Journal article
Adolescent Depression Curriculum Impact on Pediatric Residents' Knowledge and Confidence to Diagnose and Manage Depression
Journal of adolescent health, Vol.66(2), pp.240-246
02/01/2020
DOI: 10.1016/j.jadohealth.2019.08.022
PMID: 31690535
Abstract
Purpose: Despite the need for pediatricians to diagnose and manage adolescent depression, few pediatric residency curricula exist. This study evaluated the impact of an adolescent depression curriculum on pediatric residents' knowledge and confidence to manage depression.
Methods: A novel, case-based, adolescent depression curriculum simulating patient-provider continuity was developed and implemented within an adolescent medicine (AM) rotation. The curriculum addressed seven domains critical for diagnosis and management of adolescent depression. Participants were recruited from the pediatric residency at one institution. A survey assessed residents' demographics, prior training, and self-assessed knowledge and confidence within each domain using a retrospective pre-post evaluation. Wilcoxon signed-rank test evaluated changes in knowledge and confidence.
Results: Forty-two of a total 51 residents (82%) completed the curriculum and survey during their AM rotation. Residents reported that within their continuity clinic, 45% (n = 19) had never initiated medication for depression, and 60% (n = 25) did not manage their adolescent patients' depression medications. Comparisons before and after participation in the curriculum, using the retrospective pre-post survey, demonstrated increased self-assessed knowledge (p <.001, for each domain) and confidence (p <.001, for each domain).
Conclusions: In this study, few residents reported experience initiating medication or managing adolescent depression in the continuity clinic. Residents demonstrated increased self-assessed knowledge and confidence to diagnose and manage adolescent depression after participation in a case-based adolescent depression curriculum simulating patient-provider continuity. Incorporation of training on management of adolescent depression into AM rotation may be a feasible option to standardize training within pediatric residency. Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.
Details
- Title: Subtitle
- Adolescent Depression Curriculum Impact on Pediatric Residents' Knowledge and Confidence to Diagnose and Manage Depression
- Creators
- Michael D. Colburn - University of IowaEmily Harris - University of Cincinnati Medical CenterCorinne Lehmann - University of Cincinnati Medical CenterLea E. Widdice - University of Cincinnati Medical CenterMelissa D. Klein - University of Cincinnati Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of adolescent health, Vol.66(2), pp.240-246
- Publisher
- Elsevier
- DOI
- 10.1016/j.jadohealth.2019.08.022
- PMID
- 31690535
- ISSN
- 1054-139X
- eISSN
- 1879-1972
- Number of pages
- 7
- Grant note
- Adolescent Medicine Research Expansion Dollars grant from the Cincinnati Children's Hospital Medical Center Division of Adolescent and Transition Medicine
- Language
- English
- Date published
- 02/01/2020
- Academic Unit
- Stead Family Department of Pediatrics; General Pediatrics and Adolescent Medicine
- Record Identifier
- 9984354154002771
Metrics
17 Record Views