Resident Training in Transitioning Youth With Epilepsy Into Adult Care

Objective: To appraise the current training of Neurology (N), Pediatric (P), and Med-Peds (MP) residents at MedStar Georgetown University Hospital (MGUH) in providing care to patients with epilepsy who are transitioning from pediatric to adult care. Methods: Through an online questionnaire, we surveyed Neurology, Pediatric, and Med-Peds residents to assess their knowledge, confidence, and experience at transitioning youth with epilepsy to adult-oriented health care. Results: N, P, and MP residents generally rated their knowledge and confidence at providing transition care to youth with epilepsy to be poor; however, P and MP residents rated higher in limited measures of knowledge and experience. Conclusion: Our appraisal of resident training in transitions care for youth with epilepsy has highlighted training elements in our institution that require attention for both adult and pediatric providers, leading to the formulation of an educational intervention that will promote experiential and multimodal approaches in this area.

Youth Homelessness

Youth homelessness is a complex problem in Canada. While social programs do exist to help homeless youth, there appears to be some confusion as to which program is best suited for helping homeless youth be successful in their lives. This paper examines how social programs help youth leave the streets. The paper analyzes three levels of social programs starting with informal programs, middle-mode programs and formal programs in an attempt to determine the best way to reintegrate homeless youth back into mainstream society. A close examination of social programs suggests that more funding is needed to provide more spaces for youth participation as well as emotional supports to provide stability in their lives. Currently, there are gaps between the social programs. Each program has its own individual rules for operation and does not adequately support transitioning youth. Youth homelessness occurs due to the breakdown of the micro, meso and macro level institutions leaving youth to attempt to take control of their own lives by living homeless.