Availability of pediatric rheumatology training in United States pediatric residencies.
Availability of pediatric rheumatology training in United States pediatric residencies.
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DOI：
10.1002/art.22347
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发表时间：
2006-12-15
影响因子：
--
通讯作者：
Sandborg, Christy I
中科院分区：
文献类型：
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作者：
Mayer, Michelle L;Brogan, Laura;Sandborg, Christy I
目的：为了表征儿科风湿病学培训在一般pediatric residences.METHODS的可用性：我们调查了195名儿科住院医师计划主任在美国使用一个基于网络和基于纸张的调查格式相结合。该调查询问主任在他们的机构现场儿科风湿病学家的可用性，正式儿科风湿病轮换的可用性，以及参与儿科风湿病相关课程教学的医生类型。使用描述性和双变量statistics.RESULTS：调查的195个项目主管，127（65%）回答。超过40%的响应程序没有一个儿科风湿病学家在现场。有现场儿科风湿病学家的项目比没有现场儿科风湿病学家的项目更有可能提供现场儿科风湿病轮换（94%对9%; P < 0.001）。虽然儿科风湿病学家参与4个与儿科风湿病相关的课程领域在有现场儿科风湿病学家的项目中几乎是普遍的，但近三分之二没有现场儿科风湿病学家的项目依赖内科风湿病学家、普通儿科医生或其他医生来覆盖这些领域。现场没有儿科风湿病学家的项目不太可能有儿科风湿病轮换，更有可能依靠内科风湿病学家和非风湿病学家来解决风湿病问题。相关课程内容。住院期间缺乏儿科风湿病学知识可能会阻碍普通儿科医生识别和治疗风湿性疾病儿童的能力，削弱住院医生对该领域的兴趣，并使低水平的供应持续下去。
OBJECTIVE: To characterize the availability of pediatric rheumatology training in general pediatric residencies.METHODS: We surveyed 195 pediatric residency program directors in the US using a combined Web-based and paper-based survey format. The survey asked directors about the availability of an on-site pediatric rheumatologist in their institution, the availability of formal pediatric rheumatology rotations, and the types of physicians involved in teaching curriculum components related to pediatric rheumatology. Survey responses were analyzed using descriptive and bivariate statistics.RESULTS: Of the 195 program directors surveyed, 127 (65%) responded. More than 40% of responding programs did not have a pediatric rheumatologist on site. Programs with on-site pediatric rheumatologists were significantly more likely than those without on-site pediatric rheumatologists to have an on-site pediatric rheumatology rotation available (94% versus 9%; P < 0.001). Although pediatric rheumatologists' involvement in 4 curriculum areas relevant to pediatric rheumatology is nearly universal in programs with on-site pediatric rheumatologists, nearly two-thirds of programs without on-site pediatric rheumatologists rely on internist rheumatologists, general pediatricians, or other physicians to cover these areas.CONCLUSION: Programs without pediatric rheumatologists on site are less likely to have pediatric rheumatology rotations and are more likely to rely on internist rheumatologists and nonrheumatologists to address rheumatology-related curriculum components. Lack of exposure to pediatric rheumatology during residency may impede general pediatricians' ability to identify and treat children with rheumatic diseases, undermine resident interest in this field, and perpetuate low levels of supply.