Evidence map›Paper›PMID 26542014›Full record

ArticleJournal of pediatric and adolescent gynecology2016

Teaching Trainees to Deliver Adolescent Reproductive Health Services.

Brandi Shah, Serena H Chan, Lisa Perriera, Melanie A Gold, Aletha Y Akers

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Brandi ShahDivision of Adolescent Medicine, Department of Pediatrics, University of Washington/Seattle Children's Hospital, Seattle, Washington.
Serena H ChanDivision of Pediatric and Adolescent Gynecology, Cincinnati Children's Hospital Medical Center, Cincinatti, Ohio.
Lisa PerrieraDepartment of Obstetrics and Gynecology, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Melanie A GoldCenter for Community Health and Education, New York, New York.
Aletha Y AkersDepartment of Pediatrics, Obstetrics and Gynecology, The Craig Dalsimer Division of Adolescent Medicine, Philadelphia, Pennsylvania. Electronic address: akersa@email.chop.edu.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
NCATS NIH HHS KL2 TR000146NCATS NIH HHS KL2TR000146NCATS NIH HHS UL1 TR001425NICHD NIH HHS L30 HD048127
6 · The paper itself

Abstract

STUDY

objectiveDelivery of reproductive services to adolescents varies according to specialty and has been linked to differences in clinical training. Few studies have explored how different specialties' graduate medical education (GME) programs prepare providers to deliver adolescent reproductive services. We explored the perceptions of resident physicians regarding their training in delivering adolescent reproductive health services.

designBetween November 2008 and February 2009, 9 focus groups were conducted with graduate medical trainees in 3 specialties that routinely care for adolescents. The semistructured discussions were audio-recorded, transcribed, and analyzed using an inductive approach to content analysis.

settingLarge, urban academic medical center in Pittsburgh, Pennsylvania.

participantsFifty-four resident trainees in pediatrics, family medicine, and obstetrics/gynecology.

interventionsNone.

main outcome measuresTrainees' perspectives regarding the didactic teaching and clinical training in providing adolescent reproductive services.

resultsFive themes emerged, reflecting trainees' beliefs regarding the best practices in which GME programs can engage to ensure that trainees graduate with the belief that they are competent and will be comfortable delivering adolescent reproductive services. Trainees believed programs need to: (1) provide didactic lectures and diverse inpatient and outpatient clinical experiences; (2) have faculty preceptors skilled in providing and supervising adolescent reproductive services; (3) teach skills for engaging adolescents in clinical assessments and decision-making; (4) train providers to navigate confidentiality issues with adolescents and caregivers; and (5) provide infrastructure and resources for delivering adolescent reproductive services.

conclusionThe 3 specialties differed in how well each of the 5 best practices were reportedly addressed during GME training. Policy recommendations are provided.

Indexed as

Adolescent Health ServicesInternship and ResidencyReproductive Health ServicesAdolescentAdultEducation, Medical, GraduateFamily PracticeFemaleFocus GroupsGynecologyHumansMalePediatricsPennsylvaniaAdolescentsFocus groupsGraduate medical educationQualitative researchReproductive health services

Identifiers

PMID26542014
PMCPMC4681699

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.