Development of an Online Learning Module to Improve Pediatric Residents' Confidence and Knowledge of the Pubertal Examination.
Purpose Pediatric residents must know how to perform pubertal examinations. The initial objective of this study was to evaluate pediatric resident knowledge and comfort related to the pubertal examination and to determine whether and why these examinations are avoided. The subsequent objective was t...
| Publicado en: | Journal of Adolescent Health Vol. 60; no. 3; pp. 292 - 299 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Mar2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121221906&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121221906 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1054139X ILK jtl: Journal of Adolescent Health issn: 1054139X maglogo: N pubinfo: dt: Mar2017 vid: 60 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 121221906 121221906 121221906 10.1016/j.jadohealth.2016.10.006 121221906 ppf: 292 ppct: 7 formats: tig: atl: Development of an Online Learning Module to Improve Pediatric Residents' Confidence and Knowledge of the Pubertal Examination. aug: au: Ens, Andrea Janzen, Katharine Palmert, Mark R. affil: Division of Endocrinology, Department of Pediatrics, Hospital for Sick Children, Toronto, Canada sug: subj: Physical Examination Education Pediatrics Education Interns and Residents Canada Physical Examination In Adolescence Confidence Professional Knowledge Evaluation Human P-Value Needs Assessment Curriculum Development Internet Student Attitudes Adolescence Canada Schools, Medical Canada Multicenter Studies Adolescent: 13-18 years ab: Purpose Pediatric residents must know how to perform pubertal examinations. The initial objective of this study was to evaluate pediatric resident knowledge and comfort related to the pubertal examination and to determine whether and why these examinations are avoided. The subsequent objective was to develop and assess a learning module (LM) addressing identified education gaps. Methods A learning needs assessment (LNA) was administered to residents in four Canadian pediatric training programs. Identified themes and knowledge gaps were used to develop an online, case-based LM. A randomized assessment of the LM was conducted among residents from nine training programs across Canada. Results Sixty-four residents completed the LNA. About 52% reported discomfort introducing the pubertal examination, 50% reported a lack of confidence related to the examination, and 56% reported having avoided a warranted examination. Ninety-seven residents participated in the LM assessment. The baseline results were similar to those from the LNA in terms of discomfort, lack of confidence, and avoidance related to pubertal examinations. However, the intervention group showed improvement on a knowledge assessment compared with control group ( p < .001). Confidence levels also improved in the intervention group LM ( p < .01). Most residents (95%) stated they found the LM to be useful. Conclusions Residents report being uncomfortable with and avoiding the pubertal examination and have significant knowledge gaps. The online, case-based LM used in this study improved the knowledge and confidence related to this aspect of pediatric care and may be an effective adjunct to pediatric training. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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