Violence prevention in the primary care setting: a program for pediatric residents

Area of Science:

• Pediatric Medicine
• Public Health
• Medical Education

Background:

• Interpersonal violence is a significant public health concern affecting children and families.
• Pediatric residents play a crucial role in addressing violence prevention during routine healthcare encounters.
• Effective communication strategies are needed to equip residents with the skills to discuss violence prevention.

Purpose of the Study:

• To evaluate the impact of a structured violence prevention program on pediatric residents.
• To measure the frequency and sustainability of violence prevention guidance provided during well-child visits.
• To assess resident perceptions of the program's effectiveness in enhancing knowledge and skills.

Main Methods:

• A prospective educational intervention study was conducted with pediatric residents.
• A 2.5-hour program included didactic sessions, role-playing, and resource materials.
• Parent/guardian surveys post-visit assessed the delivery of violence prevention guidance.

Main Results:

• Violence prevention discussions increased from 9.7% to 19.1% of visits post-intervention (OR 2.20).
• This improvement was maintained at the 6-month follow-up.
• Over 80% of residents reported increased knowledge and skills, with 93% intending to use them.

Conclusions:

• A single educational intervention effectively enhanced pediatric residents' violence prevention guidance.
• The program's positive effects on patient care and resident competency were sustained long-term.
• Residents found the program valuable for acquiring skills to address interpersonal violence in primary care settings.