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dc.contributor.authorFox, Harriette B.
dc.contributor.authorMcManus, Margaret A.
dc.contributor.authorKlein, Jonathan D.
dc.contributor.authorDiaz, Angela
dc.contributor.authorElster, Arthur B.
dc.contributor.authorFelice, Marianne E.
dc.contributor.authorKaplan, David W.
dc.contributor.authorWibbelsman, Charles J.
dc.contributor.authorWilson, Jane E.
dc.date2022-08-11T08:10:09.000
dc.date.accessioned2022-08-23T16:57:21Z
dc.date.available2022-08-23T16:57:21Z
dc.date.issued2010-01-09
dc.date.submitted2011-12-07
dc.identifier.citationPediatrics. 2010 Jan;125(1):165-72. Epub 2009 Dec 7. <a href="http://dx.doi.org/10.1542/peds.2008-3740">Link to article on publisher's site</a>
dc.identifier.issn0031-4005 (Linking)
dc.identifier.doi10.1542/peds.2008-3740
dc.identifier.pmid19969616
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43122
dc.description.abstractOBJECTIVES: The aim of this study was to provide an assessment of pediatric residency training in adolescent medicine. METHODS: We conducted 2 national surveys: 1 of pediatric residency program directors and the other of faculty who are responsible for the adolescent medicine block rotation for pediatric residents to elicit descriptive and qualitative information concerning the nature of residents' ambulatory care training experience in adolescent medicine and the workforce issues that affect the experience. RESULTS: Required adolescent medicine topics that are well covered pertain to normal development, interviewing, and sexual issues. Those least well covered concern the effects of violence, motor vehicle safety, sports medicine, and chronic illness. Shortages of adolescent medicine specialists, addictions counselors, psychiatrists, and other health professionals who are knowledgeable about adolescents frequently limit pediatric residency training in adolescent medicine. Considerable variation exists in the timing of the mandatory adolescent medicine block rotation, the clinic sites used for ambulatory care training, and the range of services offered at the predominant training sites. In addition, residents' continuity clinic experience often does not include adolescent patients; thus, pediatric residents do not have opportunities to establish ongoing therapeutic relationships with adolescents over time. Both program and rotation directors had similar opinions about adolescent medicine training. CONCLUSIONS: Significant variation and gaps exist in adolescent medicine ambulatory care training in pediatric residency programs throughout the United States. For addressing the shortcomings in many programs, the quality of the block rotation should be improved and efforts should be made to teach adolescent medicine in continuity, general pediatric, and specialty clinics. In addition, renewed attention should be given to articulating the core competencies needed to care for adolescents.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=19969616&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1542/peds.2008-3740
dc.subjectAdolescent
dc.subjectAdolescent Medicine
dc.subjectAdult
dc.subject*Clinical Competence
dc.subjectCurriculum
dc.subjectData Collection
dc.subjectEducation, Medical, Graduate
dc.subjectFemale
dc.subjectHumans
dc.subjectInternship and Residency
dc.subjectMale
dc.subjectPediatrics
dc.subjectProgram Development
dc.subjectProgram Evaluation
dc.subjectQuestionnaires
dc.subjectUnited States
dc.subjectYoung Adult
dc.subjectPediatrics
dc.titleAdolescent medicine training in pediatric residency programs
dc.typeJournal Article
dc.source.journaltitlePediatrics
dc.source.volume125
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/peds_adolescent/24
dc.identifier.contextkey2390888
html.description.abstract<p>OBJECTIVES: The aim of this study was to provide an assessment of pediatric residency training in adolescent medicine.</p> <p>METHODS: We conducted 2 national surveys: 1 of pediatric residency program directors and the other of faculty who are responsible for the adolescent medicine block rotation for pediatric residents to elicit descriptive and qualitative information concerning the nature of residents' ambulatory care training experience in adolescent medicine and the workforce issues that affect the experience.</p> <p>RESULTS: Required adolescent medicine topics that are well covered pertain to normal development, interviewing, and sexual issues. Those least well covered concern the effects of violence, motor vehicle safety, sports medicine, and chronic illness. Shortages of adolescent medicine specialists, addictions counselors, psychiatrists, and other health professionals who are knowledgeable about adolescents frequently limit pediatric residency training in adolescent medicine. Considerable variation exists in the timing of the mandatory adolescent medicine block rotation, the clinic sites used for ambulatory care training, and the range of services offered at the predominant training sites. In addition, residents' continuity clinic experience often does not include adolescent patients; thus, pediatric residents do not have opportunities to establish ongoing therapeutic relationships with adolescents over time. Both program and rotation directors had similar opinions about adolescent medicine training.</p> <p>CONCLUSIONS: Significant variation and gaps exist in adolescent medicine ambulatory care training in pediatric residency programs throughout the United States. For addressing the shortcomings in many programs, the quality of the block rotation should be improved and efforts should be made to teach adolescent medicine in continuity, general pediatric, and specialty clinics. In addition, renewed attention should be given to articulating the core competencies needed to care for adolescents.</p>
dc.identifier.submissionpathpeds_adolescent/24
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages165-72


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