Williams S Elizabeth, Swan Rebecca
Division of General Pediatrics, Department of Pediatrics, 2200 Children's Way, Vanderbilt University Medical Center, 301D Oxford House, 1313 21st Avenue South, Nashville, TN 37232, United States.
Division of General Pediatrics, Department of Pediatrics, 2200 Children's Way, Vanderbilt University Medical Center, 301D Oxford House, 1313 21st Avenue South, Nashville, TN 37232, United States.
Vaccine. 2014 May 30;32(26):3175-8. doi: 10.1016/j.vaccine.2014.04.001. Epub 2014 Apr 13.
To determine if U.S. pediatric residency programs provide formal training in vaccine safety to address parental vaccine concerns.
An electronic survey was mailed to all members of the Association of Pediatric Program Directors (APPD) to assess (1) if U.S. pediatric residency programs were providing formal vaccine safety training, (2) the content and format of the training if provided, and (3) interest in a training module for programs without training. Two follow-up surveys were mailed at 2 week intervals. Responses to the survey were collected at 4 weeks following the last mailing and analyzed. Logistic regression was used to assess the impact of program size on the likelihood of vaccine safety training. Pearson's chi square was used to compare programs with and without formal vaccine safety training in 5 U.S. regions.
The survey was sent to 199 APPD members; 92 completed the survey (response rate 46.2%). Thirty-eight respondents (41%) had formal training in vaccine safety for pediatric residents at their programs; 54 (59%) did not. Of those that did not, the majority (81.5%) were interested in formal vaccine safety training for their residents. Of all respondents, 78% agreed that training in vaccine safety was a high priority for resident education. Thirty-five percent of all respondents agreed that local parental attitudes about vaccines influenced the likelihood of formal vaccine safety training.
Most pediatric residency programs surveyed do not include formal training on vaccine safety; yet, such training is supported by pediatric residency program directors as a priority for pediatric residents.
确定美国儿科住院医师培训项目是否提供关于疫苗安全性的正规培训,以应对家长对疫苗的担忧。
向儿科项目主任协会(APPD)的所有成员发送电子调查问卷,以评估:(1)美国儿科住院医师培训项目是否提供正规的疫苗安全性培训;(2)若提供培训,培训的内容和形式;(3)对未开展培训的项目提供培训模块的兴趣。每隔2周邮寄两次后续调查问卷。在最后一次邮寄后的4周收集调查问卷的回复并进行分析。使用逻辑回归评估项目规模对疫苗安全性培训可能性的影响。使用Pearson卡方检验比较美国5个地区有无正规疫苗安全性培训的项目。
向199名APPD成员发送了调查问卷;92人完成了调查(回复率46.2%)。38名受访者(41%)表示其所在项目为儿科住院医师提供了疫苗安全性正规培训;54人(59%)未提供。在未提供培训的受访者中,大多数(81.5%)对为其住院医师提供正规疫苗安全性培训感兴趣。在所有受访者中,78%同意疫苗安全性培训是住院医师教育的高度优先事项。35%的受访者同意当地家长对疫苗的态度影响了提供正规疫苗安全性培训的可能性。
大多数接受调查的儿科住院医师培训项目未包括疫苗安全性正规培训;然而,儿科住院医师培训项目主任支持将此类培训作为儿科住院医师的优先事项。