Kasting Monica L, Scherr Courtney L, Ali Karla N, Lake Paige, Malo Teri L, Johns Tracy, Roetzheim Richard G, Quinn Gwendolyn P, Vadaparampil Susan T
Moffitt Cancer Center Division of Population Science.
Fam Med. 2017 Oct;49(9):714-722.
Residency training is a pivotal time to establish skills for career-long practices, particularly for challenging skills such as human papillomavirus (HPV) vaccine recommendation. Training experience and preferences related to delivering HPV vaccine recommendations were examined for family medicine (FM) residents and faculty.
Residents (n=28) and faculty (n=19) were identified through a national FM residency directory and recruited from training programs in Florida. Participants completed a phone interview assessing key aspects of HPV vaccine recommendation training. Interviews were audio recorded, transcribed verbatim, and analyzed using content analysis. A brief follow-up survey assessing training, practices, and demographics was emailed after the interview.
Residents' training experience with HPV vaccine recommendation varied from none to extensive, and was often self-directed. Variation in training was seen between and within programs. Faculty often noted HPV vaccination training was not standardized and residents lacked instruction about effective communication. Most programs relied on preceptors for training residents but training from preceptors varied widely and was often not standardized within the program.
This study identified a lack of consistent and standardized training for delivering HPV vaccine recommendations. A training curriculum that uses multiple modalities and reflects resident and faculty preferences is needed.
住院医师培训是培养终身职业技能的关键时期，尤其是对于诸如人乳头瘤病毒（HPV）疫苗推荐这类具有挑战性的技能。我们对家庭医学（FM）住院医师和教员在提供HPV疫苗推荐方面的培训经历及偏好进行了研究。
通过全国FM住院医师名录确定了28名住院医师和19名教员，并从佛罗里达州的培训项目中招募。参与者完成了一次电话访谈，评估HPV疫苗推荐培训的关键方面。访谈进行了录音，逐字转录，并采用内容分析法进行分析。访谈后通过电子邮件发送了一份简短的后续调查问卷，评估培训、实践和人口统计学情况。
住院医师在HPV疫苗推荐方面的培训经历各不相同，从没有到非常丰富，且通常是自我指导的。不同项目之间以及项目内部都存在培训差异。教员经常指出HPV疫苗接种培训不规范，住院医师缺乏有效沟通方面的指导。大多数项目依靠带教老师培训住院医师，但带教老师的培训差异很大，且在项目内部通常也不规范。
本研究发现，在提供HPV疫苗推荐方面缺乏一致且标准化的培训。需要一个采用多种方式并反映住院医师和教员偏好的培训课程。
