Pediatric Rheumatic illnesses are complex, chronic, and often multi-systemic. Our goal was to assess the efficacy of 2 standardized pediatric rheumatology lectures, administered to pediatric residents, in improving the pediatric residents’ knowledge and confidence in pediatric rheumatology. Two lectures, 1 hour each, were delivered by 2 residents and given 1 week apart to 28 pediatric residents. Pre- and post-tests assessed knowledge and residents’ self-rated competence. Change in knowledge was assessed using paired t-tests. Twenty-eight residents participated in the study. Sixty-three percent (17/27) had an improvement in score from pre-test to post-test. Thirty-seven percent (10/27) reported increased competence from pre-test to post-test. Ninety-six percent (22/23) of the residents found the lectures to be beneficial. Residents in the third post-graduate year (PGY3) cohort had the most significant improvement in scores. The lectures given to the pediatric residents increased pediatric knowledge and the pediatric residents found these lectures to be beneficial.

1. Kolonko, C. Pediatric rheumatologists increasing in number but still rare. The Rheumatologist. 2012. Accessed August 1, 2021. https://www.the-rheumatologist.org/article/pediatric-rheumatologists-increasing-in-number-but-still-rare/
Google Scholar2. United States Department of Health and Human Services . The pediatric rheumatology workforce: a study of the supply and demand for pediatric rheumatologists . 2015. Accessed August 1, 2021. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/internal-medicine-subspecialty-report.pdf
Google Scholar3. Boulter, EL, Rogers, JR, Borland, ML. Improving junior doctors’ confidence in paediatric musculoskeletal assessment. J Paediatr Child Health. 2014;50(10):787-790.
Google Scholar | Crossref | Medline4. Jandial, S, Myers, A, Wise, E, Foster, HE. Doctors likely to encounter children with musculoskeletal complaints have low confidence in their clinical skills. J Pediatr. 2009;154(2):267-271.
Google Scholar | Crossref | Medline5. Matheny, JM, Brinker, MR, Elliott, MN, Blake, R, Rowane, MP. Confidence of graduating family practice residents in their management of musculoskeletal conditions. Am J Orthop. 2000;29(12):945-952.
Google Scholar | Medline6. Myers, A, McDonagh, JE, Gupta, K, et al. More ‘cries from the joints’: assessment of the musculoskeletal system is poorly documented in routine paediatric clerking. Rheumatology. 2004;43(8):1045-1049.
Google Scholar | Crossref | Medline7. Foster, H, Kimura, Y. Ensuring that all paediatricians and rheumatologists recognise significant rheumatic diseases. Best Pract Res Clin Rheumatol. 2009;23(5):625-642.
Google Scholar | Crossref | Medline8. Camp, CL, Krych, AJ, Stuart, MJ, Regnier, TD, Mills, KM, Turner, NS. Improving resident performance in knee arthroscopy: a prospective value assessment of simulators and cadaveric skills laboratories. J Bone Joint Surg Am. 2016;98(3):220-225.
Google Scholar | Crossref | Medline9. Little-Wienert, K, Hsu, D, Torrey, S, et al. Pediatric emergency medicine online curriculum improves resident knowledge scores, but will they use it? Pediatr Emerg Care. 2017;33(11):713-717.
Google Scholar | Crossref | Medline10. Musculoskeletal medicine: arthritis and rheumatic diseases . Updated 2021. https://pedialink.aap.org/visitor/cme/course-series/Musculoskeletal-Medicine-Course-Series
Google Scholar11. Modica, R. Assessing the efficacy of pediatric rheumatology video-based curriculum. Arthritis Rheumatol. 2014;66:S179-S179.
Google Scholar | Crossref12. Cunha, ALG, Terreri, MT, Len, CA. Virtual learning environment in pediatric rheumatology for pediatric residents. Rev Paul Pediatr. 2020;38:e2018189.
Google Scholar | Crossref | Medline13. Wayne, DB, Butter, J, Siddall, VJ, et al. Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice. J Gen Intern Med. 2006;21(3):251-256.
Google Scholar | Crossref | Medline14. Curran, ML, Martin, EE, Thomas, EC, et al. The pediatric rheumatology objective structured clinical examination: progressing from a homegrown effort toward a reliable and valid national formative assessment. Pediatr Rheumatol. 2019;17(1):5.
Google Scholar | Crossref | Medline