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.
Bibliographical noteFunding Information:
The authors and the AMA express sincere appreciation to the faculty and resident physicians who gave generously of their time to participate in this project. The AMA expresses sincere gratitude to the members of the Adolescent Residency Training Project Advisory Board: S. Jean Emans, M.D.; Jerome Esser, M.D.; Carol Ford, M.D.; Robert Hendren, M.D.; Christopher Reif, M.D., M.P.H.; David Rosen, M.D., M.P.H.; and Renee Sieving, Ph.D., R.N.C. This project was funded by the American Medical Association Education and Research Foundation. S. Jean Emans’ work on this project was supported in part by Project MCJ 259368 from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Services Administration, U.S. Department of Health and Human Services.
- Adolescent health services
- Adolescent medicine
- Medical education
- Preventive health services
- Residency training