Document Detail


Teaching residents about development and behavior: meeting the new challenge.
MedLine Citation:
PMID:  10555724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the teaching methods, materials currently used, and unmet needs for teaching developmental-behavioral pediatrics (DBP) at pediatric training programs in the United States. DESIGN: Cross-sectional survey of US pediatric residency training programs. The survey questionnaire consisted of 3 instruments: a program director survey, a developmental-behavioral pediatrics survey, and an adolescent medicine survey. PARTICIPANTS: Survey packets were mailed in January 1997 to 211 programs identified by mailing labels from the Association of Pediatric Program Directors. RESULTS: Data from 148 programs (70%) completing both the DBP survey and program director survey were analyzed. Ninety-five percent of programs reported a block rotation, and 95% of those stated that the rotation was mandatory. Eighty-seven percent had a formal curriculum. Most programs reported using articles, lecture outlines, and precepting for teaching DBP. Few programs used standardized case-based or computerized materials. Most programs, however, indicated a desire for these materials. Few programs felt that 4 topics were covered adequately: adoption (12%), violence (24%), substance use (28%), and conduct problems (41%). Programs that perceived that they covered these topics adequately were more likely to use written cases as part of their curriculum (Mann-Whitney test, 1373.5; P=.04). Barriers to teaching included lack of adequate faculty, time, money, and curricular resources. CONCLUSIONS: Pediatric residency programs have made significant gains in mandatory DBP training. However, many programs report a lack of adequate faculty, teaching materials, and methods. Responding programs indicated an interest in case-based materials. This approach may represent an alternative and underutilized resource for teaching DBP.
Authors:
C Frazer; S J Emans; E Goodman; M Luoni; T Bravender; J Knight
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  153     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-11-30     Completed Date:  1999-11-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1190-4     Citation Subset:  AIM; IM    
Affiliation:
Division of General Pediatrics, Children's Hospital, Harvard Medical School, Boston, Mass 02115, USA. frazer@a1.tch.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior
Child Behavior
Child Development
Child, Preschool
Cross-Sectional Studies
Curriculum
Data Collection
Humans
Internship and Residency*
Pediatrics / education*
Teaching / methods*
Teaching Materials
United States
Grant Support
ID/Acronym/Agency:
MCJ 259368//PHS HHS; MCJ259195//PHS HHS; MCJ259360//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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