Training in adolescent health: how much have second-year residents had?
- PMID: 17273502
- PMCID: PMC1781507
Training in adolescent health: how much have second-year residents had?
Abstract
Objective: To determine the level of training second-year family medicine residents have had in adolescent medicine.
Design: Web-based survey.
Setting: Canadian family medicine residency programs.
Participants: English-speaking second-year family medicine residents.
Main outcome measures: Residents' self-reported levels of training in adolescent health, specifically, the types of formal and informal education in adolescent health provided by family medicine residency programs. Residents' self-reported comfort in dealing with common health problems in adolescence was also examined.
Results: Responses were received from 78 residents representing 11 different programs across Canada. About 38.5% of family medicine residents had attended lectures on adolescent health. Only 37.2% of residents felt comfortable with their knowledge of adolescent health. Respondents indicated that most of their education in adolescent health occurred during family medicine rotations. Only 24% of respondents supplemented their training with attendance at school-based or reproductive health clinics.
Conclusion: Learning how to deal effectively with teenagers should be an essential part of family medicine training, yet family medicine residents receive only a small amount of exposure to adolescent health issues in primary care settings. Few residents attend school-based or reproductive health clinics even though such activity is recommended by the College of Family Physicians of Canada. A more structured adolescent health experience in family medicine residency would help ensure that Canadian adolescents benefit from informed and experienced family physicians.
OBJECTIF: Déterminer ce que les résidents de deuxième année des programmes de médecine familiale reçoivent comme formation en médecine des adolescents.
TYPE D’ÉTUDE: Enquête via Internet.
CONTEXTE: Les programmes de résidence en médecine familiale du Canada.
PARTICIPANTS: Résidents de deuxième année des programmes de médecine familiale anglophones.
PRINCIPAUX PARAMÈTRES ÉTUDIÉS: Niveau de formation que les résidents disent avoir reçu en médecine des adolescents, et plus spécifiquement les types de formation formelle et informelle en santé des adolescents dispensés par les programmes de résidence en médecine familiale. On a également examiné ce que les résidents rapportent comme niveau de confort lorsqu’ils s’occupent de problèmes de santé fréquents des adolescents.
RÉSULTATS: Des réponses ont été reçues de 78 résidents provenant de 11 programmes différents à travers le Canada. Environ 38,5% des résidents en médecine familiale avaient eu des cours en santé des adolescents. Seulement 37,2% se sentaient à l’aise avec les connaissances acquises dans ce domaine. Les répondants ont indiqué avoir reçu la plus grande partie de cette formation lors des stages en médecine familiale. Seulement 24% des résidents avaient complété leurs connaissances en assistant à des cliniques données par la faculté ou axées sur la médecine de la reproduction.
CONCLUSION: Apprendre à s’occuper convenablement des adolescents devrait faire partie intégrante de la formation en médecine familiale, et pourtant, les résidents de ces programmes sont très peu exposés aux problèmes de santé des adolescents dans le contexte des soins primaires. Peu de résidents assistent à des cliniques données par la faculté ou axées sur la médecine de la reproduction, même si cela fait partie des recommandations du Collège des médecins de famille du Canada. Une expérience en santé des adolescents mieux structurée durant la résidence en médecine familiale pourrait permettre aux adolescent canadiens de profiter de médecins de famille mieux formés et plus expérimentés.
Conflict of interest statement
Competing interests: None declared
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