Employment of a needs assessment survey to shape a novel web-based pediatric rheumatology curriculum for primary care providers

Abstract

Background: Pediatric rheumatology faces many challenges due to the shortage of board certified physicians in the field and the imbalance in their geographic distribution. This shortage has required primary care physicians and adult rheumatologists to assume the care of children with rheumatologic diseases, though these physicians report significant discomfort doing so. We are addressing this issue through the development of a novel web-based curriculum aimed at primary care physicians.

Methods: We pursued a needs assessment survey of Vanderbilt pediatric residency graduates (1981-2010) working in primary care. Our goals were to understand their perceptions of what the needs are and what educational interventions would be most effective.

Results: Of 152 surveys sent successfully via Survey Monkey, we received 28 responses (18.4%). Responses suggest there to be a discrepancy between physicians' general assessment of their training and their self-reported ability to recognize specific diseases. Nearly 80% of respondents felt that additional education in pediatric rheumatology would improve their ability to co-manage children with the rheumatologist. Action plans for common rheumatologic complaints and potential emergencies were thought to be of potential benefit by a majority of respondents.

Conclusions: We will utilize our survey results to develop a learner centered curriculum to have the highest positive impact in assisting primary care providers in caring for children with rheumatologic diseases.

Figure 1

Physician assessment of the adequacy of their residency training in pediatric autoimmune diseases and musculoskeletal disorders.

Figure 2

Physician assessment of the adequacy of their residency training in pediatric joint examination.

Figure 3

Physician assessment of the adequacy of their residency training in distinguishing between inflammatory and non-inflammatory causes of musculoskeletal pain in children.

Figure 4

Physician self-assessment of their ability on completion of residency training to order and interpret basic inflammatory labs and autoimmune serologies.

Figure 5

Physician self-assessment of their ability on completion of residency training to perform the initial work-up of presenting complaints referable to rheumatologic diseases in children.

Figure 6

Physician self-assessment of their ability on completion of residency training to recognize specific autoimmune diseases in children.

Figure 7

Physician perceptions of the potential utility of interventions to improve their ability to co-manage patients with the rheumatologist.