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Cited by 13Attention Deficit Hyperactivity DisorderPrimary Care and Health OutcomesClinical Reasoning and Diagnostic Skills

The Evaluation of Attention Deficit/ Hyperactivity Disorder in Family Medicine Residency Programs

Lanham, Jason Seton·2006·Southern Medical Journal
DOI 10.1097/01.smj.0000215738.43515.c7
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Abstract

BACKGROUND: Previous studies have highlighted great variability in how primary care physicians arrive at the diagnosis of Attention Deficit/Hyperactivity Disorder (ADHD) and their frequent use of unreliable methods. This study examines how physicians in family medicine residency programs evaluate for ADHD in light of the 2000 American Academy of Pediatrics ADHD Practice guidelines. METHODS: A 55-item survey was sent to 17 military and 17 civilian family medicine residency programs. Two hundred and thirty-five physicians participated. Descriptive statistics and chi-square analysis was performed. RESULTS: Only 22% of physicians are familiar with the AAP guidelines and only 12.9% of respondents screen for ADHD. 70% of physicians use a child's behavior in the office and 53% use a child's response to stimulants to arrive at a diagnosis. CONCLUSIONS: Four years after publication of the practice guidelines, few physicians incorporate them into their practice. A majority of physicians still use unreliable methods in diagnosing ADHD.

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  • Many education programs for primary care physicians lack an ADHD component, so a high percentage remain unaware of how ADHD affects people beyond childhood.

    “many education programs for primary care physicians lack a component for ADHD so that a high percentage remain unaware of the way that ADHD affects people beyond the childhood years [45].”

    From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [45]

  • ADHD in adults remains poorly understood and an 'emotional burden' is attached to the term, especially among professionals not traditionally involved in diagnosis/treatment.

    “ADHD in adults remains a disorder which is poorly understood and where an 'emotional burden' is attached to the term especially among professionals who have not traditionally been involved in the diagnosis or treatment of ADHD [42,44,45].”

    From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [45]

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Authors
Lanham, J. S.
Corresponding author
Lanham, Jason Seton
ORCID
Lanham, Jason Seton
Venue
Southern Medical Journal
Publisher
Southern Medical Association
Published
2006-08
Volume
99
Issue
8
Pages
802-805
ISSN
0038-4348 (ISSN-L)
DOI
10.1097/01.smj.0000215738.43515.c7
OpenAlex
W1592295985
Cited by
13
References
14
Citations by year
2021: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2013: 1
FWCI
0.64
Type
journal article
Language
en
Open access
closed
Locations
  • Southern Medical Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
  • Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
Keywords
attention deficit hyperactivity disorder, ADHD diagnosis, family medicine residency, American Academy of Pediatrics guidelines, ADHD screening, stimulant response, guideline adherence
MeSH terms
Family Practice, Humans, Internship and Residency, Mass Screening, Practice Patterns, Physicians', Surveys and Questionnaires, Program Evaluation, Attention Deficit and Disruptive Behavior Disorders, Guideline Adherence

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