Abstract

Emans SJ, Bravender T, Knight JR, Frazer
C, Luoni M, Berkowitz C, Armstrong E, Goodman E.
Adolescent medicine training in pediatric residency programs: Are we doing
a good job?

Pediatrics 102(3):588-95. Sept 1998.

Abstract

Objectives: To develop a standardized case-based
curriculum for pediatric residents on child growth, development, behavior
and adolescent medicine, which incorporates the Bright Futures health
supervision guidelines.

Design: This project included a needs assessment,
development of a list of important topics, writing and revising of standardized
cases, formative evaluation of cases, and efficacy pilot testing of two
cases.

Setting: A large pediatric teaching hospital
continuity clinic.

Participants: Pediatric residents, fellows
and faculty.

Interventions: Preparation of standardized
cases; facilitator training; resident-led teaching conferences.

Outcome Measures:

(1) Learner and facilitator evaluation forms

(2) Two 10-item diagnostic skills assessments.

Results: Over the course of the project, faculty-fellow
teams wrote 29 case-teaching modules. All participants gave high ratings
to cases, and resident facilitators reported increased comfort with the
case discussion method. Resident learners’ ability to accurately
interpret developmental screening tests and growth charts improved following
sessions on those topics.

Conclusions: Further evaluation is required,
but standardized cases appear promising for teaching pediatric residents.
The curriculum is now freely available to faculty nationwide.