Attitudes, knowledge, and training of medical residents regarding adolescent health issues

Figueroa, Elizabeth E.; Kolasa, Kathryn M.; Horner, Ronnie E.; Murphy, M. Dianne; Dent, Mary; Ausherman, Judith A.; Irons, Thomas G.

doi:10.1016/1054-139x(91)90021-o

Cited by 16 publications

(12 citation statements)

References 4 publications

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“…There are perhaps even more papers that describe the obstacles to integrating nutrition education into residencies, in the US and Canada. Most of the papers were published in the late 1980s to early 1990s (Gjerde & Sinnott, 1982;Lasswell, 1983;Moore & Larsen, 1983;Creager et al, 1984;Rubenstein & Berfoff, 1984;Kupper & Steiner, 1985;Dappen et al, 1986;Gray et al, 1988;Lopez et al, 1988;Sobal et al, 1988;Nuhlicek et al, 1989;Murphy, 1989;Jack et al, 1990;Figueroa et al, 1991;Feldman, 1991;Kolasa et al, 1992;Lasswell, 1992;Bruer et al, 1992;Lazarus et al, 1993.) Each of these efforts was successful in producing a change in physician knowledge and attitude toward nutrition.…”

Section: Successes In Family Medicine Educationmentioning

confidence: 99%

Developments and challenges in family practice nutrition education for residents and practicing physicians: An overview of the North American experience

1999

Eur J Clin Nutr

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The history of nutrition education in family medicine residency training and continuing medical education (CME) in North America is brie¯y reviewed. Past efforts have been successful in improving knowledge and attitudes toward nutrition. Some of the barriers to physicians providing nutrition services to their patients, such as poor reimbursement for those services, are largely outside the domain of medical educators. However, the education and training of family practice residents and practicing physicians in nutrition has not yet fully matured. Strategies are needed that impact physician counseling behaviors. Strengthening the content of certi®cation examinations, providing evidence that brief counseling strategies impact patient outcomes, and role modeling counseling through multimedia delivery are three educational strategies with potential.

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Section: Successes In Family Medicine Educationmentioning

confidence: 99%

Developments and challenges in family practice nutrition education for residents and practicing physicians: An overview of the North American experience

1999

Eur J Clin Nutr

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“…In the field of nursing, it has been suggested that educational programming focused on increasing nurses' comfort and confidence would improve their ability to deal with issues related to their patients' sexuality (Higgins, Barker, & Begley, 2008;Magnan, Reynolds, & Galvin, 2006). Similarly, studies looking at the role of physicians indicated a need to increase the skills (Boekeloo et al, 1991), comfort (Figueroa et al, 1991;Torkko, Gershman, Crane, Hamman, & Baron, 2000;Yudkowsky, Downing, & Ommert, 2006), and confidence (Figueroa et al, 1991) for physicians to properly address the sexual health needs of their patients. In the classroom, it has been suggested that the comfort and confidence of a teacher to discuss sexual health topics is paramount to successfully educating students on such issues (Ahmed et al, 2006;Haignere, Culhane, Balsley, & Legos, 1996;Hamilton & Gingiss, 1993).…”

Section: Introductionmentioning

confidence: 97%

Expanding our Reach: The Potential for Youth Development Professionals in Community-Based Organizations to Provide Sexuality Information

Fisher

Reece

Dodge

et al. 2010

American Journal of Sexuality Education

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Adolescents in the United States continue to face sexual health issues. While community-based organizations (CBOs) have a long history of addressing the sexual health needs of those they serve, little attention has been given to CBOs focused on adolescent populations and the role youth development professionals (YDPs) might play in the advancement of sexual health.The purpose of this study was to assess the potential of YDPs to provide sexuality information to youth by 1) determining the frequency and type of questions YDPs receive from youth on sexuality and 2) ascertaining the perceived comfort, confidence, skills, and knowledge of YDPs in answering questions from youth and YDPs Providing Sex Information 37 characteristics that might be predictive of increased levels of perceived comfort, confidence, skills, and knowledge.Utilizing a community-based participatory research process that engaged the researchers with leaders, key stakeholders, and youth development professionals from community-based organizations throughout the state, data were collected from 169 YDP in Indiana. YDPs received questions from youth on a broad array of sexuality-related topics with personal skills and relationships being the most frequent topics. YDPs had high perceived levels of comfort, confidence, skills, and knowledge (CCSK) in addressing questions from youth about sexuality. Training, both formal classroom-type training and more informal practices such as advice-seeking from a professional, was the only factor predictive of higher levels of CCSK.Results indicate that YDPs might play an important role in providing sexuality information to youth. Communities interested in ameliorating disparities among youth might want to consider including CBOs and YDPs in an ecological approach to sexual health education.

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“…31 This cohort of senior internal medicine residents is interested in receiving more training in adolescent medicine, which differs from previous studies, in which surveyed residents and practising physicians recognized deficiencies in the area of adolescent medicine, yet reported a low desire for additional training. 24,26,27 Perhaps this cohort's attitudes represent a change in the societal attitudes towards caring for adolescent patients, or it may represent a more diverse group of trainees, e.g., more women or cultural diversity. It may also represent that these residents, while caring for a limited number of adolescent patients, identified gaps in their knowledge that they recognize will be necessary to care for adolescents in the future.…”

Section: Discussionmentioning

confidence: 98%

“…Previous assessments of internal medicine residents have shown deficiencies in adolescenthistory taking, counselling, and evaluation of psychopathology, 25 and in counselling and management of reproductive health and psychosocial (high-risk behaviour) issues. 26,27 In anticipation of developing a formal internal medicine residency-based adolescent medicine curriculum, in large part focusing on the adolescent interview, a needs assessment was conducted to identify the preparedness of senior residents to effectively communicate with and care for adolescent patients.…”

mentioning

confidence: 99%

“…[24][25][26][27] In 1990, Blum reported the most recent national survey of primary care physicians' self-assessed competence in caring for adolescent patients, defined as anyone aged 11-22 years of age. 24 Greater than 75% felt insufficiently trained to manage common adolescent health concerns such as eating disorders, sexual orientation, and conflict issues; and 45% cited lack of training as the major barrier in providing adequate care to adolescent patients.…”

mentioning

confidence: 99%

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Internal medicine residents' perceived preparedness in provision of preventive health counselling to adolescent patients

Gonzaga

Clifton

McNeil

2011

Journal of Communication in Healthcare

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The major causes of adolescent morbidity and mortality are lifestyle related and are all amenable to intervention through counselling. In order to identify concerning health behaviours, physicians must be skilled in appropriately assuring confidentiality and in obtaining the social history. To assess internal medicine residents' perceived preparedness to care for adolescents, particularly with regard to counselling on adolescent-specific health issues, a survey assessing these skill sets was administered to senior internal medicine residents at two universityaffiliated programmes. Senior residents surveyed feel uncomfortable counselling on 94% of the adolescent health issues assessed. Nonetheless, 60% are willing to care for adolescents in the future, and 75% are interested in additional residency training in adolescent medicine. Despite exposure to adolescent patients during residency training and an expressed interest in adolescent medicine, residents are poorly prepared to care for adolescent patients. Future curriculum development should focus on increasing the opportunities to directly care for adolescents, during which residents can practice and develop the interviewing and counselling skills necessary for care of adolescent patients.

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Attitudes, knowledge, and training of medical residents regarding adolescent health issues

Cited by 16 publications

References 4 publications

Developments and challenges in family practice nutrition education for residents and practicing physicians: An overview of the North American experience

Developments and challenges in family practice nutrition education for residents and practicing physicians: An overview of the North American experience

Expanding our Reach: The Potential for Youth Development Professionals in Community-Based Organizations to Provide Sexuality Information

Internal medicine residents' perceived preparedness in provision of preventive health counselling to adolescent patients

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