A Block Rotation in Community Pediatrics
Abstract
Objectives.: To develop, implement, and evaluate a 1-month block rotation in community pediatrics. Interventions.: Faculty from University of California San Diego and Naval Medical Center San Diego developed a combined and integrated curriculum for second-year residents in community pediatrics. Resident activities included structured site visits to schools, day care centers, and community organizations that participate in child health promotion, advocacy, public health, and prevention activities. Resident school consultation and child advocacy projects were established and mentored during the block rotation. Evaluation.: Formative evaluation of the program by residents was used to shape the program design. Residents' self-perceived competence in eight areas of community pediatrics was measured with questionnaires administered before and after completion of the rotation. Resident involvement in school consultation and child advocacy projects was assessed in a cross-sectional survey. Results.: Twenty-three residents completed the rotation during the 1-year study period. Statistically significant improvements in self-perceived competence were noted in all eight areas of community pediatrics. Among residents who were at least 3 months beyond the rotation completion date, 55% (11/20) reported continued involvement with their school consultation or child advocacy project, and 25% (5/20) reported this involvement to be on a quarterly to monthly basis. Conclusions.: Two institutions successfully implemented and integrated a block rotation in community pediatrics. Positive short-term improvements were noted in resident self-perceived competence in community pediatrics.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several of the identified curricula were developed during the 1980s.
“several of the curricula we identified were developed during this period.”
From A Systematic Review of Advocacy Curricula in Graduate Medical Education (2019) · cites this paper as [53]
Cites
Pediatric Residency Training: Ten Years After the Task Force Report
Wender, E. H., Bijur, P. E., & Boyce, W. T. (1992) · PEDIATRICS · doi:10.1542/peds.90.6.876 · Cited by 66 · see citing works
Pediatric Residency as Preparation for Primary Care Practice
Camp, B. W. (1997) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1997.02170380082013 · Cited by 59 · see citing works
The residency-practice training mismatch. A primary care education dilemma
Db, R. (1988) · Archives of Internal Medicine · doi:10.1001/archinte.148.4.914 · Cited by 50 · see citing works
Ten Years of Graduates Evaluate a Pediatric Residency Program
TARAS, H. L. (1990) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1990.02150340046021 · Cited by 48 · see citing works
Self-citationDepressed Skull Fracture in a 7-Month-Old Who Fell From Bed
Wheeler, D. S., & Shope, T. R. (1997) · PEDIATRICS · doi:10.1542/peds.100.6.1033 · Cited by 37 · see citing works
Self-citationSargent, J. R., Osborn, L. M., Roberts, K. B., & DeWitt, T. G. (1993) · PEDIATRICS · doi:10.1542/peds.91.6.1185 · Cited by 30 · see citing works
Advocacy Training During Pediatric Residency
Lozano, P., Biggs, V. M., Sibley, B. J., Smith, T. M., Marcuse, E. K., & Bergman, A. B. (1994) · Pediatrics · doi:10.1542/peds.94.4.532 · Cited by 25 · see citing works
Recchia, K. C., Petros, T. M., Spooner, S. A., & Cranshaw, J. L. (1995) · PEDIATRICS · doi:10.1542/peds.96.1.90 · Cited by 18 · see citing works
The Education of Pediatricians for Primary Care: The Score After Two Score Years
Charney, E. (1995) · PEDIATRICS · doi:10.1542/peds.95.2.270 · Cited by 12 · see citing works
A community outreach training program for pediatric residents and medical students
Sharp, M., & Lorch, S. (1988) · Academic Medicine · doi:10.1097/00001888-198804000-00008 · Cited by 11 · see citing works
Medical Education in the Community: The Primary Care Setting as Laboratory and Training Site
Charney, E. (1994) · Pediatric Annals · doi:10.3928/0090-4481-19941201-06 · Cited by 8 · see citing works
Residency Training in Community Pediatrics
Bass, J. L., Mehta, K. A., Alpert, J. J., & Pelton, S. I. (1981) · Clinical Pediatrics · doi:10.1177/000992288102000403 · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Murayama, K. M. (2007) · Cited by 477 · see citing works
A Systematic Review of Advocacy Curricula in Graduate Medical Education
Howell, B. A., Kristal, R. B., Whitmire, L. R., Gentry, M., Rabin, T. L., & Rosenbaum, J. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05184-3 · Cited by 88 · see citing works
The state of health advocacy training in postgraduate medical education: a scoping review
McDonald, M., Lavelle, C., Wen, M., Sherbino, J., & Hulme, J. (2019) · Medical Education · doi:10.1111/medu.13929 · Cited by 69 · see citing works
Shipley, L. J., Stelzner, S. M., Zenni, E. A., Hargunani, D., O’Keefe, J., Miller, C., Alverson, B., & Swigonski, N. (2005) · Pediatrics · doi:10.1542/peds.2004-2825j · Cited by 59 · see citing works
Community-Based Advocacy Training: Applying Asset-Based Community Development in Resident Education
Hufford, L., West, D. C., Paterniti, D. A., & Pan, R. J. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181a426c8 · Cited by 53 · see citing works
Kaczorowski, J., Andrew Aligne, C., Halterman, J. S., Allan, M. J., Aten, M. J., & Shipley, L. J. (2004) · Ambulatory Pediatrics · doi:10.1367/a03-140r.1 · Cited by 45 · see citing works
Child Advocacy Training: Curriculum Outcomes and Resident Satisfaction
Chamberlain, L. J., Sanders, L. M., & Takayama, J. I. (2005) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.159.9.842 · Cited by 45 · see citing works
A Walk in the Patients’ Shoes: A Step Toward Competency Development in Systems-Based Practice
Zenni, E. A., Ravago, L., Ewart, C., Livingood, W. C., Wood, D., & Goldhagen, J. L. (2006) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2005.08.003 · Cited by 31 · see citing works
Wright, C. J., Katcher, M. L., Blatt, S. D., Keller, D., Mundt, M. P., Botash, A. S., & Gjerde, C. L. (2005) · Ambulatory Pediatrics · doi:10.1367/a04-113r.1 · Cited by 29 · see citing works
Paterniti, D. A., Pan, R. J., Smith, L. F., Horan, N. M., & West, D. C. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00008 · Cited by 29 · see citing works
Advocating for Advocacy in Pediatrics: Supporting Lifelong Career Trajectories
Shah, S. I., & Brumberg, H. L. (2014) · PEDIATRICS · doi:10.1542/peds.2014-0211 · Cited by 24 · see citing works
Kuo, A. A., Shetgiri, R., Guerrero, A. D., Barreto, P. M., Perez, V. H., Fond, K., & Slusser, W. (2011) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-10-00150.1 · Cited by 20 · see citing works
Evaluation of residency training in the delivery of culturally effective care
Zúñiga, M. L., Sidelinger, D. E., Blaschke, G. S., Silva, F. A., Broyles, S. L., Nader, P. R., & Reznik, V. (2006) · Medical Education · doi:10.1111/j.1365-2929.2006.02630.x · Cited by 18 · see citing works
Pediatricians advocating for children: an annotated bibliography
Wright, C. J., & Katcher, M. L. (2004) · Current Opinion in Pediatrics · doi:10.1097/01.mop.0000126603.31572.03 · Cited by 17 · see citing works
Training in Community Pediatrics: A National Survey of Program Directors
Solomon, B. S., Minkovitz, C. S., Mettrick, J. E., & Carraccio, C. L. (2004) · Ambulatory Pediatrics · doi:10.1367/a04-065r.1 · Cited by 18 · see citing works
Training Healthcare Professionals in Youth Violence Prevention
Sidelinger, D. E., Guerrero, A. P. S., Rodríguez-Frau, M. V., & Mirabal, B. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2005.08.016 · Cited by 17 · see citing works
Development of an Advocacy Curriculum in a Pediatric Residency Program
Wright, C. J., Moreno, M. A., Katcher, M. L., McIntosh, G. C., Mundt, M. P., & Corden, T. E. (2005) · Teaching and Learning in Medicine · doi:10.1207/s15328015tlm1702_8 · Cited by 14 · see citing works
DeLago, C., & Gracely, E. (2007) · Clinical Pediatrics · doi:10.1177/0009922807304149 · Cited by 13 · see citing works
Education for Community Pediatrics
Nader, P. R., Kaczorowski, J. M., Benioff, S., Tonniges, T. P., Schwarz, D. F., Palfrey, J. S., & The Dyson Community Pediatrics Network (2004) · Clinical Pediatrics · doi:10.1177/000992280404300602 · Cited by 12 · see citing works
Community Pediatrics: The Rochester Story
Haggerty, R. J., & Aligne, C. A. (2005) · PEDIATRICS · doi:10.1542/peds.2004-2825f · Cited by 10 · see citing works
Pediatric Residents? Knowledge of the Community
Northrip, K. D., Bush, H., Li, H.-F., Marsh, J., Chen, C., & Guagliardo, M. F. (2012) · Academic Pediatrics · doi:10.1016/j.acap.2012.03.019 · Cited by 8 · see citing works
Pediatric Residents’ Perceptions of Community Involvement Prior to Residency
Solomon, B. S., Blaschke, G. S., West, D. C., Pan, R. J., Sanders, L., Swigonski, N. L., Willis, E., & Schwarz, D. F. (2006) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2006.08.003 · Cited by 7 · see citing works
Amini, H., Wells, A. J., Boynton, J. R., Guo, X., & Ni, A. (2021) · Frontiers in Oral Health · doi:10.3389/froh.2021.714199 · Cited by 7 · see citing works
Advocacy training in US advanced pediatric dentistry training programs.
Amini, H., Casamassimo, P. S., Lin, H. L., & Hayes (2008) · PubMed · Cited by 7 · see citing works
Lessons Learned from Pediatric Residents on a Community Pediatrics Rotation
Takagishi, J., Christner, J. G., McCoy, R., & Dabrow, S. M. (2006) · Clinical Pediatrics · doi:10.1177/000992280604500305 · Cited by 6 · see citing works
The Association of Pediatric Program Directors: The First 25 Years
Roberts, K. B., Degnon, L. E., & McGregor, R. S. (2012) · Academic Pediatrics · doi:10.1016/j.acap.2012.03.001 · Cited by 5 · see citing works
Teaching About Schools During Pediatric Residency
Starr, S., & Perrin, E. C. (2005) · Ambulatory Pediatrics · doi:10.1367/a03-020r1.1 · Cited by 5 · see citing works
An Analysis of Patient Care Questions Asked by Pediatricians at an Academic Medical Center
D’Alessandro, D. M., Kreiter, C. D., Peterson, M. W., Kingsley, P., & Johnson-West, J. (2004) · Ambulatory Pediatrics · doi:10.1367/1539-4409(2004)004 · Cited by 14 · see citing works
Training Pediatric Residents in Literacy Promotion: Residency Directors’ Perspectives
Kinney, J., Jiménez, M. E., Morrow, L. M., & Pai, S. (2019) · Teaching and Learning in Medicine · doi:10.1080/10401334.2019.1598866 · Cited by 3 · see citing works
Resident Training and Education in the United States
Jenkins, R. R. (2003) · PEDIATRICS · doi:10.1542/peds.112.s3.752 · Cited by 3 · see citing works
Learning to implement the medical home in communities.
Sia, C. C. J., Iwaishi, L. K., Taba, S., & Darling, K. (2000) · PubMed · Cited by 3 · see citing works
Community Experiences for Residents: Building a Better Rotation
Clemens, C. J., & Roberts, K. B. (1999) · PEDIATRICS · doi:10.1542/peds.104.s1.135 · Cited by 2 · see citing works
Johnson, K. A., Ferguson, K. P., Sriraman, N. K., Mukherjee, P., & Gowen, C. W. (2013) · Academic Pediatrics · doi:10.1016/j.acap.2013.06.005 · Cited by 1 · see citing works
Commentary: Educational Planning to Achieve the Goals of Community Pediatrics
Roberts, K. B. (2005) · PEDIATRICS · doi:10.1542/peds.2004-2825k · Cited by 1 · see citing works
Commentary: Achieving Consensus on Competency in Community Pediatrics
McCaskill, Q. E. (2005) · PEDIATRICS · doi:10.1542/peds.2004-2825p
- Authors
- Shope, T. R., Bradley, B. J., & Taras, H. L.
- Affiliations
- Naval Medical Center San Diego (US)
- University of California San Diego (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1999-07-01
- Volume
- 104
- Issue
- Supplement_1
- Pages
- 143-147
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1862176466
- Cited by
- 35
- References
- 12
- Citations by year
- 2021: 1 · 2019: 3 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- PEDIATRICS
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › General Health Professions › Health and Medical Education
- Keywords
- community paediatrics, block rotation, curriculum integration, school consultation, child advocacy, child health promotion, prevention, perceived competence, formative assessment, community-based learning
- MeSH terms
- California, Child, Child Health Services, Clinical Competence, Community Health Services, Community Medicine, Cross-Sectional Studies, Curriculum, Humans, Internship and Residency, Pediatrics, Surveys and Questionnaires, Program Evaluation, Program Development
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
