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Evaluation of a community-based pediatrics residency rotation using narrative analysis
Nancy P Chin1, C Andrew Aligne, Amanda Stronczek
1Department of Community and Preventive Medicine, Division of Public Health Practice, University of Rochester Medical Center, Rochester, New York 14642, USA. Nancy_chin@urmc.rochester.edu
Summary
Community pediatrics rotations enhance resident knowledge of poverty's impact on child health. These experiences foster advocacy skills and improve referral capabilities, though attitude and skill application require further study.
Area of Science:
- Community Health
- Pediatric Education
- Social Determinants of Health
Background:
- Disadvantaged neighborhoods present unique challenges for child health.
- Pediatric residents require training to address community-level health issues.
- Understanding the impact of poverty on children is crucial for effective pediatric care.
Purpose of the Study:
- To assess changes in knowledge, attitudes, and skills among residents after a community pediatrics rotation.
- To evaluate the effectiveness of community-based training in preparing pediatric residents for public health challenges.
- To determine if the rotation improved residents' ability to improve child health in the community.
Main Methods:
- A qualitative analysis of 25 resident essays from a two-week community pediatrics rotation at the University of Rochester Medical Center.
- Residents reflected on their learning experiences in written essays.
- An interdisciplinary team identified recurring themes and narrative elements indicating learner transformation.
Main Results:
- Essays revealed increased knowledge of poverty's effects on families.
- Residents reported renewed enthusiasm for advocacy and improved skills in making referrals.
- Despite initial skepticism, residents had positive overall impressions, with essays showing evidence of learner transformation.
Conclusions:
- Community pediatrics rotations effectively educate residents about poverty's impact on children and families.
- The rotation experience can enhance residents' knowledge, attitudes, and skills for community child health.
- Further evaluation is needed to confirm the practical application of reported changes in attitudes and skills.