Medical College of Wisconsin
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Residency training and use of strategies to promote community child health one year after graduation. Acad Pediatr 2012 Jul-Aug;12(4):344-9 PMID: 22405963

Pubmed ID

22405963

DOI

10.1016/j.acap.2012.01.004

Abstract

OBJECTIVE: Training pediatricians to understand child health in the context of community and to develop skills to engage with community organizations remain priorities for residency education in the United States. Our objectives were to: 1) determine use of strategies to influence community child health by graduates of the Community Pediatrics Training Initiative (CPTI); and 2) to identify personal, practice, and residency program factors associated with use of strategies 1 year after residency.

METHODS: Analysis of data from the Dyson Initiative National Evaluation included surveys of physicians ("graduates") 1 year after residency and surveys of CPTI program leaders. Graduates reported personal and practice characteristics and use of one or more strategies to influence community child health. Chi-square and logistic regression were used to examine associations between personal, practice, and programmatic factors with use of strategies.

RESULTS: Of the 511 graduates (68% participation), 44% reported use of one or more strategies. After adjusting for residency site, time spent in general pediatrics, and program emphasis on individual level advocacy, we found that graduates were more likely to report using strategies if they felt responsible for improving community child health (adjusted odds ratio [aOR] 4.1, 95% confidence interval [95% CI] 2.5-6.9), had contact with a person who provides guidance about community pediatrics (aOR 1.8, CI 1.2-2.6), or trained in a program that places great emphasis on teaching population level advocacy skills (aOR 2.3, CI 1.3-4.2).

CONCLUSIONS: Personal perspectives and residency education influence community involvement, even early in pediatricians' careers. Efforts are needed to understand how content and delivery of training influence community engagement over time.

Author List

Solomon BS, Grason HA, Swigonski N, Willis E, Iwaishi LK, Minkovitz CS

Author

Earnestine Willis MD, MPH Chief, Professor in the Pediatrics department at Medical College of Wisconsin




Scopus

2-s2.0-84863939918   4 Citations

MESH terms used to index this publication - Major topics in bold

Child
Child Welfare
Community Medicine
Female
Humans
Internship and Residency
Male
Pediatrics
Physicians
jenkins-FCD Prod-332 f92a19b0ec5e8e1eff783fac390ec127e367c2b5