Graves C E, Bridge M D, Nyhuis A W
Department of Medical Education, Methodist Hospital of Indiana, Inc., Indianapolis 46202.
J Adolesc Health Care. 1987 Sep;8(5):413-8. doi: 10.1016/0197-0070(87)90229-4.
Residents in six specialty training programs completed a 126-item questionnaire designed to assess their skill or confidence to manage adolescent health issues. The residency programs studied were family practice, internal medicine, pediatrics, emergency medicine, obstetrics/gynecology, and combined medicine/pediatrics. Although almost three-fourths of the residents were at least moderately interested in adolescent health care and 90% expected to care for adolescents, only 26% believed an adolescent rotation should be required during training. Residents generally considered themselves unskilled to manage adolescents in the areas of sexuality, handicapping conditions, and psychosocial problems. Significant differences in perceived skills were found among the specialty programs on 45% of the items presented. Resident training appears to be needed in the areas of adolescent growth and development, counseling, and sexuality.
六个专科培训项目的住院医师完成了一份126项的调查问卷，该问卷旨在评估他们处理青少年健康问题的技能或信心。所研究的住院医师培训项目包括家庭医学、内科、儿科、急诊医学、妇产科以及内科/儿科联合项目。尽管近四分之三的住院医师至少对青少年医疗保健有一定兴趣，且90%的人预计会为青少年提供护理，但只有26%的人认为培训期间应该安排青少年轮转。住院医师普遍认为自己在性、残疾状况和心理社会问题等领域缺乏处理青少年问题的技能。在所呈现的45%的项目中，各专科项目在感知技能方面存在显著差异。在青少年生长发育、咨询和性方面，住院医师培训似乎是有必要的。
