Care of the complex chronically ill child by generalist pediatricians: lessons learned from pediatric palliative care.

Background And Objective: Parents of children with complex chronic conditions report fragmented care, unmet medical needs, and financial strain from health care costs. The aim of this study was to identify both prevalent themes discussed during pediatric palliative care consultation of patients with complex chronic conditions cared for by pediatric generalists and variation in consultation content by age and timing of consultation in disease course.

Methods: Forty randomly selected initial inpatient or outpatient consultation notes authored by the pediatric palliative care team at an academic, tertiary care children's hospital.

Long-term gain after team-based learning experience in a pediatric clerkship.

Background: Team-based learning (TBL) increases student engagement, value of teamwork, and performance on standardized evaluations.

Purpose: The authors implemented a 3rd-year pediatric TBL curriculum, evaluating its effect on satisfaction, engagement, value of teamwork, and short-term and long-term academic performance.

Method: Students evaluated the TBL curriculum and core lectures through satisfaction, engagement and value of team surveys.

Characterization of central venous catheter-associated deep venous thrombosis in infants.

Purpose: Deep venous thrombosis (DVT) is a frequent complication in infants with central venous catheters (CVCs). We performed this study to identify risk factors and risk-reduction strategies of CVC-associated DVT in infants.

Methods: Infants younger than 1 year who had a CVC placed at our center from 2005 to 2009 were reviewed.