Abstract:
:Despite the curriculum changes during the past decade, there is paucity of information regarding the structure and evaluation processes in pediatric clerkships. Information regarding the educational components of the pediatric clerkship and student evaluation practices was obtained from the pediatric clerkship directors via a paper/electronic survey. Completed surveys were received from 97 US and Canadian medical schools and were analyzed. The average length of a clerkship was 7 weeks. Most clerkships required a 4-week ward, a 1-week newborn rotation, and a 2-week ambulatory rotation. Students were evaluated on each component of the clerkship in 93.5% of the programs. All programs evaluated student's clinical performance and fund of knowledge; 85.6% evaluated student's written record. Student's clinical performance was evaluated by direct observation in 57% of the programs. Penalties for failing in clinical performance were harsher. In 56% of programs, a student failing in clinical performance failed the entire clerkship in contrast to 21.8% or 7% of the programs where a student failed the entire clerkship if they failed in the examination for the fund of knowledge or written record evaluation, respectively. The survey demonstrated a fair amount of consistency in clerkships across programs when compared with data obtained in 1981 and 1986. There was a noticeable increase in the well-baby nursery rotation; however, there was a decline in direct observation to assess physical examination or clinical performance.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Kumar A,Gera R,Shah G,Godambe S,Kallen DJdoi
10.1177/000992280404300807subject
Has Abstractpub_date
2004-10-01 00:00:00pages
729-35issue
8eissn
0009-9228issn
1938-2707journal_volume
43pub_type
杂志文章abstract::Five cases of bacterial epididymo-orchitis are presented. These patients demonstrate three distinct mechanisms of bacterial infection of the intrascrotal structures: epididymo-orchitis as a presentation and a complication of urinary tract infection; epididymo-orchitis associated with sexually transmitted disease; and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001901206
更新日期:1980-12-01 00:00:00
abstract::Care coordination (CC) has shown positive outcomes among children with special health care needs (CSHCN); however, the association between CC and well-child care (WCC) visits is unknown. We hypothesize that CSHCN who receive CC are more likely to attend the recommended WCC visits. A retrospective cohort analysis was c...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820910823
更新日期:2020-06-01 00:00:00
abstract::This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods i...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820908586
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:There are some studies demonstrating the effectiveness of the provision of written asthma action plans in improving asthma outcomes. There exist little data on the ability of parents to use these plans to make asthma care decisions. OBJECTIVE:To assess the associations between parental health literacy (HL),...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815587089
更新日期:2016-02-01 00:00:00
abstract::Presenting characteristics, long-term outcome, and techniques used in the diagnosis of 143 infants with suspected biliary obstruction are reviewed. Sixty-nine patients had surgically confirmed extrahepatic disease and 74 had intrahepatic disorders. A disproportionate number of infants with intrahepatic disease were bo...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400601
更新日期:1985-06-01 00:00:00
abstract::Premature delivery is common in pregnancies complicated by maternal diabetes. However, the outcome of very-low-birth-weight infants (VLBWI) born to mothers with diabetes is not known. Employing a matched double-cohort design, we investigated the influence of maternal diabetes on the outcome of VLBWI born in Winnipeg f...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280204100705
更新日期:2002-09-01 00:00:00
abstract::To understand why congenital dislocated hip (CDH) was diagnosed late (mean age: nine months) in children admitted to the Children's Hospital of Philadelphia (CHOP), 714 consecutive CHOP admissions, aged zero to two years, and 947 consecutive newborns delivered at the Hospital, University of Pennsylvania (HUP) were exa...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287601500304
更新日期:1976-03-01 00:00:00
abstract::An adolescent female with occult cystic medial necrosis died following spontaneous aortic rupture. A large saccular aortic aneurysm that had ruptured into the pericardial space was demonstrated by two-dimensional echocardiography and confirmed at surgery. Echocardiographic screening of the patient's family members rev...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400408
更新日期:1985-04-01 00:00:00
abstract:OBJECTIVE:To determine the incidence of serious bacterial infections in febrile children with sickle cell disease and to describe the outcomes of children discharged from the pediatric emergency department. METHODS:We conducted a retrospective chart review of 188 febrile patients with sickle cell disease presenting to...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813488645
更新日期:2013-07-01 00:00:00
abstract::Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access. Claims data were used to compare the cost and utilization of health care before and...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800305
更新日期:1999-03-01 00:00:00
abstract::In a patient with suppurative lymphadenitis who fails to respond to antibiotics routinely used for pyogenic adenitis, the diagnosis of tularemia should be considered if there is good evidence for recent tick or other insect exposure. A trial of streptomycin therapy may be indicated, pending culture and serology result...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287901800408
更新日期:1979-04-01 00:00:00
abstract::The study objective was to quantify sugar-sweetened beverage (SSB) offerings to children in Pennsylvania (PA) childcare centers and determine whether this information is communicated to parents. In October 2014, a SurveyMonkey link was sent to 4461 PA childcare centers. The 518 respondents represented 88% of PA counti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815591887
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:Published data regarding outcomes of pediatric behavioral weight management are mainly from research interventions. The authors wished to explore outcomes from a clinical program. METHODS:A retrospective analysis of data from obese adolescents enrolled in the Michigan Pediatric Outpatient Weight E...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810384845
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To measure the willingness and ability of primary care pediatricians (PCPs) to accept children and youth with special health care needs (CYSHCN) into their practices. METHODS:Surveys were mailed to 1441 members of the Illinois Chapter of the American Academy of Pediatrics practicing primary care. RESULTS:In...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813476572
更新日期:2013-04-01 00:00:00
abstract::Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of mobile complex care plans (MCCPs) for CMC enrolled in a complex ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818805241
更新日期:2019-01-01 00:00:00
abstract::A study of 64 infants from one to six months of age was made using the 32-hour parenteral magnesium load test. Most of the infants were studied for neuromuscular hyperirritability or other signs compatible with magnesium deficiency; some with unrelated problems served as controls. Magnesium retention below 40 per cent...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287501400506
更新日期:1975-05-01 00:00:00
abstract::A 12-hour fasting lipid profile was obtained from 88 otherwise healthy obese (BMI > or = 95%) adolescents (age 16 +/- 1 years, BMI 36 +/- 1 kg/m(2), 55 males, 33 females, 57% Hispanic, 23% African American, 19% Caucasian, 1% Asian American). About 56% of the obese adolescents exhibited lipid abnormalities based on cut...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809341076
更新日期:2010-01-01 00:00:00
abstract::It has been estimated that as many as 250,000 adolescents are using anabolic steroids (AS). Recently, anecdotal reports suggest that athletes may also be using human growth hormone (HGH). The purpose of the present study was to determine the following: 1) if adolescents in two suburban midwestern high schools (83% whi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289203101206
更新日期:1992-12-01 00:00:00
abstract::Child maltreatment identified by medical professionals is poorly represented in records of child protection. International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes may better represent the burden of maltreatment treated in clinical settings. Using emergency department (ED) disc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819845895
更新日期:2019-08-01 00:00:00
abstract::The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289303200304
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:Milk supply concern is the most common reason given by mothers for discontinuing breastfeeding. OBJECTIVES. To describe maternal experiences of interactions with health care providers related to milk supply. PATIENTS AND METHODS:Ten focus groups (N = 56 participants) were conducted among mothers who had had...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812448954
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION:The American Academy of Pediatrics recommends that pediatricians promote smoking cessation among caregivers at every visit. Currently, there are inconsistencies between recommendations and clinical practice. This study aims to compare results generated from 3 intervention methods on the rate at which pedia...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922816688261
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. DESIGN:Retrospective analysis of hospital costs for low-birth-weight in...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809341750
更新日期:2010-05-01 00:00:00
abstract::Eighty-five adolescents (ages 13 to 17), recruited from various metropolitan pediatric outpatient clinics, were administered the Patient Health Questionnaire (PHQ)-2, a two-item depression screener, along with two other well-established measures of depression, the Children's Depression Inventory (CDI) and the Beck Dep...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810370203
更新日期:2010-10-01 00:00:00
abstract::This study describes the epidemiology of pediatric volleyball-related injuries treated in US hospital emergency departments. Data for children younger than 18 years obtained from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission from 1990 through 2009 were analyzed. An est...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811406262
更新日期:2011-09-01 00:00:00
abstract::Gynecomastia is defined as excessive development of the breast in boys. It is common in neonates and adolescents. Although in most cases this is a transient phenomenon, it might lead to significant social impediments such as decreased participation in physical education because of embarrassment. A primary care provide...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806294800
更新日期:2007-07-01 00:00:00
abstract::Neonatal intensive care unit (NICU) survivors demonstrate handicapping sensorineural hearing loss up to 50 times more frequently than normal newborns, yet little is known about the etiology of the hearing loss. Theoretically, accurate identification and triage of a particular infant based on a clinical profile would b...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289503400304
更新日期:1995-03-01 00:00:00
abstract::We examined the clinical and physiological benefits of heated humidified high-flow nasal cannula (HHHFNC) in treating pediatric bronchiolitis in a general pediatric ward. Children aged 0 to 2 years, hospitalized with moderate to severe bronchiolitis, were connected to HHHFNC. Each child was evaluated at 4- to 10-hour ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819877881
更新日期:2019-12-01 00:00:00
abstract::Thrombocytopenia absent radius (TAR) syndrome, associated with small, echogenic kidneys and subsequent end-stage renal disease, was seen in a full-term newborn. In this infant, renal insufficiency may have increased the known risk of bleeding that is associated with TAR syndrome. Renal abnormalities and dysfunction ar...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900309
更新日期:1990-03-01 00:00:00
abstract::A 9-year-old boy with an endocardial cushion defect who had skull erosion as well as widening of the diploe is described. This was accompanied by thickening of the tables, "hair-on-end" striations in the skull, and cortical thinning and medullary cavity expansion in the femora. The skull erosion is attributed to venou...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700109
更新日期:1988-01-01 00:00:00