TY - JOUR
KW - Adult
KW - Attitude of Health Personnel
KW - Behavioral Medicine/education
KW - Child Psychology/education
KW - Clinical Competence
KW - Female
KW - Humans
KW - Internship and Residency/organization & administration
KW - Male
KW - Mental Disorders/diagnosis/therapy
KW - Pediatrics/education
KW - Physician's Role
AU - S. M. Horwitz
AU - G. Caspary
AU - A. Storfer-Isser
AU - M. Singh
AU - W. Fremont
AU - M. Golzari
AU - R. E. Stein
A1 - 
AB - OBJECTIVE: The aim of this study was to investigate training in developmental and behavioral pediatrics (DBP) for graduating residents, their competencies in diagnosing and treating child mental health (MH) problems, and whether the amount of DBP training and/or perceived competencies are associated with perceived responsibility for treating 3 MH problems. METHODS: Data were collected from 636 residents who completed the American Academy of Pediatrics's 2007 Graduating Residents Survey. The survey included questions on training and self-rated competencies in multiple MH skill areas and perceived responsibility for identifying and treating/managing children's MH problems. Weighted multivariable logistic regression analyses examined associations between training, competencies, and perceived responsibility for treating/managing attention-deficit/hyperactivity disorder (ADHD), anxiety, and depression. RESULTS: Ninety percent of respondents completed a DBP rotation, with 86% reporting >3 to 4 weeks of training. Duration of DBP rotation was related to training and perceived competencies in MH skill areas, and nearly all residents who reported high competencies were trained in those skill areas. However, <50% reported their competencies as "very good" or "excellent." Residents with training and high competency in dosing with medications were most likely to agree that pediatricians should be responsible for treating/managing ADHD, anxiety, and depression. CONCLUSIONS: DBP training is highly associated with self-rated MH competencies, and highly assessed competencies are related to perceived responsibility for treating/managing common MH problems; yet 14% of graduating residents have <3 to 4 weeks of DBP training. These results argue for providing more high-quality educational experience with proven effectiveness to produce confident pediatricians who will be more responsive to identifying and treating MH problems of their patients.
BT - Academic pediatrics
C5 - Education & Workforce
CP - 4
CY - United States
DO - 10.1016/j.acap.2010.03.003
IS - 4
JF - Academic pediatrics
N2 - OBJECTIVE: The aim of this study was to investigate training in developmental and behavioral pediatrics (DBP) for graduating residents, their competencies in diagnosing and treating child mental health (MH) problems, and whether the amount of DBP training and/or perceived competencies are associated with perceived responsibility for treating 3 MH problems. METHODS: Data were collected from 636 residents who completed the American Academy of Pediatrics's 2007 Graduating Residents Survey. The survey included questions on training and self-rated competencies in multiple MH skill areas and perceived responsibility for identifying and treating/managing children's MH problems. Weighted multivariable logistic regression analyses examined associations between training, competencies, and perceived responsibility for treating/managing attention-deficit/hyperactivity disorder (ADHD), anxiety, and depression. RESULTS: Ninety percent of respondents completed a DBP rotation, with 86% reporting >3 to 4 weeks of training. Duration of DBP rotation was related to training and perceived competencies in MH skill areas, and nearly all residents who reported high competencies were trained in those skill areas. However, <50% reported their competencies as "very good" or "excellent." Residents with training and high competency in dosing with medications were most likely to agree that pediatricians should be responsible for treating/managing ADHD, anxiety, and depression. CONCLUSIONS: DBP training is highly associated with self-rated MH competencies, and highly assessed competencies are related to perceived responsibility for treating/managing common MH problems; yet 14% of graduating residents have <3 to 4 weeks of DBP training. These results argue for providing more high-quality educational experience with proven effectiveness to produce confident pediatricians who will be more responsive to identifying and treating MH problems of their patients.
PB - Academic Pediatric Association. Published by Elsevier Inc. All rights reserved
PP - United States
PY - 2010
SN - 1876-2867
SP - 252
EP - 259
EP - 
T1 - Is developmental and behavioral pediatrics training related to perceived responsibility for treating mental health problems?
T2 - Academic pediatrics
TI - Is developmental and behavioral pediatrics training related to perceived responsibility for treating mental health problems?
U1 - Education & Workforce
U2 - 20554260
U3 - 10.1016/j.acap.2010.03.003
VL - 10
VO - 1876-2867
Y1 - 2010
ER -