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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Five-year follow-up of community pediatrics training initiative
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Five-year follow-up of community pediatrics training initiative

机译：社区儿科培训计划的五年后续行动

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OBJECTIVE: To compare community involvement of pediatricians exposed to enhanced residency training as part of the Dyson Community Pediatrics Training Initiative (CPTI) with involvement reported by a national sample of pediatricians. METHODS: A cross-sectional analyses compared 2008-2010 mailed surveys of CPTI graduates 5 years after residency graduation with comparably aged respondents in a 2010 mailed national American Academy of Pediatrics survey of US pediatricians (CPTI: n = 234, response = 56.0%; national sample: n = 243; response = 59.9%). Respondents reported demographic characteristics, practice characteristics (setting, time spent in general pediatrics), involvement in community child health activities in past 12 months, use of ≥1 strategies to influence community child health (eg, educate legislators), and being moderately/very versus not at all/minimally skilled in 6 such activities (eg, identify community needs). χ2 statistics assessed differences between groups; logistic regression modeled the independent association of CPTI with community involvement adjusting for personal and practice characteristics and perspectives regarding involvement. RESULTS: Compared with the national sample, more CPTI graduates reported involvement in community pediatrics (43.6% vs 31.1%, P .01) and being moderately/very skilled in 4 of 6 community activities (P .05). Comparable percentages used ≥1 strategies (52.2% vs 47.3%, P .05). Differences in involvement remained in adjusted analyses with greater involvement by CPTI graduates (adjusted odds ratio 2.4, 95% confidence interval 1.5-3.7). CONCLUSIONS: Five years after residency, compared with their peers, more CPTI graduates report having skills and greater community pediatrics involvement. Enhanced residency training in community pediatrics may lead to a more engaged pediatrician workforce.
机译：目的：比较接受戴森社区儿科培训计划（CPTI）的一部分进行了强化居住培训的儿科医生的社区参与与全国儿科医生样本报告的参与。方法：一项横断面分析比较了居住地毕业后5年的2008-2010年邮寄对CPTI毕业生的调查与2010年邮寄的美国儿科医师学会对美国儿科医生的比较年龄的受访者的比较（CPTI：n = 234，答复= 56.0％;国家样本：n = 243;回应率= 59.9％）。受访者报告了人口统计学特征，实践特征（环境，一般儿科花费的时间），过去12个月中参与社区儿童健康活动，采用≥1种策略来影响社区儿童健康（例如，教育立法者）以及中度/非常度与根本没有/根本没有6种此类活动（例如，确定社区需求）相比。 χ2统计量评估了群体之间的差异; Logistic回归模型对CPTI与社区参与的独立关联进行建模，以针对个人和实践特征以及有关参与的观点进行调整。结果：与国家样本相比，更多的CPTI毕业生报告参与了社区儿科（43.6％对31.1％，P <.01），并且在6种社区活动中有4种具有中级/非常熟练的技能（P <.05）。 ≥1种策略使用的可比较百分比（52.2％对47.3％，P> 0.05）。 CPTI毕业生的参与程度在调整后的分析中仍然存在差异（调整后的优势比为2.4，95％的置信区间为1.5-3.7）。结论：居住五年后，与同龄人相比，更多的CPTI毕业生报告具有技能和社区儿科参与度更高。加强社区儿科住院医师培训可能会导致更多的儿科医生劳动力投入。

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