Pediatric residency as preparation for primary care practice

Article Abstract:

Pediatric residency program graduates may feel inadequately trained for primary care. Overall, 103 pediatric residency graduates of a single medical school responded to a questionnaire. Respondents felt training had been inadequate in 25 of 45 areas relevant to primary care. Primary care track graduates felt better trained than nonprimary track graduates in 10 of the 45 areas, while the reverse was true in 2 areas. Nonprimary care graduates especially wanted more training in orthopedics, developmental and behavioral problems, learning disability, attention-deficit hyperactivity disorder, and school difficulty. Primary care graduates agreed on orthopedics, learning disability, and school difficulty.

Beliefs, opinions and attitudes, Residents (Medicine)

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Injury prevention training in pediatric residency programs

Article Abstract:

There appears to be less emphasis on teaching pediatric residents injury prevention than disease prevention. Residency program directors at 142 U.S. pediatric residency programs responded to a survey. Over 80% of residency programs addressed nearly all survey disease-prevention topics but they addressed only 60% of injury-prevention topics. Least frequently taught were injuries resulting from guns, swimming pools, sports, and house fires, all important causes of pediatric injury and death. Disease prevention was taught in lectures, hospital clinical rotations, and outpatient clinics whereas teaching about injury prevention tended to be limited to outpatient clinic training.

Prevention, Children's accidents

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Inability of community-based laboratories to identify pathological casts in urine samples

Article Abstract:

Some community-based medical laboratories may not be able to accurately diagnose the presence of disease in urine specimens. Researchers submitted 26 urine specimens from seven children with known kidney disease to two community-based medical laboratories and to two nephrologists. The children had Alport syndrome, lupus nephritis, and IgA nephropathy. The two laboratories were only able to diagnose three of the specimens; one nephrologist diagnosed 20 (77%) and the other diagnosed all 26 specimens correctly. Primary care doctors should be able to do their own microscopic urinalysis, in case they doubt a laboratory's result.

Analysis, Evaluation, Diagnosis, Medical laboratories, Biomedical laboratories, Kidney diseases, Urine, Urinalysis

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