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John Langdon Down (1828-1896) - a pioneer in caring for mentally disabled patients

Kutzsche S

Acta Paediatr, 2018 11;107(11):1851-1854.
PMID: 30028542 DOI: 10.1111/apa.14505
How Cicely Williams (1893-1992) accelerated progress in maternal and child health during the 20th century

Khoo EJ, Kutzsche S

Acta Paediatr, 2024 Apr 21.
PMID: 38644646 DOI: 10.1111/apa.17251
Fulltext Applying educational theories into planning a psychomotor learning activity: an undergraduate neonatal resuscitation programme experience

Khoo EJ, Chua SH, Kutzsche S

Arch Argent Pediatr, 2019 04 01;117(2):e181-e187.
PMID: 30869503 DOI: 10.5546/aap.2019.eng.e181

The Neonatal Resuscitation Programme is a good example of an effective educational intervention that has improved perinatal mortality rates in many countries. This paper shares our experience of planning an undergraduate Neonatal Resuscitation Programme using basic principles of education theory of spiral curriculum, Bloom's taxonomy in planning learning outcomes, Kolb's learning model and Miller's model of clinical assessment. Engaging clinicians in pedagogical theories may not be well aligned with how clinicians traditionally thought they learnt best, yet it is key to improving learning concept and educational intervention outcomes in the healthcare professions. This article aims to illustrate the application of such educational theories into one example of practice. We structured this paper in the scope of content, delivery and assessment when planning a psychomotor learning activity.
Transfer of knowledge, skills and confidence from a faculty development programme for health professions educators into practice

Chia CF, Nadarajah VD, Lim V, Kutzsche S

Med Teach, 2021 Jul;43(sup1):S46-S52.
PMID: 32552199 DOI: 10.1080/0142159X.2020.1776239

BACKGROUND: Faculty development programmes should incorporate the transfer of knowledge, skills, and confidence from the training to educational practice. However, there is a risk that transfer may fail due to inadequate integration of knowledge, skills, and confidence. The study evaluated transfer levels, guided by learned principles from a faculty development programme.
METHOD: The submitted self-reports on a pedagogical intervention of 92 out of 190 health professions educators who participated in a mandatory teaching and learning training programme, were analysed by a mixed-method approach guided by a structured conceptual framework.
RESULTS: Overall 93.4% reported the successful transfer of learning. Participants incorporated sustainable changed practice (level A, 57.6%), showed reflection on the impact of changed practice (level B, 21.7%), and performed effect analysis (level C, 14.1%). The rest planned application of learning (level D, 4.4%) and identified gaps in current practice or developed an idea for educational intervention but did not implement (level E, 2.2%).
CONCLUSION: The majority of participants transferred their learning. Faculty development programmes must ensure successful transfer of knowledge, skills, and confidence from the training to educational practice to ensure sustainable development of teaching and learning practices.
Fulltext Neonatal alloimmune thrombocytopaenia associated with maternal HLA antibodies

Wendel K, Akkök ÇA, Kutzsche S

BMJ Case Rep, 2017 Jul 05;2017.
PMID: 28679510 DOI: 10.1136/bcr-2016-218269

Neonatal alloimmune thrombocytopaenia (NAIT) generally results from platelet opsonisation by maternal antibodies against fetal platelet antigens inherited from the infant's father. Newborn monochorionic twins presented with petechial haemorrhages at 10 hours of life, along with severe thrombocytopaenia. Despite the initial treatment with platelet transfusions and intravenous immunoglobulin, they both had persistent thrombocytopaenia during their first 45 days of life. Class I human leucocyte antigen (HLA) antibodies with broad specificity against several HLA-B antigens were detected in the maternal serum. Weak antibodies against HLA-B57 and HLA-B58 in sera from both twins supported NAIT as the most likely diagnosis. Platelet transfusion requirements of the twins lasted for 7 weeks. Transfusion of HLA-matched platelet concentrates was more efficacious to manage thrombocytopaenia compared with platelet concentrates from random donors. Platelet genotyping and determination of HLA antibody specificity are needed to select compatible platelet units to expedite safe recovery from thrombocytopaenia in NAIT.
Parents' perceptions of bedside teaching

Khoo EJ, Parameshwara N, Kutzsche S

Clin Teach, 2019 10;16(5):497-501.
PMID: 30421519 DOI: 10.1111/tct.12967

BACKGROUND: Bedside teaching (BST) in a hospital setting can play an important role during medical students' clinical placements in paediatrics. Parents often feel obliged to allow their child to participate, even if they are reluctant. The aim of this study was to examine the perceptions of parents who, with their children, were involved in medical students' BST.
METHODS: Consenting parents participated in a semi-structured interview assessing their experience of having their child involved in BST. The qualitative data were analysed using thematic analysis. Parents were assured that their children's treatment would not be negatively affected in the case of withdrawal from the study.
RESULTS: A total of 54 parents responded and discussed their experience of their children's participation in clinical teaching. The majority of parents were keen to support medical students' learning, and felt that they could develop better insight into their child's health in association with the teaching session. Some parents found the sessions tiring; their interest increased when they were more actively involved in planning the BST sessions.
DISCUSSION: This study emphasises children's and adolescents' autonomy as a main principle in making decisions about involving them in BST. Clinical teachers often face problems attempting to properly plan and conduct BST sessions. Parents appreciate having an active role in planning the sessions and are supportive of medical student education. Clinical teachers must ensure that they protect the best interests of paediatric patients and their parents. At the same time, they should advocate for the obvious benefits of BST.
Fulltext Stronger and More Vulnerable: A Balanced View of the Impacts of the NICU Experience on Parents

Janvier A, Lantos J, Aschner J, Barrington K, Batton B, Batton D, et al.

Pediatrics, 2016 09;138(3).
PMID: 27489297 DOI: 10.1542/peds.2016-0655

For parents, the experience of having an infant in the NICU is often psychologically traumatic. No parent can be fully prepared for the extreme stress and range of emotions of caring for a critically ill newborn. As health care providers familiar with the NICU, we thought that we understood the impact of the NICU on parents. But we were not prepared to see the children in our own families as NICU patients. Here are some of the lessons our NICU experience has taught us. We offer these lessons in the hope of helping health professionals consider a balanced view of the NICU's impact on families.