Academic and Research Skills
Adolescent Medicine
Advocacy
Children with Chronic Conditions
Clinical Bioethics
Developmental and Behavioral Pediatrics
General Pediatrics
Palliative Care
Diversity, Equity, and Inclusion
Catherine Shubkin, MD HEC-C
Associate Professor of Pediatrics
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States
Erica Salter, PhD, HEC-C (she/her/hers)
Associate Professor of Health Care Ethics and Pediatrics
Saint Louis University
St. Louis, Missouri, United States
Rita Nathawad, MD
Associate Professor of Pediatrics
Pediatrics
University of Florida College of Medicine, Jacksonville
Jacksonville, Florida, United States
Thomas Davis, MD (he/him/his)
Associate Professor Internal Medicine and Pediatrics
Internal Medicine
Geisinger
Danville, Pennsylvania, United States
Parag Shah, MD (he/him/his)
Assistant Professor
Pediatrics
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
Gary Lerner, MD, FAAP
Emeritus Professor of Pediatrics
University of Nebraska College of Medicine
Omaha, Nebraska, United States
Session
Description: APA Ethics & Health Care Transition and Disease Self-Management Combined SIGTransitioning young adults from pediatric to adult health care settings presents many challenges during a time that the models of medical decision-making are also shifting. Pediatric decision-making relies on the informed judgments of parents, who make medical decisions for children within the context of the family. Alternatively, adult decision-making shifts authority for decision-making to the patient. Standards of adult decision-making aim first to protect and promote the patient’s right to self-determination as an autonomous agent, and second, to promote the patient’s well-being, generally considered. Thus, the task of transitioning care requires that parents and clinicians assist adolescent patients in developing and practicing the skills required for autonomous decision-making, which includes understanding relevant information, reasoning with that information, and applying personal values and preferences to make an informed decision.
This Joint SIG Session will discuss the implications of this shift in decision-making and explore, via both small and large group discussion, best practices that might guide clinicians, parents and patients. The session will begin with a brief presentation describing the standard models of decision-making for pediatric and adult medicine followed by a presentation of current models of transition care. Participants will break into groups to discuss implications and best practices for transition of four populations: typically developing adolescents, adolescents with physical disabilities, adolescents with cognitive-developmental disabilities and adolescents with mental health diagnoses. Small groups will then report back to the large group via a facilitated discussion about how best to navigate the decision-making transition between adolescence and adulthood.
SIG Speaker: Catherine D. Shubkin, MD HEC-C – Dartmouth-Hitchcock Medical Center
SIG Speaker: Erica K. Salter, PhD, HEC-C (she/her/hers) – Saint Louis University
SIG Speaker: Rita Nathawad, MD – University of Florida College of Medicine, Jacksonville
SIG Speaker: Thomas W. Davis, MD (he/him/his) – Geisinger
SIG Speaker: Parag K. Shah, MD (he/him/his) – Ann & Robert H. Lurie Children's Hospital of Chicago
SIG Speaker: Gary S. Lerner, MD, FAAP – University of Nebraska College of Medicine