Research Fellow Cincinnati Children's Hospital Medical Center Cincinnati, Ohio, United States
Background: Shared Decision Making (SDM) is a patient-centered approach where clinicians and patients collaborate, melding clinical evidence with patients' values and preferences to make informed healthcare choices. In pediatrics, the dynamics of SDM can be more complex, balancing the child's evolving autonomy, the wishes of the parents, and the best available medical evidence. The increasing complexity of treatment options within pediatrics underscores the importance of training pediatric clinicians in SDM. A robust SDM process can lead to enhanced patient satisfaction, improved health outcomes, and reduced healthcare disparities. Yet, there remains a stark void in research concerning the training methodologies for SDM's application in pediatrics. Addressing this gap holds the promise of reshaping pediatric medical education, ensuring that future clinicians are adept in collaborative decision-making. Objective: This study aims to illuminate the existing methodologies and competencies for SDM training in pediatrics, through a scoping review of the published and gray literature. Design/Methods: Adhering to the PRISMA-ScR guidelines, a comprehensive literature search was executed by a health sciences librarian across Medline, PsycINFO, CINAHL, Education Research Complete, and LILACS. The search strategy employed a combination of controlled vocabulary and keyword alternatives, targeting concepts such as teaching strategies, SDM, and pediatrics. After deduplication, 1336 unique records were obtained. These are currently undergoing a two-stage selection process: a review of titles and abstracts, followed by full-text analysis based on set criteria. Each stage was conducted by two reviewers with disputes resolved by a third party. Articles selected will be assessed for quality, followed by data abstraction and synthesis. A thematic analysis will categorize training methodologies and associated competencies. Preliminary insights suggest limited focus on specific pediatric SDM training and a gap regarding children's representation. Analysis completion is expected by February 2024.
