Violence prevention in the primary care setting: a program for pediatric residents.
OBJECTIVE
To measure the effect of a violence prevention program on pediatric residents' violence prevention guidance during well-child visits.


METHODS
Prospective study of an educational intervention.


METHODS
Inner-city tertiary care hospital and satellite site.


METHODS
Pediatric residents.


METHODS
A 2(1/2)-hour violence prevention program, consisting of an introductory talk, role playing, a printed resident guide, and supplemental reading materials.


METHODS
Parent or guardian report of violence prevention guidance offered during the well-child visit, using a postvisit survey.


RESULTS
Three hundred eight patient encounters were included in the survey: 93 prior to the program, 106 just afterward, and 109 after 6 months. Before the program, guns or violence was discussed at 9.7% of visits; this increased to 19.1% of visits after the program (odds ratio, 2.20; 95% confidence interval, 1.02-4.74). The improvement was sustained 6 months after the program. More than 80% of residents felt the program increased their fund of knowledge and taught them skills, and 93% stated that they would use these skills in the future.


CONCLUSIONS
This one-time educational intervention significantly increased the amount of violence prevention guidance provided by pediatric residents to their patients and families. The effect was sustained after 6 months. Residents regarded the program as a successful method of providing the skills and knowledge needed to address the issue of interpersonal violence in their primary care encounters.
D000328:Adult; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D010372:Pediatrics / Q000193:education*; D015143:Philadelphia; D011320:Primary Health Care; D015397:Program Evaluation; D011446:Prospective Studies; D014505:Urban Population; D014754:Violence / Q000517:prevention & control*