Abstract
Purpose
Despite the need for pediatricians to diagnose and manage adolescent depression, few
pediatric residency curricula exist. This study evaluated the impact of an adolescent
depression curriculum on pediatric residents' knowledge and confidence to manage depression.
Methods
A novel, case-based, adolescent depression curriculum simulating patient-provider
continuity was developed and implemented within an adolescent medicine (AM) rotation.
The curriculum addressed seven domains critical for diagnosis and management of adolescent
depression. Participants were recruited from the pediatric residency at one institution.
A survey assessed residents' demographics, prior training, and self-assessed knowledge
and confidence within each domain using a retrospective pre-post evaluation. Wilcoxon
signed-rank test evaluated changes in knowledge and confidence.
Results
Forty-two of a total 51 residents (82%) completed the curriculum and survey during
their AM rotation. Residents reported that within their continuity clinic, 45% (n =
19) had never initiated medication for depression, and 60% (n = 25) did not manage
their adolescent patients' depression medications. Comparisons before and after participation
in the curriculum, using the retrospective pre-post survey, demonstrated increased
self-assessed knowledge (p < .001, for each domain) and confidence (p < .001, for each domain).
Conclusions
In this study, few residents reported experience initiating medication or managing
adolescent depression in the continuity clinic. Residents demonstrated increased self-assessed
knowledge and confidence to diagnose and manage adolescent depression after participation
in a case-based adolescent depression curriculum simulating patient-provider continuity.
Incorporation of training on management of adolescent depression into AM rotation
may be a feasible option to standardize training within pediatric residency.
Keywords
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Article info
Publication history
Published online: November 02, 2019
Accepted:
August 16,
2019
Received:
July 3,
2019
Footnotes
Conflicts of interest: The authors have no conflicts of interest to disclose.
Financial Disclosure: The authors have no financial disclosures.
Identification
Copyright
Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.
