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Table 1 RCPSC social pediatric learning objectives (intended curriculum) mapped to formal curriculum

From: Social pediatrics: weaving horizontal and vertical threads through pediatric residency

Numbera

Royal College Social Pediatric Competency

Formal curriculumb

COMMUNICATOR

 C1.4

Listen effectively; obtain and synthesize relevant history from patients, families and communities

Developmental Pediatrics, NICU, seminar

 C2.1

Gather information about a disease, but also about a patient's beliefs, concerns, expectations and illness experience

Oncology, Adolescent Medicine

 C2.1.2

Give close attention to impact of such factors as age, gender, disability, ethno-cultural background, social support and emotional influences on a patients’ illness

Oncology, Pediatric Perinatology, seminar

 C2.2

Seek out and synthesize relevant information from other sources, such as a patient's family, caregivers and other professionals

Developmental Pediatrics

 C2.2.2

Demonstrate an appreciation of the parent's perspective of and concerns for a child's health and the impact of a child's illness on family relationships

Oncology

 C4.1

Identify and explore problems to be addressed from a patient encounter effectively, including the patient's context, responses, concerns and preferences

Adolescent Medicine, Emergency Medicine, seminar

 C4.2

Respect diversity and difference, including but not limited to the impact of age, gender, abilities, religion, language and cultural beliefs…

Developmental Pediatrics, seminar

COLLABORATOR

 Col1.11

Collaborate with teachers, social workers, community leaders, child protection workers and other professionals

Pediatric Medicine-PGY3/1, Oncology, seminar

HEALTH ADVOCATE

 H1.2

Identify opportunities for advocacy, health promotion and disease prevention with individuals to whom they provide care

Adolescent Medicine, Pediatric Perinatology, Pediatric Ambulatory Medicine, Developmental Pediatrics, Respiratory Medicine, seminar

 H2.2

Identify opportunities for advocacy, health promotion and disease prevention in the communities that they serve

Pediatric Ambulatory Medicine, Developmental Pediatrics, Pediatric Perinatology, seminar

 H2.3

Appreciate the possibility of competing interests between the communities served and other populations

Pediatric Ambulatory Medicine, seminar

 H3.1

Identify the determinants of health of children; including barriers to access to care and resources

Developmental Pediatrics, Pediatric Perinatology, seminar

 H3.2

Identify vulnerable or marginalized populations within those served and respond appropriately

Adolescent Medicine, seminar

 H4.1

Describe an approach to implementing a change in a determinant of health of children

seminar

 H4.2

Describe how public policy impacts on child health

Respiratory Medicine, Pediatric Perinatology, Cardiology, seminar

 H4.4

Describe the ethical and professional issues inherent in health advocacy…

Pediatric Ambulatory Medicine, Endocrinology, Respiratory Medicine, seminar

 H4.5

Appreciate the possibility of conflict inherent in their role as health advocate for a patient or community with that of manager or gatekeeper

seminar

 H4.6

Describe the role of the medical profession in advocating collectively for health and patient safety

seminar

MEDICAL EXPERT

 M2.1.12.7

Social, familial and personal effects of childhood cancer

Oncology, seminar

 M2.1.14.4

Demographic, medical and psychosocial factors which influence perinatal mortality and morbidity

Pediatric Perinatology, seminar

 M2.1.22.3

Availability of and access to community-based mental health resources

seminar

 M2.1.22.4

Biological, psychological and socioeconomic factors affecting mental health

Adolescent Medicine, seminar

 M2.1.22.5

Impact on child well-being of having a parent with mental illness or substance abuse

seminar

 M2.1.24.1

Social factors placing children at risk

Adolescent Medicine, Pediatric Ambulatory Medicine, seminar

 M2.1.24.2

Impact of violence on health

Pediatric Ambulatory Medicine, Adolescent Medicine, seminar

 M2.1.24.3

Health problems consequent to maltreatment/neglect

Pediatric Ambulatory Medicine, Adolescent Medicine

 M2.1.24.4

Laws relating to child protection

Pediatric Ambulatory Medicine, seminar

 M2.1.24.5

Professional requirements in managing victims of maltreatment/neglect including mandatory reporting

Pediatric Ambulatory Medicine, Adolescent Medicine

 M2.1.3.2

Adolescent & Society; influencing factors, heterogeneity, subcultures

Adolescent Medicine

 M2.1.7.2

Biological and psychosocial factors affecting development and behavior

Pediatric Ambulatory Medicine, Adolescent Medicine, Developmental Pediatrics, seminar

 M5.1.13.3

Assessment of adolescent using HEEADS format (Home, Education, Eating, Activity, Drugs, Sexuality, Suicide)

Adolescent Medicine

 M5.1.16.2

Counselling parents on normal growth, development and behavior; attention to available community support and resources

Pediatric Perinatology, Developmental Pediatrics, seminar

 M5.1.30.1

Gather child maltreatment evidence appropriately including documentation and specimen collection

seminar

 M3.2.4

Identify all other important information from the past history; and social history

seminar

 M3.1

Identify and explore issues to be addressed in patient encounter, including the patient’s and family’s context and preferences

seminar

 M3.2

Elicit a history that is relevant, clear, concise and accurate to context and preferences

seminar

PROFESSIONAL

 P1.3.4

Demonstrate knowledge of the legal and ethical codes of professional behavior… reporting suspected child or sexual abuse

Endocrinology, Pediatric Perinatology, seminar

  1. aReference number “Objectives of training in Pediatrics" published by the Royal College of Physicians and Surgeons of Canada (RCPSC) [20]
  2. bRotation or core educational seminar where learning objective was found