HEEADSSS up: pediatric residents’ confidence and practice in adolescent health care before and after mandatory adolescent medicine rotations in Thailand
-
Rosawan S. Areemit
,
Boonying Manaboriboon
Abstract
Background
The field of adolescent medicine is an emerging area of specialization in Thailand. Adolescent medicine was made a mandatory rotation in general pediatric residency training programs for the class of 2013.
Objective
This study aims to explore the difference in pediatric residents’ confidence and the frequency in providing aspects of care to adolescents.
Subjects
Participants included two groups of pediatric residents; the former curriculum group (FCG) in 2012 and the mandatory curriculum group (MCG) in 2015.
Methods
Participants in this cross-sectional study answered a 41-item self-administered questionnaire and results were analyzed by descriptive statistics.
Results
There were 91 participants, 50.05% were in the MCG. The FCG reported a higher percentage of feeling “more confident” on physical examination (p = 0.031, V = 0.23) and growth assessment (p = 0.040, V = 0.22). The MCG reported a higher percentage of “more frequently” carrying out the psychosocial assessment (p = 0.035, V = 0.22).
Conclusion
The FCG reported higher levels of confidence than the MCG in most of the items, while the MCG reported higher levels of frequency in providing care. The psychosocial (HEEADSSS) assessment, a key aspect of the adolescent clinical visit, was the item that the MCG reported doing more frequently than the FCG which remained significant when only the postgraduate year of training (PGY) 4s were compared.
Acknowledgments
The authors wish to thank Professor Terrance Tivnan for his invaluable insight and support on the statistical analysis of this paper. We would also like to thank Ms. Jungorn Ponnonglaung on her assistance of the data collection.
Conflict of interest statement: The authors declare that there is no conflict of interest.
Authors’ contributions
Rosawan S. Areemit contributed to the conception and design of the study, survey design, acquisition, analysis and interpretation of the data and drafting and revision of the article.
Boonying Manaboriboon contributed to the design of the study, survey design, acquisition, interpretation of the data and drafting revision of the article.
Supinya In-iw contributed to the design of the study, survey design, acquisition, interpretation of the data and drafting revision of the article.
Jiraporn P. Arunakul contributed to the survey design, acquisition, interpretation of the data and revision of the article.
Wirote Areekul contributed to the design of the study, survey design, data acquisition, interpretation of the data and revision of the article.
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Articles in the same Issue
- Review Article
- Alexithymia, fibromyalgia, and psychological distress among adolescents: literature review
- Original Articles
- Perceptions of sexual abstinence among Muslim adolescent girls in southern Thailand
- Human adenovirus-36 seropositivity and obesity among Midwestern US adolescents
- Influence of waist circumference on blood pressure status in non-obese adolescents
- Self perceived psychosocial impact of dental aesthetics among young adults: a cross sectional questionnaire study
- Experience of violence amongst female medical and nursing students and their perception regarding violence against women in Delhi, India
- Adaptation and validation of the disruptive behaviour disorders teacher rating scale as a screening tool for early detection of disruptive behaviour disorders in schools in a lower-middle income setting
- Post-traumatic stress and growth among CPR survivors in the southeast of Iran
- Effect of communication skills based group counseling on mothers’ sex dialogue with their adolescent daughters
- Prevalence of obesity among youths in Mississippi: United States, 1999–2015
- Factors related to job burnout among nurses in the Razi Psychiatric Hospital, Iran
- Health-promoting behaviors in nursing students: is it related to self-efficacy for health practices and academic achievement?
- HEEADSSS up: pediatric residents’ confidence and practice in adolescent health care before and after mandatory adolescent medicine rotations in Thailand
- Mainstreaming youth-friendly health services into existing primary health care facilities: experiences from South-South Nigeria
- Determinants of HIV testing and receipt of test results among adolescent girls in Nigeria: the role of assets and decision-making
- Yoga versus physical exercise for cardio-respiratory fitness in adolescent school children: a randomized controlled trial
- Prevalence, associated factors, and control level of asthma symptoms among adolescents in Northern Jordan
- Facilitating factors of self-care among HIV-positive young women in Iran: a qualitative study
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- Better informed is better decided: Addressing the risks of delaying childbearing for female higher educational students
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