Social determinants of pediatric residents' injury prevention counseling.
BACKGROUND
Social norms imparted by preceptors and the requirements necessary to pass American Board of Pediatrics' examinations are potentially important contributors to physician behavior.


OBJECTIVE
To explore the relationships between perceived professional norms regarding injury prevention and the injury prevention topics discussed, and counseling strategies employed, by pediatric residents.


METHODS
A self-administered survey.


METHODS
All 5 North Carolina pediatric residency programs.


METHODS
Physicians training in pediatrics or medicine-pediatrics in these programs (N = 160, 72% response rate).


METHODS
Correlation between perceived professional norms and self-reported content of injury prevention counseling and use of behavior change strategies.


RESULTS
Although 95% of the pediatric residents reported counseling all or almost all parents with children younger than 1 year about car seat use, only 19% reported counseling this many parents about gun safety. Of the 7 behavior change strategies that residents were asked about, respondents were most likely to report "showing approval for safe behaviors" to all almost all parents (78%). Two thirds reported asking all or almost all parents about the safety of their homes. Pediatric residents' reported injury prevention counseling was correlated with their perceived professional norms regarding such counseling for most of the content areas and behavior change strategies.


CONCLUSIONS
Perceived professional norms regarding injury prevention are related to pediatric residents' counseling, Preceptors should be aware that they transmit professional norms to residents. Also, the American Board of Pediatrics can increase residents' attention to injury prevention by informing them that it will be a topic included in the board examination.
Cohen
L R
LR
Injury Prevention Research Center, University of North Carolina at Chapel Hill, USA. lic8@cdc.gov
Runyan
C W
CW
Bowling
J M
JM
D000328:Adult; D003376:Counseling; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008297:Male; D010353:Patient Education as Topic; D010372:Pediatrics / Q000193:education*; D010819:Physician's Role; D013044:Specialty Boards; D011795:Surveys and Questionnaires; D014481:United States; D014947:Wounds and Injuries / Q000517:prevention & control*