Formal training in vaccine safety to address parental concerns not routinely conducted in U.S. pediatric residency programs

Williams, Sarah E.; Swan, Rebecca

doi:10.1016/j.vaccine.2014.04.001

Cited by 25 publications

(15 citation statements)

References 17 publications

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“…Vaccine communication training is not currently a standard component of medical education. A recent study found that of 92 pediatric residency programs in the US, only 41% of programs had formal training in vaccine safety and communication strategies for vaccine-hesitant patients [25]. Moreover, intervening by teaching communication methods to physicians after residency has not been effective at improving physician comfort conversing with vaccine hesitant parents [14].…”

Section: Discussionmentioning

confidence: 99%

An innovative medical school curriculum to address human papillomavirus vaccine hesitancy

Schnaith

Evans

Vogt

et al. 2018

Vaccine

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Our innovative curriculum improved medical student comfort level discussing HPV vaccination with hesitant parents and increased the perceived likelihood of recommending HPV vaccination. The intervention is easy to implement, scalable, and requires minimal resources. Educating future providers on this important topic has the potential to improve vaccination rates nationwide and thus should be considered for all medical students.

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Section: Discussionmentioning

confidence: 99%

An innovative medical school curriculum to address human papillomavirus vaccine hesitancy

Schnaith

Evans

Vogt

et al. 2018

Vaccine

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“…However, standardized evidence-based residency training to manage 'vaccine hesitancy' has not been developed. A 2014 survey of Association of Pediatric Program Directors members showed that most pediatric training programs lacked an organized curriculum on vaccine safety or parental vaccine hesitancy, yet most respondent program directors believed such training would be valuable and important (Williams and Swan, 2014). Further, it is unknown whether residents harbor vaccine hesitant attitudes similar to the general population, which would undermine their vaccine recommendations.…”

Section: Introductionmentioning

confidence: 99%

Identifying Medical Residents’ Perceived Needs in Vaccine Education though a Needs Assessment Survey

Williams¹,

Clark²,

Humiston³

et al. 2020

MedEdPublish

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Background: Vaccine education during residency is not standardized. Little is known about resident perspectives on vaccines and ideal vaccine training. Methods: A convenience sample of pediatric and family medicine (FM) residents were surveyed using a de novo 22 question survey to understand perspectives on vaccines and current and preferred vaccine education curriculum. Responses were analyzed categorically and compared by resident year using Fisher's Exact test. Results: In October 2016, 126 residents from 9 pediatric and FM programs completed the survey. Resident respondents' training levels varied. Most were 25-29 years old and female. High familiarity with vaccines and agreeing to defer recommended vaccine(s) increased with additional years of training (p<0.01). Most residents want to learn more about vaccine risks, benefits, and communication skills. Preferred training modalities were in-person lectures, online modules, and continuity clinic didactics. Residents rated MMR and Hib vaccines as "highly important" more frequently than they did so for HPV and influenza vaccines. One fifth of respondents reported some degree of hesitancy regarding vaccines. Conclusion: Results provide insight on framework and scope for development of a vaccine education curriculum. Identification of vaccine hesitancy among residents and the rating of certain recommended vaccines as of variable importance underscores the need for resident vaccine training.

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“…This study did not include postgraduate trainees in residency programs. A study carried out in the United States reported that 82% of pediatric residency program directors were interested in having formal vaccine safety training in their programs [9]. A 2018 study found that 96% US pediatric residents felt they would benefit from receiving more information about vaccine-preventable diseases and 73% of residents were "extremely concerned" about parental vaccine refusal [10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a pilot immunization curriculum to meet competency training needs of medical residents

Shalansky

Shen

et al. 2020

BMC Med Educ

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Background Vaccination is the most cost-effective medical intervention known to prevent morbidity and mortality. However, data are limited on the effectiveness of residency programs in delivering immunization knowledge and skills to trainees. The authors sought to describe the immunization competency needs of medical residents at the University of Toronto (UT), and to develop and evaluate a pilot immunization curriculum. Methods Residents at the University of Toronto across nine specialties were recruited to attend a pilot immunization workshop in November 2018. Participants completed a questionnaire before and after the workshop to assess immunization knowledge and compare baseline change. Feedback was also surveyed on the workshop content and process. Descriptive statistics were performed on the knowledge questionnaire and feedback survey. A paired sample T-test compared questionnaire answers before and after the workshop. Descriptive coding was used to identify themes from the feedback survey. Results Twenty residents from at least six residencies completed the pre-workshop knowledge questionnaire, seventeen attended the workshop, and thirteen completed the post-workshop questionnaire. Ninety-five percent (19/20) strongly agreed that vaccine knowledge was important to their career, and they preferred case-based teaching. The proportion of the thirty-four knowledge questions answered correctly increased from 49% before the workshop to 67% afterwards, with a mean of 2.24 (CI: 1.43, 3.04) more correct answers (P < 0.001). Sixteen residents completed the post-workshop feedback survey. Three themes emerged: first, they found the content specific and practical; second, they wanted more case-based learning and for the workshop to be longer; and third, they felt the content and presenters were of high quality. Conclusions Findings from this study suggest current immunization training of UT residents does not meet their training competency requirements. The study’s workshop improved participants’ immunization knowledge. The information from this study could be used to develop residency immunization curriculum at UT and beyond.

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Formal training in vaccine safety to address parental concerns not routinely conducted in U.S. pediatric residency programs

Cited by 25 publications

References 17 publications

An innovative medical school curriculum to address human papillomavirus vaccine hesitancy

An innovative medical school curriculum to address human papillomavirus vaccine hesitancy

Identifying Medical Residents’ Perceived Needs in Vaccine Education though a Needs Assessment Survey

Evaluation of a pilot immunization curriculum to meet competency training needs of medical residents

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