Understanding Barriers to Literacy Promotion Among New Jersey General Pediatricians

2017 ◽  
Vol 57 (6) ◽  
pp. 667-671 ◽  
Author(s):  
Julia Mayne ◽  
Shilpa Pai ◽  
Lesley Morrow ◽  
Daniel Lima ◽  
Manuel E. Jimenez
Keyword(s):  
Primary Care ◽  
Early Childhood ◽  
New Jersey ◽  
Random Sample ◽  
Poor Health ◽  
Time Constraints ◽  
Low Literacy ◽  
Attitudes And Practices ◽  
Sample Support ◽  
Primary Care Pediatricians

Low literacy is associated with poor health. We sought to examine pediatricians’ attitudes and practices regarding literacy promotion in early childhood. We distributed a self-administered 23-item survey to a random sample of 500 board certified or eligible New Jersey primary care pediatricians. 134 surveys were returned, 25 of which were excluded. In all, 91% of pediatricians in our sample agreed that literacy promotion was an essential aspect of practice, and two-thirds agreed that they conduct activities to promote literacy. A total of 77% of pediatricians who completed their training ≤20 years ago agreed that they were adequately trained to promote literacy compared with 58% who completed their training >20 years ago ( P = .04). Physicians reported several barriers including time constraints and insufficient funding. While most pediatricians in our sample support literacy promotion, less conducted activities in practice. Further study is needed to understand how to facilitate implementation of literacy promotion guidelines.

Development and implementation of a culturally tailored early childhood program in an integrated pediatric primary care practice.

2020 ◽  
Vol 8 (3) ◽  
pp. 288-297
Author(s):  
Tyanna C. Snider ◽  
Whitney J. Raglin Bignall ◽  
Cody A. Hostutler ◽  
Ariana C. Hoet ◽  
Bethany L. Walker ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Childhood ◽  
Primary Care Practice ◽  
Pediatric Primary Care ◽  
Care Practice ◽  
Early Childhood Program ◽  
Culturally Tailored ◽  
Childhood Program

Few primary care pediatricians screen for psychosis but many are willing

2021 ◽  
Vol 232 ◽  
pp. 65-67
Author(s):  
Alexander B. Moxam ◽  
Emily J. McClellan ◽  
Consuelo Cagande ◽  
Monica E. Calkins ◽  
Daniel H. Wolf ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Pediatricians

Parent and Primary Care Provider Priorities for Wellness in Early Childhood: A Discrete Choice Experiment

2021 ◽  
Author(s):  
Stephanie L. Mayne ◽  
Chloe Hannan ◽  
Jennifer Faerber ◽  
Rupreet Anand ◽  
Ella Labrusciano-Carris ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Childhood ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Care Provider ◽  
Primary Care Provider ◽  
Choice Experiment

scholarly journals Pediatricians’ knowledge, attitudes and practices surrounding menstruation and feminine products

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Miriam R. Singer ◽  
Nikita Sood ◽  
Eli Rapoport ◽  
Haelynn Gim ◽  
Andrew Adesman ◽  
...  
Keyword(s):  
National Sample ◽  
Anticipatory Guidance ◽  
Clinical Practices ◽  
Online Questionnaire ◽  
Menstrual Cycles ◽  
Attitudes And Practices ◽  
Menstrual Health ◽  
Logistic Regressions ◽  
Primary Care Pediatricians ◽  
Knowledge Attitudes And Practices

AbstractObjectiveThis study investigates whether primary care pediatricians adhere to the American Academy of Pediatrics (AAP) recommendations by routinely evaluating patients’ menstrual cycles and educating patients about menstruation and feminine products. Additionally, this study examines pediatricians’ knowledge and attitudes surrounding menstrual health topics.MethodsA 53-item online questionnaire was developed to evaluate pediatricians’ knowledge, attitudes and clinical practices regarding menstruation-related topics. The questionnaire was emailed to 2500 AAP members using a geographically-stratified sampling approach, with pediatricians in each state selected randomly. Mann-Whitney U tests, t-tests, and logistic regressions were used to assess associations between correlates and pediatricians’ knowledge, attitudes and practices.ResultsFive hundred and eighteen out of 2500 pediatricians participated (response rate = 20.7%), 462 met inclusion criteria; 78.8% were female, 79.2% were Caucasian. The majority of the pediatricians (58.2%) were “not at all” or only “slightly” familiar with the AAP guidelines on anticipatory guidance surrounding menarche. Many reported they do not routinely provide anticipatory guidance regarding menstruation to pre-menarchal patients (24.7%), discuss menstruation with post-menarchal patients (33.1%) or ask patients the date of their last period (28.4%). The majority were unlikely to discuss feminine products with patients. Gaps in menstruation-related knowledge were noted. Male pediatricians were significantly less likely to evaluate patients’ menstrual cycles and provide patient-education regarding menstruation-related topics, and had significantly lower self-rated and measured knowledge of these topics.ConclusionsA concerning number of pediatricians in a national sample do not abide by AAP recommendations surrounding menstruation and exhibit knowledge gaps in this area. To effectively address the health needs of female patients, pediatricians should better incorporate menstrual health care into their clinical practice.

Education for the Post?

PEDIATRICS ◽  
1978 ◽  
Vol 61 (6) ◽  
pp. 938-939
Author(s):  
Richard J. Gluckman
Keyword(s):  
Primary Care ◽  
Current Trend ◽  
Hospital Setting ◽  
View Point ◽  
Family Practitioners ◽  
Primary Care Pediatricians

Having read the commentary "Primary Care: We Need All the Help We Can Get!" (Pediatrics 59:315, March 1977), I agree with Dr. Haggerty and oppose Dr. White's view-point. I agree with Dr. Hoekelman that we need to "develop partnerships with family practitioners and others if we are to succeed" in providing "optimal primary care." The current trend in many pediatric training centers is not directed toward this goal. As has been stated many times, we are training more primary care pediatricians using sick patients in a hospital setting.

Practice and Guidelines

PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 604-605
Author(s):  
John T. Benjamin
Keyword(s):  
Primary Care ◽  
Otitis Media ◽  
Practice Guidelines ◽  
Primary Care Pediatricians

As a former practicing pediatrician turned academic, I found the article entitled "The Management of Febrile Infants by Primary-Care Pediatricians in Utah: Comparison with Published Practice Guidelines"1 interesting if not disturbing. Three case scenarios were sent to 194 pediatricians: a 3-week-old infant with fever, a 2-month-old infant with rales and bilateral otitis media, and a 20-month-old infant with fever. Ninety-four pediatricians responded and their workups and approaches to treatment compared to ‘practice guidelines" developed by Baraff et al.2

The Management of Febrile Infants by Primary-Care Pediatricians in Utah: Comparison With Published Practice Guidelines

PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 623-627 ◽  
Author(s):  
Paul C. Young
Keyword(s):  
Primary Care ◽  
Practice Guidelines ◽  
Laboratory Tests ◽  
Blood Count ◽  
Response Rate ◽  
Expert Panel ◽  
Complete Blood Count ◽  
Age Groups ◽  
Design Case ◽  
Primary Care Pediatricians

Objective. To determine primary-care pediatricians' management of febrile infants and compare them with published practice guidelines. Design. Case scenarios were sent to 194 primary-care pediatricians in Utah, describing three febrile infants, ages 21 days, 60 days, and 20 months, corresponding to the three age groups: 0 to 28 days; 29 to 90 days, and 91 days to 36 months for which the guidelines suggest different strategies. Results. Ninety-four pediatricians responded (response rate, 48%). Compliance with the guidelines was 39% for the 21 day old, 9.6% for the 60 day old, and 75% for the 20 month old. No respondent followed the guidelines for all three infants. Performance of tests to determine if an infant was low risk varied from 3%, for a stool white cell examination in a febrile 2 month old with diarrhea, to 75% for a complete blood count in a 20 month old with a temperature of 40°C. Compliance did not differ between private and academic practitioners. Those in practice less than 5 years (n = 22) were more likely than those with more experience to follow the guidelines for the 21 day old but not the other two infants. Conclusion. Primary-care pediatricians in Utah manage febrile infants with fewer laboratory tests and less hospitalization than recent practice guidelines developed by an expert panel of academic specialists suggest.

Pediatric Plastic and Reconstructive Surgery for Primary Care

2020 ◽  
Author(s):  
Keyword(s):  
Primary Care ◽  
Reconstructive Surgery ◽  
Plastic And Reconstructive Surgery ◽  
Reconstruction Surgery ◽  
Primary Care Pediatricians ◽  
Comprehensive Coverage

With contributions from the leading experts, Pediatric Plastic and Reconstructive Surgery for Primary Care provides primary care pediatricians and other professionals who care for children comprehensive coverage of both common and rare congenital and acquired pediatric conditions. https://shop.aap.org/pediatric-plastic-and-reconstruction-surgery-for-primary-care-paperback/

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