Zavoski R W, Burke G S, Lapidus G D, Banco L I
Connecticut Childhood Injury Prevention Center, Hartford Hospital, University of Connecticut School of Medicine, USA.
Arch Pediatr Adolesc Med. 1996 Oct;150(10):1093-6. doi: 10.1001/archpedi.1996.02170350095017.
To quantify the content and setting of injury prevention training provided to pediatric residents and to identify aspects of residency programs associated with this training.
Mail survey.
US pediatric residency programs.
Residency program directors.
Number of programs stating that they train residents in various injury prevention topics, and the setting of this training.
More than 80% of programs addressed 92% of topics surveyed dealing with disease prevention, but only 59% of topics dealing with injury prevention. Injury prevention topics covered less frequently included smoke detector use and swimming pool, sports, and firearm safety. Programs used continuity clinics most often to teach injury prevention. No specific program characteristic was associated with the content or setting of injury prevention training. Residency programs located in states in which house fires, drowning, or firearm injuries are the leading causes of death were not more likely to offer prevention training on these topics.
Injury prevention is less frequently taught than disease prevention in pediatric residency training. Injury prevention is most often taught in continuity clinics, the setting most consistent with ongoing primary patient care. A gap exists between the leading causes of injury death and injury prevention topics taught to pediatric residents. Residency programs must better recognize and adapt to the epidemiology of trauma in their communities, better enabling new pediatricians to meet their patient's needs.
量化提供给儿科住院医师的伤害预防培训的内容和场所，并确定与该培训相关的住院医师培训项目的各个方面。
邮寄调查。
美国儿科住院医师培训项目。
住院医师培训项目主任。
表明他们在各种伤害预防主题方面培训住院医师的项目数量，以及该培训的场所。
超过80%的项目涉及了所调查的92%的疾病预防主题，但仅涉及了59%的伤害预防主题。较少涉及的伤害预防主题包括烟雾探测器的使用以及游泳池、运动和枪支安全。项目最常利用连续性诊所来教授伤害预防。没有特定的项目特征与伤害预防培训的内容或场所相关。位于房屋火灾、溺水或枪支伤害是主要死因的州的住院医师培训项目，并不更有可能提供关于这些主题的预防培训。
在儿科住院医师培训中，伤害预防的教学频率低于疾病预防。伤害预防最常在连续性诊所中教授，这种场所与持续的初级患者护理最为一致。儿科住院医师所学的伤害预防主题与伤害死亡的主要原因之间存在差距。住院医师培训项目必须更好地认识并适应其所在社区的创伤流行病学，从而使新的儿科医生能够更好地满足患者的需求。
