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Related Experiment Videos

Pediatricians' approaches to developmental problems: has the gap been narrowed?

A E Dobos1, P H Dworkin, B A Bernstein

  • 1Department of Pediatrics, University of Connecticut, School of Medicine, Farmington.

Journal of Developmental and Behavioral Pediatrics : JDBP
|February 1, 1994
PubMed
Summary

Pediatricians now use more advanced methods for developmental problems, moving beyond basic exams. This reflects improved training in developmental pediatrics and better patient outcomes.

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Area of Science:

  • Pediatric Practice
  • Developmental Pediatrics

Background:

  • Uncertainty regarding the impact of recent advances in developmental pediatrics on clinical practice.
  • Need to assess current pediatricians' approaches to developmental issues.

Purpose of the Study:

  • To explore attitudes and clinical approaches of primary care pediatricians to developmental problems.
  • To compare current practices with those from 15 years prior.

Main Methods:

  • Survey of 41 randomly selected, board-certified, primary care pediatricians in Connecticut.
  • Comparison of responses with a previous survey of 97 New England pediatricians.

Main Results:

  • Pediatricians are less reliant on history and physical examination alone for diagnosing mental retardation.

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  • Increased likelihood of referral for further assessment in cases of suspected mental retardation (p < .01).
  • Higher rates of hearing screening for delayed speech (p < .05) and school contact/referral for failing children (p < .01).

    • Conclusions:

    • Favorable changes observed in pediatricians' approaches to developmental problems.
    • Evidence supports the increased emphasis on developmental issues in pediatric education.