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General practitioners' knowledge on childhood developmental and behavioural disorders.

W B Lian1, S K Y Ho, C L Yeo

  • 1Department of Neonatology, Singapore General Hospital, Outram Road, Singapore 169608.

Singapore Medical Journal
|January 1, 2004
PubMed
Summary

General practitioners in Singapore show knowledge gaps in childhood developmental disorders like autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD). Enhanced training is crucial for early identification and intervention in special needs children.

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Area of Science:

  • Pediatrics
  • Developmental Pediatrics
  • General Practice

Background:

  • Childhood developmental and behavioral disorders require early diagnosis and intervention.
  • Primary healthcare practitioners in Singapore are key referral sources for developmental pediatric services.
  • Adequate baseline knowledge of normal development and common disorders is essential for general practitioners (GPs).

Purpose of the Study:

  • To assess the existing knowledge of childhood developmental and behavioral pediatrics among GPs in Singapore.
  • To identify specific areas of knowledge deficits in developmental disorders.
  • To inform the development of targeted educational interventions.

Main Methods:

  • A pilot questionnaire survey was conducted among GPs in Singapore.

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  • Questions covered normal development and common disorders like autistic spectrum disorder (ASD), attention deficit/hyperactivity disorder (ADHD), and learning disability.
  • A total of 48 GPs participated in the survey.

    • Main Results:

    • The median score was 9 out of 14, with only one-third of GPs achieving a passing score (75%).
    • While most GPs answered questions on normal development correctly, scores on factual ASD/ADHD questions were suboptimal.
    • Some GPs held misconceptions about developmental disorders.

    Conclusions:

    • The study highlights significant knowledge and educational deficits in developmental pediatrics among the surveyed GPs.
    • GPs require enhanced knowledge and skills to effectively support families of children with developmental disorders.
    • There is a clear need for structured continuing medical education (CME) and curriculum integration for developmental pediatrics to improve early identification and diagnosis.