Adolescent medicine education in pediatric residency programs following the 1978 Task Force on Pediatric Education report

1987 ◽  
Vol 8 (4) ◽  
pp. 356-364 ◽  
Author(s):  
George D. Comerci ◽  
Donald B. Witzke ◽  
Anthony J. Scire
PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 805-806
Author(s):  
CHARLES P. JOHNSON

The special pediatric practice issue of Pediatrics was an appropriate forum for the articles by Dubowitz and Chastain et al and the response by Morrow. In all three commentaries, various aspects of pediatric residency training were discussed, whereas the need for a "supplement" represented the overload of continuing education of the practitioner. Dubowitz suggested that there is a need for additional pediatric residency training in child maltreatment. Chastain et al questioned pediatricians about perceived increases in adolescent medicine skills acquired since the Task Force on Pediatric Education called for more emphasis on adolescent medicine during residency training.


PEDIATRICS ◽  
1992 ◽  
Vol 90 (6) ◽  
pp. 876-880
Author(s):  
Esther H. Wender ◽  
Polly E. Bijur ◽  
W. Thomas Boyce

A sample of 3000 pediatricians who had completed their residency training in 1978 or later were surveyed regarding the perception of the adequacy of their residency training in specific aspects of pediatric practice and in a number of subspecialty areas. The survey was almost identical with the one that formed the basis for the American Academy of Pediatrics Task Force on Pediatric Education report in 1978. The results revealed relatively little change in the high rates of perceived "insufficient training" in all the areas of pediatrics described as "underemphasized" in the Task Force report. However, those residents who received their training during the second half of the 10 years since the Task Force survey reported significant improvement in the previously underemphasized areas of developmental and behavioral pediatrics and adolescent medicine. Results also revealed a significant increase in the number of pediatricians who identify either a subspecialty interest or subspecialty practice in developmental or behavioral pediatrics. The increase in pediatric subspecialists and the improved training experience since 1984 indicate that the Task Force report may have had a positive impact on residency training in developmental and behavioral pediatrics.


PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 523-526 ◽  
Author(s):  
Howard L. Weinberger ◽  
Frank A. Oski

Twenty-nine pediatric residency training programs responded to a survey with detailed descriptions of the scheduled rotations before and after the Report of the Task Force on Pediatric Education. This survey documented some changes in the overall structure of residency programming in that all programs demand 3 years of general pediatric training. Little if any changes were noted in the traditional emphasis on inpatient and neonatal training. Some changes in content area have been noted, namely a modest increase in the experiences in adolescent medicine. The survey failed to demonstrate any trend indicating increased emphasis on training experiences in the "new morbidity."


PEDIATRICS ◽  
1983 ◽  
Vol 72 (3) ◽  
pp. 420-427
Author(s):  
Michael David Resnick

Increased pediatric participation in the health and medical care of adolescents has been encouraged over the last several years, both through the redefinition of the age range of pediatric practice by the American Academy of Pediatrics, and by the 1978 Task Force Report on Pediatric Education. Whereas the Task Force Report enunciated a framework for pediatric leadership in adolescent medicine, little is known about the extent to which adolescents are actually included in pediatric practice. Based upon the findings of the 1980-1981 Upper Midwest Regional Physician Survey, the use of age "cutoff" policies for adolescents is explored. The various types of such policies are examined, in addition to reasons for their use and non-use, the characteristics of pediatricians who include and exclude adolescents from their practice, exceptions made to adolescent age limits, differential enforcement by patient and physician gender, and anticipated changes in cutoff policies in light of projected demographic changes for infants, children and youth, and physician supply.


PEDIATRICS ◽  
1998 ◽  
Vol 102 (3) ◽  
pp. 588-595 ◽  
Author(s):  
S. J. Emans ◽  
T. Bravender ◽  
J. Knight ◽  
C. Frazer ◽  
M. Luoni ◽  
...  

PEDIATRICS ◽  
1980 ◽  
Vol 66 (5) ◽  
pp. 819-820
Author(s):  
Sophie Pierog ◽  
Austin C. Hill

Anders,1 noted that pediatrics and child psychiatry have, in the past, shown little ability to collaborate. The unfortunate effects of this lack of collaboration have been brought into focus in the report of the Task Force on Pediatric Education,2 which notes that "about half of young pediatricians rated their residency as providing insufficient experience with psychosocial and behavioral problems," and indicated a need for information about normal and abnormal growth and development patterns, psychological testing, psychotherapy, psychopharmacology, parenting and behavioral change.


PEDIATRICS ◽  
1993 ◽  
Vol 92 (2) ◽  
pp. 303-303
Author(s):  
VICTOR C. STRASBURGER

To the Editor.— Cheers to Dr Wender et al1 for having the good sense to update the survey of pediatricians originally undertaken by the 1978 American Academy of Pediatrics Task Force on Pediatric Education, but their concept of what constitutes "significant improvement" leaves me mystified! In their sample of graduates of pediatric residency training programs since 1984, the following percentages of physicians found their residency training experiences to be insufficient: Care of adolescents, 50.9% Psychosocial problems, 50.1% Interviewing and counseling, 33.3%


PEDIATRICS ◽  
1993 ◽  
Vol 92 (2) ◽  
pp. 303-304
Author(s):  
ESTHER H. WENDER

In Reply.— Dr Strasburger is correct to be appalled at the continuing high rates of perceived inadequacy of pediatric residency training in psychosocial issues and in adolescent medicine, as was documented in our recent article.1 But our study did reveal that there has been movement in the right direction during the 10 years of pediatric training since the Task Force report, especially in the five most recent years of training. Our figures showed, for example, that in 1978, when pediatricians were surveyed for the Task Force report, 66% felt that their training in adolescent medicine was insufficient.


2012 ◽  
Vol 4 (2) ◽  
pp. 242-245 ◽  
Author(s):  
Jennifer C. Kesselheim ◽  
Graham T. McMahon ◽  
Steven Joffe

Abstract Background Professionalism is one of the Accreditation Council for Graduate Medical Education's core competencies. Residency programs must teach residents about ethical principles, which is an essential component of professionalism. Objectives We aimed to formally develop a valid and reliable test of ethics knowledge that effectively discriminated among learners in pediatric residency training and to improve methods for measuring outcomes of resident education in medical ethics. Methods We created an instrument with 36 true/false questions that tested knowledge in several domains of pediatric ethics: professionalism, adolescent medicine, genetic testing and diagnosis, neonatology, end-of-life decisions, and decision making for minors. All questions and their correct answers were derived from published statements from the American Academy of Pediatrics Committee on Bioethics. We invited a range of participants from novices to experts to complete the test. We evaluated the instrument's reliability and explored item discrimination, omitting 13 items with the least discriminatory power. Score differences between the 3 categories of examinees were evaluated. Results The 23-item test, completed by 54 participants, demonstrated good internal reliability (Kuder-Richardson 20 statistic  =  0.73). The test was moderately difficult and had a mean overall score of 17.3 (±3.3 standard deviation). Performance appropriately improved with degree of expertise: median scores for medical students, postgraduate year-3 residents, and ethicists were 15 (65%, range, 11–19), 19 (83%, range, 14–23), and 22 (96%, range, 20–23), respectively. Ethicists' scores were significantly higher than those of medical students (P < .001) and residents (P  =  .007). Moreover, residents performed significantly better than medical students (P  =  .001). Conclusions We developed a standardized instrument, entitled Test of Residents' Ethics Knowledge for Pediatrics (TREK-P), to evaluate residents' knowledge of pediatric ethics. The TREK-P is easy to administer, reliably discriminates among learners, and highlights content areas in which knowledge may be deficient.


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