The AMA residency training in adolescent preventive services project: report of the working group

Ford, Carol A; Reif, Christopher; Rosen, David S; Emans, S.Jean; Lipa-glaysher, Beth; Fleming, Missy; Wilson, Torrey

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Volume 29, Issue 1 , Pages 50-58, July 2001

The AMA residency training in adolescent preventive services project: report of the working group

Carol A Ford, M.D.
- Departments of Pediatrics and Medicine, Adolescent Medicine Program, University of North Carolina, Chapel Hill, North Carolina, USA (C.A.F.)
- Address correspondence to: Carol A. Ford, M.D., University of North Carolina, CB# 7225, Chapel Hill, NC 27599-7225
Christopher Reif, M.D., M.P.H.
- the Department of Family and Community Medicine, University of Minnesota, Minneapolis, Minnesota, USA (C.A.F.)
David S Rosen, M.D., M.P.H.
- the HealthPartners Family Medicine Residency Program, St. Paul, Minnesota, USA (C.R.)
S.Jean Emans, M.D.
- the Division of General Pediatrics, Section of Teenage and Young Adult Health, University of Michigan Health System, Ann Arbor, Michigan, USA (D.S.R.)
Beth Lipa-glaysher, M.P.H.
- the Division of Adolescent/Young Adult Medicine, Children’s Hospital, and Harvard Medical School, Boston, Massachusetts, USA (S.J.E.)
Missy Fleming, Ph.D.
- the American Medical Association, Chicago, Illinois, USA (B.L., M.F., T.W.)
Torrey Wilson, Ph.D.
- the Division of Adolescent/Young Adult Medicine, Children’s Hospital, and Harvard Medical School, Boston, Massachusetts, USA (S.J.E.)

Accepted 1 December 2000.

Abstract

Purpose: To improve resident education in provision of adolescent preventive health care. The American Medical Association (AMA) Residency Training in Adolescent Preventive Services Project Working Group convened to identify specific goals and objectives (G&Os) for pediatric and family medicine resident education in adolescent clinical preventive services and recommend strategies to achieve these G&Os.

Methods: Iterative review process involving members of the working group, nine experienced teaching faculty and 16 resident physicians from family medicine and pediatric training programs, and an advisory board.

Results: We achieved consensus on appropriate G&Os for pediatric and family medicine residency education in adolescent clinical preventive services. Faculty and residents expressed concerns about achieving G&Os because of challenges to implementing effective training and evaluation strategies. Suggestions for achieving G&Os included development of an adolescent clinical preventive services curriculum and evaluation program that could be adapted for use in a variety of training program structures. Faculty and residents anticipated the success of a training curriculum would be influenced by: (a) availability of adequate numbers of skilled teaching faculty; (b) availability of time and support for faculty development and teaching efforts; and (c) exposure of residents to adequate numbers of adolescent patients in settings where there are clear expectations for delivery of comprehensive preventive services.

Conclusions: The AMA Residency Training in Adolescent Preventive Services Project Working Group presents G&Os for organizing training experiences in adolescent clinical preventive services in family medicine and pediatric residency training programs and recommends strategies to achieve these G&Os.

Keywords: Adolescents, Adolescent medicine, Preventive health services, Adolescent health services, Medical education, Residency training