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Comparison of Resident and Faculty Screening for Social Determinants of Health in an Academic Pediatric Primary Care

Brittany Silva1, Shuba Kamath2, Cia Panicker2

  • 1Department of Pediatrics, Rhode Island Hospital/Hasbro Children's Hospital; Alpert Medical School of Brown University, Providence, RI; Department of Pediatrics, Children's Hospital at Dartmouth-Hitchcock, Concord, NH.

Rhode Island Medical Journal (2013)
|July 29, 2021
PubMed

Insights

Pediatricians screen for social determinants of health (SDH) differently. Faculty screened more often than residents, but referrals to resources were similar, highlighting varied approaches to children's health needs.

Area of Science:

  • Pediatric Primary Care
  • Social Determinants of Health Research

Background:

  • Social determinants of health (SDH) significantly impact child development and well-being.
  • Investigating SDH is crucial within pediatric well-child care settings.

Purpose of the Study:

  • To compare social determinants of health (SDH) screening practices between pediatric residents and faculty.
  • To identify disparities in screening for specific SDH factors and referral patterns.

Main Methods:

  • Retrospective chart review of children aged 5-17 during well visits at an urban academic pediatric practice.
  • Statistical analysis using chi-square tests and z-tests to compare screening frequencies between resident and faculty clinicians.

Main Results:

  • Faculty clinicians demonstrated higher overall SDH screening rates compared to residents (P<0.05).
  • Residents screened less frequently for food insecurity and financial insecurity (P<0.05).
  • Resident families reported less financial insecurity but more school absence (P<0.05).

Conclusions:

  • Significant differences exist in SDH screening approaches between pediatric residents and faculty.
  • Despite varied screening, referral rates to community resource desks were comparable across clinician groups.
Abstract

Keywords:
community resourcesgraduate medical educationscreeningsocial determinants of health

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