Residents' self-assessed skills in providing sexuality-related care to teenagers.
OBJECTIVE
To assess pediatric residents' self-reported skills and satisfaction with providing sexuality-related health care to teenagers and to examine differences by resident and patient gender.


METHODS
Cross-sectional survey.


METHODS
Forty second-year (PGY2) and 17 third-year (PGY3) pediatric residents at one training program who completed a self-administered questionnaire.


METHODS
Residents rated their skills with taking a history from, performing a physical examination on, developing a diagnosis for, and counseling both male and female teenagers. Skills with providing health care to male and female teenagers were assessed separately. Scales were constructed for skills with performing a physical examination and providing a diagnosis and counseling. Residents also rated their satisfaction with providing health care to male and female teenagers. Skills and satisfaction with providing health care to male vs female teenagers were analyzed.


RESULTS
Female residents rated their skills with providing health care to male teenagers significantly lower than their skills with providing health care to female teenagers as follows: taking a history of pubertal development (PGY2, P = .001; PGY3, P = .02), taking a sexual history (PGY2, P = .004), asking about sexual preference (PGY2, P = .02), examination and diagnosis scale (PGY2, P < .001; PGY3, P = .008), and counseling scale (PGY2, P = .003). For male residents, there were no significant differences in skills with providing health care to male vs female teenagers. Second-year, but not third-year, female residents reported significantly lower (P < .005) satisfaction with providing health care to male vs female teenagers.


CONCLUSIONS
Among female residents, discrepancies were found when comparing self-assessed competencies and, for PGY2 residents, level of satisfaction with providing health care to male vs female patients. If other research confirms these findings, educational interventions related to sexuality-related health care for teenagers should be designed with consideration to gender-specific learner needs.
Wilson
M D
MD
Department of Pediatrics, Johns Hopkins Medical Institutions, Baltimore, Md., USA.
Manoff
S
S
Joffe
A
A
D000293:Adolescent; D000295:Adolescent Medicine; D000328:Adult; D002983:Clinical Competence; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008487:Medical History Taking; D010347:Patient Care Planning; D010353:Patient Education as Topic; D012647:Self-Assessment; D012736:Sex Education; D012737:Sex Factors; D019529:Sexuality; D011795:Surveys and Questionnaires