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Evaluation and Comparison of a 1-Month Versus a 2-Week Community Pediatrics and Advocacy Rotation for Pediatric Residents
Cynthia DeLago, MD, MPH
CARES Institute, Department of Pediatrics, University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine, Stratford, New Jersey, delagocw{at}umdnj.edu
Edward Gracely, PhD
Department of Family, Community and Preventative Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania
This prospective study was conducted to assess the effects of a 4-week community pediatrics and advocacy rotation with a unique project (Curriculum A), a 2-week community pediatrics rotation with advocacy training and unique project throughout residency (Curriculum B), or no curriculum exposure on residents' attitudes, perceived competence, knowledge, and behaviors. A 27-item questionnaire was used to assess attitudes, competence, and knowledge. Examination of residents' patients' use of Early Intervention services during the 5-year period after curricula introduction assessed behaviors. Seventy percent of questionnaires distributed over several years were completed by 105 of 111 eligible residents. Residents exposed to Curriculum A or B demonstrated improved competence and knowledge but no significant increase in positive attitudes toward community pediatrics and advocacy. Residents' patients' use of Early Intervention services increased 65% during the 5-year period after curriculum introduction. No significant differences in outcome measures were observed between Curriculum A and Curriculum B.
Key Words: resident education • community pediatrics • advocacy training • service learning
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This version was published on December
1, 2007
Clinical Pediatrics, Vol. 46, No. 9,
821-830 (2007)
DOI: 10.1177/0009922807304149
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