Community Pediatrics Training Initiative Evaluation
Begun in 2000, our program in addition to nine other pediatric residency training programs is undergoing a national evaluation through the Dyson Initiative National Evaluation (DINE) of the Johns Hopkins University; Bloomberg School of Public Health, Women's and Children's Health Policy Center. The evaluation of the DINE is designed to describe its impact in comparison to the potential changing/growing focus on community pediatrics in U.S. pediatric residency training programs. This requires collecting information that assesses concurrent related changes among non-Dyson funded residency programs and among their residents/graduate pediatricians. Two surveys of a national sample of pediatric residents (2001 and 2006), surveys of pediatric residency program directors (2002 and 2006), and one national survey of practicing pediatricians (2004) therefore, are being undertaken and national findings are summarized here.
Locally, Community Pediatrics utilizes a competency and exposure evaluation tool to assess the core curriculum and the pediatric residents' increased understanding of its core competencies. Since 2000, for both exposure and competency, there was a significant difference pre- and post- for all 5 main groups. The pediatric residents’ (175) improved their level of exposure and competency after their training. Baseline ratings in the domain of teambuilding were relatively high in the initial self-assessment, indicating that pediatric residents felt competent in this domain before the Community Pediatrics rotation began. Pediatric Residents perceived the greatest changes in their exposures and competencies related to system-based practice, child advocacy, poverty impact on children, and professionalism/diversity.