Piloting group well child visits in pediatric resident continuity clinic.

Abstract:

INTRODUCTION:Well child care is taught with individual visits in pediatric residency. Teaching residents how to deliver well child care efficiently is critical. Group well child care brings multiple families together for visits. The authors piloted group visits in pediatric residency clinic. METHODS:The authors conducted group visits for 1- to 12-month old children. Seven families completed the group visits and were surveyed. Nine residents (intervention group) conducted group visits. Eighteen months after implementation, the intervention and control groups in the same clinic surveyed. RESULTS:All families recommended group visits. The intervention group residents reported significantly more direct observations (P < .05). Trends toward improvement of teaching and role modeling for the intervention group were also observed. DISCUSSION:The authors' continuity clinic had success implementing group visits, and families were recommended the visits. Group visits offer a natural environment to observe residents while exposing them to another way to deliver well child care.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Saysana M,Downs SM

doi

10.1177/0009922811417289

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

134-9

issue

2

eissn

0009-9228

issn

1938-2707

pii

0009922811417289

journal_volume

51

pub_type

杂志文章,随机对照试验
  • Fever of unknown origin: a diagnostic approach to this vexing problem.

    abstract::Fever is a common complaint leading families to seek medical attention. Its routine management is the bread and butter of pediatric practice. When fever is seen as prolonged beyond the expected time course (eg, 10 days for a presumed viral respiratory tract infection or 3 weeks for mononucleosis), concern for fever of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922809347799

    authors: Tolan RW Jr

    更新日期:2010-03-01 00:00:00

  • Hospital readmission and morbidity following early newborn discharge.

    abstract::To examine causes of newborn hospital readmission and morbidity related to early nursery discharge, we reviewed the charts of 664 newborns readmitted from home under the age of 15 days, between 1993 and 1995. Early discharge (ED) was defined as nursery length of stay of < or = 2 days. Morbidity related to ED: onset of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289803701003

    authors: Heimler R,Shekhawat P,Hoffman RG,Chetty VK,Sasidharan P

    更新日期:1998-10-01 00:00:00

  • Acute mastoiditis in children: epidemiologic, clinical, microbiologic, and therapeutic aspects over past years.

    abstract::Recent studies have indicated possible changes in the incidence of acute mastoiditis. A retrospective review of children discharged with a diagnosis of acute mastoiditis was undertaken to describe the epidemiology, clinical presentation, microbiology, and treatment of acute mastoiditis over past years. Demographic his...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280404300307

    authors: Nussinovitch M,Yoeli R,Elishkevitz K,Varsano I

    更新日期:2004-04-01 00:00:00

  • Relapse markers in childhood thyrotoxicosis.

    abstract::Childhood thyrotoxicosis is not an uncommon illness, but there is a considerable relapse rate in these patients on medical treatment. An attempt is made in this study to identify those markers that are predictive of a tendency to relapse in childhood thyrotoxicosis. A total of 32 patients with Graves disease were incl...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288702600306

    authors: Tan SH,Lee BW,Wong HB,Uma R

    更新日期:1987-03-01 00:00:00

  • Buprenorphine Overdose in Young Children: An Underappreciated Risk.

    abstract::The escalation of the opioid crisis has led to an increase in the treatment of opioid use disorder. In particular, recent legislation has allowed for office-based treatment with buprenorphine, a partial µ-opioid agonist that is believed to be safer than methadone due to a ceiling effect on respiratory depression in ad...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922819829038

    authors: Lo Re M,Chaplin M,Aronow B,Modesto-Lowe V

    更新日期:2019-06-01 00:00:00

  • Chronic and occult stool retention: a clinical tool for its evaluation in school-aged children.

    abstract::A scoring method was developed to assess severity of stool retention using plain abdominal radiographs. To determine whether the technique was clinically valid in identifying chronic stool retention, the method was used to evaluate films taken of children with known stool retention before and after therapy. The method...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287901801103

    authors: Barr RG,Levine MD,Wilkinson RH,Mulvihill D

    更新日期:1979-11-01 00:00:00

  • Psychological aspects of parenting critically ill neonates.

    abstract::This study was designed to objectively examine depression and distress levels in parents of ill versus parents of healthy neonates by utilizing two well-validated questionnaires, the Beck Depression Inventory (BDI) and Kellner Symptom Questionnaire (KSQ). In addition, morbidity of infants was assessed by the Minde-Whi...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1177/000992289403300203

    authors: McGettigan MC,Greenspan JS,Antunes MJ,Greenspan DI,Rubenstein SD

    更新日期:1994-02-01 00:00:00

  • Physician beliefs and knowledge about vaccinations. Are Cincinnati doctors giving their best shot?

    abstract::The purpose of this study was to examine the immunization beliefs and practices of physicians in our community. A two-page descriptive survey of immunization practices and knowledge of vaccine contraindications was sent to all community physicians on the staff of Children's Hospital Medical Center in Cincinnati, Ohio....

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289603500205

    authors: Siegel RM,Schubert CJ

    更新日期:1996-02-01 00:00:00

  • Congenital dislocation of the hip--diagnostic screening and treatment. A comparative study of two populations of infants and children.

    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

    authors: Kadkhoda M,Chung SM,Adebonojo FO

    更新日期:1976-03-01 00:00:00

  • Gelastic seizures misdiagnosed as gastroesophageal reflux disease.

    abstract::Gastroesophageal reflux disease can have variable manifestations including regurgitation, irritability, arching, choking, and apnea. The disorder is also frequently mistaken for seizures (Sandifer syndrome). We report 6 patients in whom the opposite phenomenon occurred: their seizures were mistaken for gastroesophagea...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806295400

    authors: Sweetman LL,Ng YT,Kerrigan JF

    更新日期:2007-05-01 00:00:00

  • The long term benefits of a comprehensive teenage pregnancy program.

    abstract::A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000508

    authors: Rabin JM,Seltzer V,Pollack S

    更新日期:1991-05-01 00:00:00

  • Safe sleep practices and sudden infant death syndrome risk reduction: NICU and well-baby nursery graduates.

    abstract::Our primary objective was to compare parents of infants cared for in newborn intensive care units (NICUs) and infants cared for in well-baby ("general") nurseries with regard to knowledge and practice of safe sleep practices/sudden infant death syndrome risk reduction measures and guidelines. Our secondary objective w...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813506038

    authors: Fowler AJ,Evans PW,Etchegaray JM,Ottenbacher A,Arnold C

    更新日期:2013-11-01 00:00:00

  • The capacity of primary care pediatricians to care for children with special health care needs.

    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

    authors: Agrawal R,Shah P,Zebracki K,Sanabria K,Kohrman C,Kohrman AF

    更新日期:2013-04-01 00:00:00

  • Use of abdominal and pelvic ultrasound in the evaluation of chronic abdominal pain.

    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

    authors: Schmidt RE,Babcock DS,Farrell MK

    更新日期:1993-03-01 00:00:00

  • Pitfalls on the diagnosis of acute osteomyelitis by bone scan.

    abstract::Two patients with acute osteomyelitis had technetium 99m methylene diphosphonate bone images that were misinterpreted. A review of six prospective evaluations of technetium scanning in the diagnosis of acute osteomyelitis shows that bone image interpretation may be misleading in five to seven per cent of pediatric pat...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288001900904

    authors: Wald ER,Mirro R,Gartner JC

    更新日期:1980-09-01 00:00:00

  • Vietnamese and Cambodian orphans 1975--the first look. The initial medical screening and treatment at Clark Air Force Base.

    abstract::In April of 1975, the United States government evacuated approximately 2,000 orphans from Vietnam and Cambodia. More than 1,500 orphans received initial medical evaluation and treatment at Clark Air Force Base, Republic of the Phillipines. The orphans underwent a minimum of 2 physician evaluations and were individuall...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287701600310

    authors: Swender PT,Sandler AP

    更新日期:1977-03-01 00:00:00

  • Replacing Liquid Antibiotics With Cheaper Pill Equivalents: An Opportunity for Substantial Savings.

    abstract::Liquid antibiotics are often substantially more expensive than their pill counterparts, representing an opportunity for substantial cost reductions. Children can be taught to swallow pills at about age 6 years. The objective of this study was to calculate the potential cost saved by replacing liquid antibiotics with c...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818774340

    authors: Hori KS,Siu AM,Yamamoto LG

    更新日期:2018-10-01 00:00:00

  • Results from a clinical multidisciplinary weight management program.

    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

    authors: Woolford SJ,Sallinen BJ,Clark SJ,Freed GL

    更新日期:2011-03-01 00:00:00

  • A Tale of Smoking Cessation Promotion: The Utilization of a Children's Book to Increase Screening and Counseling in the Pediatric Clinic.

    abstract:OBJECTIVES:The rate at which pediatricians promote smoking cessation in clinical settings is low. The literature demonstrates that interventions paired with tangible health promotion materials may significantly increase screening rates to the pediatric office. The aim of this study was to investigate whether the additi...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922816684607

    authors: Thomas KEH,Kisely S,Urrego F

    更新日期:2017-10-01 00:00:00

  • Behavioral intervention to reduce child distress during self-injection.

    abstract::We investigated the effects of a cognitive-behavioral treatment package on reduction of anticipatory fear of pain during self-administered insulin injections. Two patients diagnosed with insulin-dependent diabetes mellitus participated. An ABAB design was employed; the intervention conditions consisted of cue-controll...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289503401004

    authors: Moore KE,Geffken GR,Royal GP

    更新日期:1995-10-01 00:00:00

  • Asthma Medication Prescribing Practices in Pediatric Office Visits.

    abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818822980

    authors: Rege S,Kavati A,Ortiz B,Mosnaim G,Cabana MD,Murphy K,Aparasu RR

    更新日期:2019-04-01 00:00:00

  • Gynecomastia: evaluation and treatment recommendations for primary care providers.

    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

    authors: Cakan N,Kamat D

    更新日期:2007-07-01 00:00:00

  • Undertriage of Pediatric Major Trauma Patients in the United States.

    abstract::Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age ≤16 years and injury severity score...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922817709553

    authors: Peng J,Wheeler K,Groner JI,Haley KJ,Xiang H

    更新日期:2017-08-01 00:00:00

  • Cardiovascular malformations associated with extracardiac anomalies and malformation syndromes. Patterns for diagnosis.

    abstract::Infants with extracardiac anomalies or malformation syndromes frequently have associated cardiovascular malformations. Knowledge of these predictable patterns of associations allow rapid diagnosis and treatment of these infants. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300303

    authors: Greenwood RD

    更新日期:1984-03-01 00:00:00

  • Analysis of children with peripheral lymphadenopathy.

    abstract::In this study, the clinical and laboratory features of children with lymphadenopathy were evaluated. Over a 3-year period, 126 patients were referred to the clinic for lymphadenopathy. Twenty-eight of cases have diseases mimicking lymphadenopathy; 98 (mean age: 86+/-55 months) have lymphadenopathy. Localized, limited,...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806290609

    authors: Yaris N,Cakir M,Sözen E,Cobanoglu U

    更新日期:2006-07-01 00:00:00

  • Organic diseases mimicking atypical eating disorders.

    abstract::The authors present three case studies of patients referred to Children's Hospital and Medical Center, Seattle, Washington, for evaluation of possible eating disorders. The atypical manifestations of the cases warranted further investigation, which revealed an organic basis for their weight loss. The authors summarize...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289002900606

    authors: Wright K,Smith MS,Mitchell J

    更新日期:1990-06-01 00:00:00

  • Acute septicemic melioidosis occurring in a child with acute lymphoblastic leukemia.

    abstract::A 13-year old boy with acute lymphoblastic leukemia on chemotherapy developed neutropenia and acute cellulitis progressing to fulminating septicemia due to Pseudomonas pseudomallei. Septicemic melioidosis should be considered in the differential diagnosis of a febrile illness in children who are susceptible to infecti...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288001901012

    authors: Lin HP,Puthucheary SD,Sinniah D

    更新日期:1980-10-01 00:00:00

  • Childhood osteomyelitis. A five-year analysis of 118 cases in Nigerian children.

    abstract::During the years 1976 through 1980, 118 children with osteomyelitis were seen at our hospital, an incidence of almost 24 cases per year. Twenty-eight of these had sickle cell disease. Males were more commonly affected than females, with a ratio of 2.1 to 1, and bones of the lower extremities were more commonly involve...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402301003

    authors: Okoroma EO,Agbo DC

    更新日期:1984-10-01 00:00:00

  • Early identification of hearing loss: listen to parents.

    abstract::Families of 49 hearing-impaired children responded to a questionnaire requesting information about the identification of their child's hearing loss. Parents were the first to suspect the hearing loss in 48 cases but more often than not were told that the child would outgrow it or was too young to test. When profession...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000202

    authors: Thompson MD,Thompson G

    更新日期:1991-02-01 00:00:00

  • Rubella seronegativity in a low socioeconomic adolescent female population.

    abstract::Ninety low socioeconomic adolescent females (aged 16-22 years, means 18.6 years) were screened for rubella immunity using a rubella IgG enzyme immunoassay. Data concerning past immunizations (with documentation, if possible), prior rubella disease, and previous pregnancies were gathered through direct interviews. Resu...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288502400705

    authors: Cohen ZB,Rice LI,Felice ME

    更新日期:1985-07-01 00:00:00