Abstract:
:To improve child health at a community level, pediatricians require knowledge and skills that have not been traditionally included in residency training. Recent policy statements from the American Academy of Pediatrics and requirements from Accreditation Council for Graduate Medical Education Residency Review committees emphasizing the importance of community pediatrics training have provided additional incentive for pediatric residency programs to actively explore methods of teaching the principles and promoting the practice of community pediatrics to resident trainees. With a growing number of diverse educational models in various stages of practice or development, common themes and approaches to promote successful teaching of community health and child advocacy can be described. This article defines strategies for 2 critical elements of community pediatrics training, engaging residents and building strong community partnerships, then highlights a number of educational models that illustrate key curricular components and methods. Published results from evaluations of some programs suggest that community pediatrics training of this caliber will cultivate a cadre of pediatricians (academic and community based, generalists and subspecialists, researchers and practitioners) who understand child health in the context of community and have the leadership and collaborative skills to improve the health of children in their communities.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Shipley LJ,Stelzner SM,Zenni EA,Hargunani D,O'Keefe J,Miller C,Alverson B,Swigonski Ndoi
10.1542/peds.2004-2825Jsubject
Has Abstractpub_date
2005-04-01 00:00:00pages
1150-7issue
4 Suppleissn
0031-4005issn
1098-4275pii
115/4/S1/1150journal_volume
115pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:BACKGROUND:Children with trisomy 13 and trisomy 18 (T13-18) have low survival rates and survivors have significant disabilities. For these reasons, interventions are generally not recommended by providers. After a diagnosis, parents may turn to support groups for additional information. METHODS:We surveyed parents of ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-0151
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To develop a quantitative model to estimate the probability of neonatal early-onset bacterial infection on the basis of maternal intrapartum risk factors. METHODS:This was a nested case-control study of infants born at ≥34 weeks' gestation at 14 California and Massachusetts hospitals from 1993 to 2007. Case-...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2010-3464
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:This is the first peer-reviewed study to quantify diaper need, propose a method to measure diaper need, and explore psychosocial variables associated with diaper need in a large sample of urban, low-income families. METHODS:Data were derived from a cross-sectional study in 877 pregnant and parenting women. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-0597
更新日期:2013-08-01 00:00:00
abstract::Severe rhabdomyolysis following an influenza B infection developed in a previously well 13-year-old girl. There was no history of trauma. Her course was complicated by episodes of severe hyperkalemia, hypocalcemia, hyperphosphatemia, and myoglobinuria. Renal failure, hypertension, and life-threatening arrhythmias deve...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::Congenital cataracts and other ocular media opacities are a leading cause of preventable childhood blindness. Because of the importance of early recognition and treatment of congenital media opacities in newborn infants, we designed a study to determine the ability of relatively inexperienced examiners to detect such ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVE:Our objective was to determine whether parent-reported, high-quality primary care was associated with decreased nonurgent pediatric emergency department utilization. METHODS:A retrospective analysis of prospectively collected data for a cohort of children from the 2000-2001 and 2001-2002 Medical Expenditure ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-3518
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:Postnatal survival rates of very low birth weight (VLBW) infants are well established for each birth weight or gestational age category. These figures do not differentiate viable infants who survive the first few days of life from extremely immature ones who die shortly after birth. This study aimed to devel...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-2810
更新日期:2010-08-01 00:00:00
abstract::In 1977, 7% of the 38,855 infants born in Utah were estimated to have required a total of 27,439 special-care hospital days. About half (53%) were mildly ill; their average length of stay was 4.6 days, or 24% of the total hospital-days. Another 20% of the infants had intermediate illness, with a 12-day average stay, o...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:Cardiac arrest is uncommon among pediatric patients. Prehospital data demonstrate differences in care processes between children and adults receiving cardiopulmonary resuscitation and advanced life support. We sought to evaluate whether children receiving in-hospital cardiopulmonary resuscitation would attain...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0453
更新日期:2006-09-01 00:00:00
abstract::Adolescent parenthood is associated with a range of adverse outcomes for young mothers, including mental health problems such as depression, substance abuse, and posttraumatic stress disorder. Teen mothers are also more likely to be impoverished and reside in communities and families that are socially and economically...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2013-0927
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:Increasing numbers of parents use alternative vaccination schedules that differ from the recommended childhood vaccination schedule for their children. We sought to describe national patterns of alternative vaccination schedule use and the potential "malleability" of parents' current vaccination schedule choi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0400
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To conduct a systematic review of rigorously evaluated treatments for infant colic. METHODS:Online bibliographic databases were searched for the term "colic" in articles classified as clinical trials or randomized controlled trials and conducted in infants. Reference lists from review articles, meta-analyses...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析
doi:
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To describe potential patient safety events for hospitalized children, examine associated factors, and explore impacts of safety events. METHODS:The newly released Patient Safety Indicators (PSIs), developed by researchers at the Agency for Healthcare Research and Quality to identify potential in-hospital pa...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.113.6.1741
更新日期:2004-06-01 00:00:00
abstract::We report 2 life-threatening cases of Burkholderia cepacia sepsis caused by infusate contamination during compounding. Bacterial isolates from the patients' blood cultures and the infusate were indistinguishable by pulsed-field gel electrophoresis. Proper quality controls at a local and national level are important fo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-2617
更新日期:2006-07-01 00:00:00
abstract:CONTEXT:Early intensive behavioral and developmental interventions for young children with autism spectrum disorders (ASDs) may enhance developmental outcomes. OBJECTIVE:To systematically review evidence regarding such interventions for children aged 12 and younger with ASDs. METHODS:We searched Medline, PsycINFO, an...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2011-0426
更新日期:2011-05-01 00:00:00
abstract::Pediatricians regularly care for children who have experienced child maltreatment. Child maltreatment is a risk factor for a broad range of mental health problems. Issues specific to child maltreatment make addressing emotional and behavioral challenges among maltreated children difficult. This clinical report focuses...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3751
更新日期:2020-02-01 00:00:00
abstract::Kwashiorkor, with typical edema and skin rash is occasionally seen in affluent countries as a result of severe protein restriction. Treatment is with a lactose-free formula after rehydration and sometimes after a period of parenteral alimentation. Complications of therapy included: diarrhea, congestive heart failure, ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVE:To determine the frequency of child abuse and unintentional injury as a cause of infant and toddler subdural hemorrhage (SDH). METHODS:A prospective case series of a level I regional trauma center, regional children's hospital, and county medical examiner's office assessed consecutive children who were =36...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.3.636
更新日期:2001-09-01 00:00:00
abstract::Enterobacter aerogenes bacteremia associated with the infusion of contaminated admixed intravenous (IV) fluid occurred in seven patients in a pediatric hospital over a five-day period. Clinical illness was characterized by spiking fever in all patients. The temporal clustering of cases allowed for rapid recognition of...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract::Ultrasound has become a useful tool in the workup of pediatric patients because of the highly convenient, cost-effective, and safe nature of the examination. With rapid advancements in anatomic and functional ultrasound techniques over the recent years, the diagnostic and interventional utility of ultrasound has risen...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2018-2609
更新日期:2019-03-01 00:00:00
abstract::A retrospective analysis of bone scans of 381 children with unexplained skeletal pain was made. Of these, findings are reported on 358 for whom there were sufficient clinical data. The bone scan results suggested trauma as the cause of pain in 43 patients, inflammatory disease in 73 patients, and neoplasia in ten pati...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract:OBJECTIVE:School-based health services have evolved from primarily controlling communicable disease to comprehensive programs with direct services, education, and improvement of the school environment. School-based health clinics (SBHCs), currently 1157 in number, are used to reach children for preventive and other rou...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.105.4.780
更新日期:2000-04-01 00:00:00
abstract::Central nervous system manifestations in association with adenovirus infections have rarely been documented. In this report, four children, ages 4, 5, 6, and 10 years, with adenoviral meningoencephalitis are described. Adenoviruses were recovered from CSF specimens in all four patients. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-02-01 00:00:00
abstract::Three groups of 30 Greek neonates each (an adoptive group from the Metera orphanage, a lower-class group, and a middle-class group) were evaluated at days 1, 5, and 10 after birth using a behavioral scale of 21 items and a neurologic evaluation of 16 items. Behaviors were examined for group differences and group-by-ag...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of high titer respiratory syncytial virus (RSV) immune globulin (RSVIG) in the treatment of previously healthy children hospitalized with proven RSV lower tract infection (LRI). METHOD:Infants and young children =2 years of age with RSV LRI of =4 days duration, and respiratory sc...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1542/peds.100.6.937
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:Because previous studies have found allergic contact sensitization common in children by 5 years of age, our aim was to determine the prevalence of positive epicutaneous test results in children <5 years of age and to determine whether sensitization to contact allergens was as common in infancy. METHODS:We r...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.105.1.e3
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:Abdominal obesity may be a better predictor than overall obesity for the risk of cardiovascular disease and type 2 diabetes. Waist circumference and waist-height ratio are 2 simple, yet effective, surrogate measures of abdominal obesity. We sought to examine the recent trends in mean waist circumference and ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-1062
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of home intervention with drug-abusing women on parenting behavior and attitudes, and on children's development. DESIGN:A randomized, clinical trial of 60 drug-abusing women recruited prenatally and randomized into an intervention (n = 31) or comparison (n = 29) group. There were no ...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1994-10-01 00:00:00
abstract::In this report we present two infants with congenital myotonic dystrophy (CMD) who were successfully weaned from prolonged ventilatory support using nasal continuous positive airway pressure (N-CPAP). The first infant received 127 days of endotracheal mechanical ventilation as part of 141 days of total ventilatory sup...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.4.704
更新日期:1998-04-01 00:00:00
abstract::A 38-year-old woman is diagnosed with Li-Fraumeni syndrome, an autosomal dominant genetic condition that predisposes to a variety of cancers. The woman has an 11-year-old daughter. The geneticist recommends that the child be tested for the Li-Fraumeni genetic variant. The mother is concerned about the impact of testin...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-2238
更新日期:2018-04-01 00:00:00