherence and psychosocial issues,” “need for better psychological support,” “the role of parents,” and “the emotional impact of transition on healthcare professionals.” Within these themes, professionals described factors which hindered or promoted an effective transition process. Conclusions Screening tools which address psychological and social aspects of the lives of young people should be used in routine practice to identify patients requiring psychosocial support and to identify those at risk of non‐adherence. All staff involved with transition should be trained in the use of psychosocial screening strategies. The development of a formal referral pathway so that young people can access psychological support in adult services is recommended.

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“…It is the task of both the education and the healthcare systems to assist young people to understand their rights and responsibility for their health, and how and where to access to adequate care. • One of the best ways to improve the quality of care delivered to adolescents is to improve the training of healthcare providers (Michaud et al, 2017). This is addressed in Chapter 13.…”

Section: Discussionmentioning

confidence: 99%

Primary Care for Adolescents

Michaud¹,

Vervoort²,

Jansen³

2019

Issues and Opportunities in Primary Health Care for Children in Europe

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Adolescence is a time when a young person develops his or her identity, acquires greater autonomy and independence, experiments and takes risks and grows mentally and physically. To successfully navigate these changes, an accessible and health system when needed is essential. We assessed the structure and content of national primary care services against these standards in the field of adolescent health services. The main criteria identified by adolescents as important for primary care are as follows: accessibility, staff attitude, communication in all its forms, staff competency and skills, confidential and continuous care, age appropriate environment, involvement in health care, equity and respect and a strong link with the community. We found that although half of the Models of Child Health Appraised countries have adopted adolescent-specific policies or guidelines, many countries do not meet the current standards of quality health care for adolescents. For example, the ability to provide emergency mental health care or respond to life-threatening behaviour is limited. Many countries provide good access to contraception, but specialised care for a pregnant adolescent may be hard to find. Access needs to be improved for vulnerable adolescents; greater advocacy should be given to adolescent health and the promotion of good health habits. Adolescent health services should be well publicised, and adolescents need to feel empowered to access them.

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Paediatric departments need to improve residents’ training in adolescent medicine and health: a position paper of the European Academy of Paediatrics

Cited by 31 publications

References 19 publications

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home

Healthcare transition in pediatric liver transplantation: The perspectives of pediatric and adult healthcare professionals

Primary Care for Adolescents

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