TY - JOUR
T1 - Training in community pediatrics
T2 - A national survey of program directors
AU - Solomon, Barry S.
AU - Minkovitz, Cynthia S.
AU - Mettrick, Jennifer E.
AU - Carraccio, Carol
N1 - Funding Information:
We thank the members of the Dyson Initiative National Evaluation Advisory Committee for their review of initial study findings (Carol Bazell, MD, MPH; O. Marion Burton, MD; Carol Carraccio, MD; Diana Gurieva, MPH; David Heppel, MD, MPH; Judith Palfrey, MD; Kenneth Roberts, MD; Sarah Stelzner, MD; Jeffrey Stoddard, MD; and Patricia Volland CSW, MBA). We also gratefully acknowledge the thoughtful review and constructive comments of Dr Kenneth Roberts. This study was funded by a grant from the Dyson Foundation.
PY - 2004
Y1 - 2004
N2 - Objective. - To describe the spectrum of residency training in community-based settings, assess the extent of resident education on community pediatrics topics, and determine whether educational activities vary by program size or availability of primary care tracks. Methods. - Survey of US pediatric residency program directors from May-September 2002. A 10-ite self-administered questionnaire assessed the programs' extent of resident involvement in 15 selected community-based settings and inclusion of didactic or practical education regarding 13 community health topics. Results. - Of 168 programs surveyed (81% response rate), 40% were small (≤30 residents), 35% were medium (31-50 residents), 25% were large (>50 residents), and 15% had primary care tracks. Frequently required community-based settings included schools (69%), child protection teams (62%), day care centers (57%), and home visiting (48%). Of 15 community-based settings, 28% required involvement in fewer than 4, 41% required involvement in 4-6, and 31% required involvement in 7 or more. More than two-thirds offered didactic teaching and practical experience on issues related to managed care, cultural competency, and the mental health and social service systems. There were no differences in the number of required community-based settings by program size or presence of primary care tracks. Conclusions. - Most pediatric residency programs require exposure to community-based settings and provide education on various community health topics. Ongoing challenges include continued implementation amid work duty hour limitations, best practice models for practical implementation of community-based experience into residency training, and the impact of such training on future involvement in the community and physician practice.
AB - Objective. - To describe the spectrum of residency training in community-based settings, assess the extent of resident education on community pediatrics topics, and determine whether educational activities vary by program size or availability of primary care tracks. Methods. - Survey of US pediatric residency program directors from May-September 2002. A 10-ite self-administered questionnaire assessed the programs' extent of resident involvement in 15 selected community-based settings and inclusion of didactic or practical education regarding 13 community health topics. Results. - Of 168 programs surveyed (81% response rate), 40% were small (≤30 residents), 35% were medium (31-50 residents), 25% were large (>50 residents), and 15% had primary care tracks. Frequently required community-based settings included schools (69%), child protection teams (62%), day care centers (57%), and home visiting (48%). Of 15 community-based settings, 28% required involvement in fewer than 4, 41% required involvement in 4-6, and 31% required involvement in 7 or more. More than two-thirds offered didactic teaching and practical experience on issues related to managed care, cultural competency, and the mental health and social service systems. There were no differences in the number of required community-based settings by program size or presence of primary care tracks. Conclusions. - Most pediatric residency programs require exposure to community-based settings and provide education on various community health topics. Ongoing challenges include continued implementation amid work duty hour limitations, best practice models for practical implementation of community-based experience into residency training, and the impact of such training on future involvement in the community and physician practice.
KW - Community pediatrics
KW - Educational competencies
KW - Residency training
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U2 - 10.1367/A04-065R.1
DO - 10.1367/A04-065R.1
M3 - Article
C2 - 15548097
AN - SCOPUS:9944266197
SN - 1530-1567
VL - 4
SP - 476
EP - 481
JO - Ambulatory Pediatrics
JF - Ambulatory Pediatrics
IS - 6
ER -