Publication
Discovering What Works Well: Exploring Primary Palliative Care Education in Pediatrics Residency Programs in Canada
Goloff N, Sultanem L, Fong-Leboeuf A, Grant E, Kinsella E, Humphreys J, Williams R, Verstegen D, Kwolek E · Academic pediatrics · 2026
Objective To explore effective primary PC learning in Canadian pediatrics residency programs. Methods Using Appreciative Inquiry methodology, we focused on ‘‘what is working well’’ to explore resident learning. We purposively sampled 17 trainees (post-graduate years 3–5), representing 13/17 programs. Participants engaged in semi-structured interviews, which we transcribed and analyzed iteratively through an inductive thematic process. Results The findings highlighted two predominant themes: 1) Embracing incidental learning in the workplace, and 2) Scaffolding learning through balanced structure and autonomy. Subthemes included: Recognizing the value of informal and unexpected learning opportunities; Strategies for harnessing incidental learning; Fostering interprofessional collaboration for learning; Integrating PC throughout training; Balancing structured learning with workplace-based opportunities for skill development; and the importance of graduated responsibility in workplace learning. Conclusions The residency learning environment provides a rich milieu to develop primary PC skills, but it is often difficult to make use of the fragmented learning opportunities. Residents rely significantly on unplanned clinical opportunities and must actively engage in planning, monitoring, and reflecting on their experiences to develop these skills. Our study underscores the importance of a multi-faceted approach to acquisition of PC skills – through experiential learning, reflective practice, graded responsibility, mentorship opportunities – spread throughout the duration of training.
Synced from the TRENDS in Pediatric Palliative Care Zotero library, curated by The Siden Research Team. ICPCN does not host or verify the full text.