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Community pediatrics: a consistent focus in residency training from 2002 to 2005
Barry S Solomon1, Cynthia S Minkovitz, Holly A Grason
1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. bsolomon@jhmi.edu
Summary
Pediatric residency programs increasingly emphasized legislative advocacy and child advocacy training between 2002 and 2005. This shift indicates a growing recognition of the importance of these skills in community pediatrics education.
Area of Science:
- Pediatrics
- Medical Education
- Community Health
Background:
- Community pediatrics training is crucial for preparing residents for diverse healthcare settings.
- Understanding trends in residency education is vital for curriculum development.
Purpose of the Study:
- To evaluate changes in community pediatrics training between 2002 and 2005.
- To identify shifts in resident experiences related to community health and advocacy.
Main Methods:
- Surveyed pediatric residency program directors in 2002 and 2005.
- Assessed training in community settings, didactic/practical teaching, and resident involvement in advocacy and research.
- Utilized cross-sectional and matched-pair analyses.
Main Results:
- More programs offered didactic (69% vs 53%) and practical (53% vs 40%) legislative advocacy training in 2005 compared to 2002.
- Increased resident involvement in legislative testimony and emphasis on child advocacy during recruitment were reported in 2005.
- Over 50% of programs required resident involvement with schools and child protection teams in both years.
Conclusions:
- Pediatric residency programs show a sustained focus on legislative activities and child advocacy.
- These findings highlight the perceived value of advocacy training and inform future residency curriculum.
- The trend suggests a need to re-evaluate the content of general pediatric residency training.
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