Does trainee involvement affect anticipatory guidance in well-child care?

Nicholas R. Sgrignoli, Erik B. Lehman, Deepa L. Sekhar

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background. Studies demonstrate gaps in anticipatory guidance during well-child visits, but none consider academic teaching hospitals where physician trainees also provide counseling. We prospectively assessed parental perception of anticipatory guidance at the outpatient clinic of an academic teaching hospital. Methods. Parents of patients newborn to <60 months old completed questionnaires regarding providers seen and anticipatory guidance preferences. Results. Of 204 parents, 40% saw the child's primary attending alone. There was no association between providers seen and the number of topics covered. Seeing the child's primary attending alone increased the odds that parents' priority topics were covered compared with another attending (odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.11-0.90) or the addition of a resident (OR = 0.35; 95% CI = 0.16-0.77) or medical student (OR = 0.33; 95% CI = 0.12-0.90). Conclusions. Priority anticipatory guidance is covered only one third as often when the well-child visit is not conducted by the primary attending. When involving trainees, continuity of care and parental concerns must be emphasized.

Original languageEnglish (US)
Pages (from-to)121-127
Number of pages7
JournalClinical Pediatrics
Volume53
Issue number2
DOIs
StatePublished - Feb 1 2014

Fingerprint

Child Care
Parents
Odds Ratio
Confidence Intervals
Teaching Hospitals
Continuity of Patient Care
Ambulatory Care Facilities
Medical Students
Counseling
Newborn Infant
Physicians

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Sgrignoli, Nicholas R. ; Lehman, Erik B. ; Sekhar, Deepa L. / Does trainee involvement affect anticipatory guidance in well-child care?. In: Clinical Pediatrics. 2014 ; Vol. 53, No. 2. pp. 121-127.
@article{dee97c3068034750ac7b2e77c64475fc,
title = "Does trainee involvement affect anticipatory guidance in well-child care?",
abstract = "Background. Studies demonstrate gaps in anticipatory guidance during well-child visits, but none consider academic teaching hospitals where physician trainees also provide counseling. We prospectively assessed parental perception of anticipatory guidance at the outpatient clinic of an academic teaching hospital. Methods. Parents of patients newborn to <60 months old completed questionnaires regarding providers seen and anticipatory guidance preferences. Results. Of 204 parents, 40{\%} saw the child's primary attending alone. There was no association between providers seen and the number of topics covered. Seeing the child's primary attending alone increased the odds that parents' priority topics were covered compared with another attending (odds ratio [OR] = 0.31; 95{\%} confidence interval [CI] = 0.11-0.90) or the addition of a resident (OR = 0.35; 95{\%} CI = 0.16-0.77) or medical student (OR = 0.33; 95{\%} CI = 0.12-0.90). Conclusions. Priority anticipatory guidance is covered only one third as often when the well-child visit is not conducted by the primary attending. When involving trainees, continuity of care and parental concerns must be emphasized.",
author = "Sgrignoli, {Nicholas R.} and Lehman, {Erik B.} and Sekhar, {Deepa L.}",
year = "2014",
month = "2",
day = "1",
doi = "10.1177/0009922813500339",
language = "English (US)",
volume = "53",
pages = "121--127",
journal = "Clinical Pediatrics",
issn = "0009-9228",
publisher = "SAGE Publications Inc.",
number = "2",

}

Does trainee involvement affect anticipatory guidance in well-child care? / Sgrignoli, Nicholas R.; Lehman, Erik B.; Sekhar, Deepa L.

In: Clinical Pediatrics, Vol. 53, No. 2, 01.02.2014, p. 121-127.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Does trainee involvement affect anticipatory guidance in well-child care?

AU - Sgrignoli, Nicholas R.

AU - Lehman, Erik B.

AU - Sekhar, Deepa L.

PY - 2014/2/1

Y1 - 2014/2/1

N2 - Background. Studies demonstrate gaps in anticipatory guidance during well-child visits, but none consider academic teaching hospitals where physician trainees also provide counseling. We prospectively assessed parental perception of anticipatory guidance at the outpatient clinic of an academic teaching hospital. Methods. Parents of patients newborn to <60 months old completed questionnaires regarding providers seen and anticipatory guidance preferences. Results. Of 204 parents, 40% saw the child's primary attending alone. There was no association between providers seen and the number of topics covered. Seeing the child's primary attending alone increased the odds that parents' priority topics were covered compared with another attending (odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.11-0.90) or the addition of a resident (OR = 0.35; 95% CI = 0.16-0.77) or medical student (OR = 0.33; 95% CI = 0.12-0.90). Conclusions. Priority anticipatory guidance is covered only one third as often when the well-child visit is not conducted by the primary attending. When involving trainees, continuity of care and parental concerns must be emphasized.

AB - Background. Studies demonstrate gaps in anticipatory guidance during well-child visits, but none consider academic teaching hospitals where physician trainees also provide counseling. We prospectively assessed parental perception of anticipatory guidance at the outpatient clinic of an academic teaching hospital. Methods. Parents of patients newborn to <60 months old completed questionnaires regarding providers seen and anticipatory guidance preferences. Results. Of 204 parents, 40% saw the child's primary attending alone. There was no association between providers seen and the number of topics covered. Seeing the child's primary attending alone increased the odds that parents' priority topics were covered compared with another attending (odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.11-0.90) or the addition of a resident (OR = 0.35; 95% CI = 0.16-0.77) or medical student (OR = 0.33; 95% CI = 0.12-0.90). Conclusions. Priority anticipatory guidance is covered only one third as often when the well-child visit is not conducted by the primary attending. When involving trainees, continuity of care and parental concerns must be emphasized.

UR - http://www.scopus.com/inward/record.url?scp=84892427393&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892427393&partnerID=8YFLogxK

U2 - 10.1177/0009922813500339

DO - 10.1177/0009922813500339

M3 - Article

C2 - 23969984

AN - SCOPUS:84892427393

VL - 53

SP - 121

EP - 127

JO - Clinical Pediatrics

JF - Clinical Pediatrics

SN - 0009-9228

IS - 2

ER -