PDF(Pubmed)
Abstract：
Pediatric residents report behavioral or mental health (B/MH) assessment and treatment as a training gap and often feel ill-equipped to address these issues in clinical practice. We developed a novel interactive training program to improve resident confidence in managing common pediatric B/MH conditions.
The Be ExPeRT curriculum comprised a half-day interactive seminar on attention deficit hyperactivity disorder, anxiety, depression, and suicidality followed by monthly case-based discussions. Content included didactic material, role-play, and case discussion. The training was optional and open to pediatric or combined medicine-pediatrics trainees.
Twenty-three residents (70% female) participated in four separate seminars over 2 years. Of the participants attending the seminars, 17 (74%) completed the presurvey, and 16 (70%) completed the postsurvey. Statistically significant improvement was noted in comfort treating major depressive disorder (41% pre, 94% post, p = .002), suicide risk (29% pre, 94% post, p < .001), and anxiety (24% pre, 94% post, p < .001) following program participation. Twelve (75%) of the 16 participants completing the survey rated the training in the top 5%-10% with respect to other resident learning experiences.
We developed this curriculum to enhance trainee knowledge and comfort in addressing common pediatric B/MH conditions in primary care. Significant improvement was noted in self-reported comfort in treating major depressive disorder, suicide risk, and anxiety, and the program was well received. The curriculum can be adapted for use in any training program for primary care providers to provide B/MH education that may be lacking or supplement existing programming.
The Be ExPeRT curriculum comprised a half-day interactive seminar on attention deficit hyperactivity disorder, anxiety, depression, and suicidality followed by monthly case-based discussions. Content included didactic material, role-play, and case discussion. The training was optional and open to pediatric or combined medicine-pediatrics trainees.
Twenty-three residents (70% female) participated in four separate seminars over 2 years. Of the participants attending the seminars, 17 (74%) completed the presurvey, and 16 (70%) completed the postsurvey. Statistically significant improvement was noted in comfort treating major depressive disorder (41% pre, 94% post, p = .002), suicide risk (29% pre, 94% post, p < .001), and anxiety (24% pre, 94% post, p < .001) following program participation. Twelve (75%) of the 16 participants completing the survey rated the training in the top 5%-10% with respect to other resident learning experiences.
We developed this curriculum to enhance trainee knowledge and comfort in addressing common pediatric B/MH conditions in primary care. Significant improvement was noted in self-reported comfort in treating major depressive disorder, suicide risk, and anxiety, and the program was well received. The curriculum can be adapted for use in any training program for primary care providers to provide B/MH education that may be lacking or supplement existing programming.
摘要：
儿科住院医师报告行为或心理健康（B/MH）评估和治疗是培训的空白，并且经常感到在临床实践中无法解决这些问题。我们开发了一种新颖的交互式培训计划，以提高住院医师对管理常见儿科B/MH疾病的信心。
■BeExPeRT课程包括为期半天的关于注意力缺陷多动障碍的互动研讨会，焦虑,抑郁症,和自杀，然后每月进行基于案例的讨论。内容包括说教材料，角色扮演,案例讨论。培训是可选的，对儿科或联合医学儿科学员开放。
■23名居民（70％为女性）在两年内参加了四个单独的研讨会。在参加研讨会的与会者中，17人(74%)完成了调查，16人(70%)完成了事后调查。在治疗重度抑郁症的舒适度方面，统计学上显着改善(41%前，94%后，p=.002)，自杀风险(29%前，94%后，p<.001),和焦虑(24%前，94%后，p<.001)参与计划后。完成调查的16名参与者中有12名（75％）在其他居民学习经历方面将培训评为前5％-10％。
■我们开发了此课程，以增强学员在解决初级保健中常见的儿科B/MH状况方面的知识和舒适度。在治疗重度抑郁症时，自我报告的舒适度显着改善，自杀风险,和焦虑，这个节目很受欢迎。该课程可以适用于初级保健提供者的任何培训计划，以提供可能缺乏或补充现有计划的B/MH教育。
■BeExPeRT课程包括为期半天的关于注意力缺陷多动障碍的互动研讨会，焦虑,抑郁症,和自杀，然后每月进行基于案例的讨论。内容包括说教材料，角色扮演,案例讨论。培训是可选的，对儿科或联合医学儿科学员开放。
■23名居民（70％为女性）在两年内参加了四个单独的研讨会。在参加研讨会的与会者中，17人(74%)完成了调查，16人(70%)完成了事后调查。在治疗重度抑郁症的舒适度方面，统计学上显着改善(41%前，94%后，p=.002)，自杀风险(29%前，94%后，p<.001),和焦虑(24%前，94%后，p<.001)参与计划后。完成调查的16名参与者中有12名（75％）在其他居民学习经历方面将培训评为前5％-10％。
■我们开发了此课程，以增强学员在解决初级保健中常见的儿科B/MH状况方面的知识和舒适度。在治疗重度抑郁症时，自我报告的舒适度显着改善，自杀风险,和焦虑，这个节目很受欢迎。该课程可以适用于初级保健提供者的任何培训计划，以提供可能缺乏或补充现有计划的B/MH教育。
