Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems

In this national survey, we describe pediatric trainee competence in the assessment and treatment of B/MH conditions and variation in competence across training programs. BACKGROUND AND OBJECTIVES:There is an urgent need to prepare pediatricians to care for children with behavioral and mental health...

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Veröffentlicht in:Pediatrics (Evanston) 2020-07, Vol.146 (1), p.1, Article 20192884
Hauptverfasser: Green, Cori, Leyenaar, JoAnna K., Turner, Adam L., Leslie, Laurel K.
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Leyenaar, JoAnna K.
Turner, Adam L.
Leslie, Laurel K.
description In this national survey, we describe pediatric trainee competence in the assessment and treatment of B/MH conditions and variation in competence across training programs. BACKGROUND AND OBJECTIVES:There is an urgent need to prepare pediatricians to care for children with behavioral and mental health (B/MH) conditions. In this study, we evaluate the perceived competence of pediatric residents and recent graduates in the assessment and treatment of B/MH conditions, characterize variation in competence across residency programs, and identify program characteristics associated with high competence.METHODS:Cross-sectional survey of applicants for the initial certifying examination in pediatrics. Questions were focused on (1) who should be competent in B/MH skills, (2) institutional support around B/MH training, and (3) perceived competence in 7 B/MH assessment skills and 9 treatment skills. Competence was rated on a 5-point scale, and high levels of assessment and treatment competence were defined as scores of >= 4. Composite measures for B/MH assessment and treatment were calculated as mean scores for each domain. We examined variation in residents' self-reported competence across programs and used linear regression to identify factors associated with high levels of competence at the program level.RESULTS:Of applicants, 62.3% responded to the survey (n = 2086). Of these, 32.8% (n = 595) reported high competence in assessment skills and 18.9% (n = 337) in treatment skills. There were large variations in reported competence across programs. Respondents from smaller programs (
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BACKGROUND AND OBJECTIVES:There is an urgent need to prepare pediatricians to care for children with behavioral and mental health (B/MH) conditions. In this study, we evaluate the perceived competence of pediatric residents and recent graduates in the assessment and treatment of B/MH conditions, characterize variation in competence across residency programs, and identify program characteristics associated with high competence.METHODS:Cross-sectional survey of applicants for the initial certifying examination in pediatrics. Questions were focused on (1) who should be competent in B/MH skills, (2) institutional support around B/MH training, and (3) perceived competence in 7 B/MH assessment skills and 9 treatment skills. Competence was rated on a 5-point scale, and high levels of assessment and treatment competence were defined as scores of &gt;= 4. Composite measures for B/MH assessment and treatment were calculated as mean scores for each domain. We examined variation in residents' self-reported competence across programs and used linear regression to identify factors associated with high levels of competence at the program level.RESULTS:Of applicants, 62.3% responded to the survey (n = 2086). Of these, 32.8% (n = 595) reported high competence in assessment skills and 18.9% (n = 337) in treatment skills. There were large variations in reported competence across programs. Respondents from smaller programs (&lt;30 trainees) reported higher competence in assessment and treatment than those from large programs (P &lt; .001).CONCLUSIONS:Current and recent pediatric trainees do not report high levels of perceived competence in the assessment and treatment of children with B/MH conditions. The substantial variation across programs indicates that the pediatric community should create standards for B/MH training.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2019-2884</identifier><identifier>PMID: 32561612</identifier><language>eng</language><publisher>ELK GROVE VILLAGE: Amer Acad Pediatrics</publisher><subject>Child &amp; adolescent mental health ; Children ; Life Sciences &amp; Biomedicine ; Mental disorders ; Mental health ; Pediatrics ; Science &amp; Technology ; Variation</subject><ispartof>Pediatrics (Evanston), 2020-07, Vol.146 (1), p.1, Article 20192884</ispartof><rights>Copyright American Academy of Pediatrics Jul 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>25</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000562980500012</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c410t-e6f16bec3f33ca1ae6f80ef94eb5e7141c9301a178c54ad67e84d4828ec2fefc3</citedby><cites>FETCH-LOGICAL-c410t-e6f16bec3f33ca1ae6f80ef94eb5e7141c9301a178c54ad67e84d4828ec2fefc3</cites><orcidid>0000-0002-0555-0154</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930,28253,28254</link.rule.ids></links><search><creatorcontrib>Green, Cori</creatorcontrib><creatorcontrib>Leyenaar, JoAnna K.</creatorcontrib><creatorcontrib>Turner, Adam L.</creatorcontrib><creatorcontrib>Leslie, Laurel K.</creatorcontrib><title>Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems</title><title>Pediatrics (Evanston)</title><addtitle>PEDIATRICS</addtitle><description>In this national survey, we describe pediatric trainee competence in the assessment and treatment of B/MH conditions and variation in competence across training programs. BACKGROUND AND OBJECTIVES:There is an urgent need to prepare pediatricians to care for children with behavioral and mental health (B/MH) conditions. In this study, we evaluate the perceived competence of pediatric residents and recent graduates in the assessment and treatment of B/MH conditions, characterize variation in competence across residency programs, and identify program characteristics associated with high competence.METHODS:Cross-sectional survey of applicants for the initial certifying examination in pediatrics. Questions were focused on (1) who should be competent in B/MH skills, (2) institutional support around B/MH training, and (3) perceived competence in 7 B/MH assessment skills and 9 treatment skills. Competence was rated on a 5-point scale, and high levels of assessment and treatment competence were defined as scores of &gt;= 4. Composite measures for B/MH assessment and treatment were calculated as mean scores for each domain. We examined variation in residents' self-reported competence across programs and used linear regression to identify factors associated with high levels of competence at the program level.RESULTS:Of applicants, 62.3% responded to the survey (n = 2086). Of these, 32.8% (n = 595) reported high competence in assessment skills and 18.9% (n = 337) in treatment skills. There were large variations in reported competence across programs. Respondents from smaller programs (&lt;30 trainees) reported higher competence in assessment and treatment than those from large programs (P &lt; .001).CONCLUSIONS:Current and recent pediatric trainees do not report high levels of perceived competence in the assessment and treatment of children with B/MH conditions. The substantial variation across programs indicates that the pediatric community should create standards for B/MH training.</description><subject>Child &amp; adolescent mental health</subject><subject>Children</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Pediatrics</subject><subject>Science &amp; Technology</subject><subject>Variation</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>ARHDP</sourceid><recordid>eNqNkM9rFDEUgEOp2LV67TngpSCz5uXHTObYDq0VKvageByymRc3ZTbZJhml_71ZVnrw5Ckv5PvC4yPkAtgalOQf9zjlNWfQN1xreUJWwHrdSN6pU7JiTEAjGVNn5E3Oj4wxqTr-mpwJrlpoga-IGeJujwWDfabR0dulLAnpA07elOStNyHTwSQfflIXEx22fp4SBvrDly29xq355WMyMzVhol8wlDreoZnr40OKmxl3-S155cyc8d3f85x8v735Ntw1918_fR6u7hsrgZUGWwftBq1wQlgDpt41Q9dL3CjsQILtBQMDnbZKmqntUMtJaq7RcofOinNyefx3n-LTgrmMO58tzrMJGJc8cgmK9yB0X9H3_6CPcUmhblepGrOTTKtKrY-UTTHnhG7cJ78z6XkENh7ij4f44yH-eIhfBX0UfuMmumx9rYovUq2vWt5rpuoEfPDFFB_DEJdQqvrh_1XxB7dGlzw</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Green, Cori</creator><creator>Leyenaar, JoAnna K.</creator><creator>Turner, Adam L.</creator><creator>Leslie, Laurel K.</creator><general>Amer Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>17B</scope><scope>AOWDO</scope><scope>ARHDP</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0555-0154</orcidid></search><sort><creationdate>20200701</creationdate><title>Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems</title><author>Green, Cori ; Leyenaar, JoAnna K. ; Turner, Adam L. ; Leslie, Laurel K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-e6f16bec3f33ca1ae6f80ef94eb5e7141c9301a178c54ad67e84d4828ec2fefc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Child &amp; adolescent mental health</topic><topic>Children</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Pediatrics</topic><topic>Science &amp; Technology</topic><topic>Variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Green, Cori</creatorcontrib><creatorcontrib>Leyenaar, JoAnna K.</creatorcontrib><creatorcontrib>Turner, Adam L.</creatorcontrib><creatorcontrib>Leslie, Laurel K.</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI &amp; AHCI)</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Green, Cori</au><au>Leyenaar, JoAnna K.</au><au>Turner, Adam L.</au><au>Leslie, Laurel K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems</atitle><jtitle>Pediatrics (Evanston)</jtitle><stitle>PEDIATRICS</stitle><date>2020-07-01</date><risdate>2020</risdate><volume>146</volume><issue>1</issue><spage>1</spage><pages>1-</pages><artnum>20192884</artnum><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>In this national survey, we describe pediatric trainee competence in the assessment and treatment of B/MH conditions and variation in competence across training programs. 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We examined variation in residents' self-reported competence across programs and used linear regression to identify factors associated with high levels of competence at the program level.RESULTS:Of applicants, 62.3% responded to the survey (n = 2086). Of these, 32.8% (n = 595) reported high competence in assessment skills and 18.9% (n = 337) in treatment skills. There were large variations in reported competence across programs. Respondents from smaller programs (&lt;30 trainees) reported higher competence in assessment and treatment than those from large programs (P &lt; .001).CONCLUSIONS:Current and recent pediatric trainees do not report high levels of perceived competence in the assessment and treatment of children with B/MH conditions. 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subjects Child & adolescent mental health
Children
Life Sciences & Biomedicine
Mental disorders
Mental health
Pediatrics
Science & Technology
Variation
title Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems
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