Residents' perception of their skill levels in the clinical management of adolescent health problems

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

“…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.…”

“…However, residents in these programmes work in inpatient and outpatient settings typical of US internal medicine training programmes and, therefore, our findings are likely not unique to the programmes we studied, further supported by the fact that our results are quite similar to those of studies previously conducted at other institutions. [25][26][27] Second, respondents were not asked about their current rotation that could influence their perceived preparedness to care for adolescents, e.g. an adolescent medicine elective; however, we suspect that very few would have been on a rotation that influenced their self-assessment on a short-term basis.…”

“…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.…”

“…[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.…”

Saúde do adolescente em Medicina Geral e Familiar

“…Cristina Ribeiro,* Inês Rosendo* Saúde do adolescente em Medicina Geral e Familiar editorial liar. 20,21 Em Portugal, no programa de formação em Medicina Geral e Familiar, existem objectivos especificamente dirigidos à formação em saúde do adolescente, enquadrado no estágio de pediatria, 22 mas na prática muitos não obtêm formação nesta área.…”