title: A block rotation in community health and child advocacy: improved competency of pediatric residency graduates.
abstract: BACKGROUND
  Despite increasing recognition of the importance of community health and child advocacy activities by pediatricians, residency programs have had little experience providing this education. There are no known reports examining the effects of such training on residency graduates.
  
  
  OBJECTIVE
  To determine whether a program for educating residents in community health and child advocacy, Pediatric Links With the Community (PLC), improved attitudes and competencies of residency graduates.
  
  
  METHODS
  Survey of all graduates of the Rochester Pediatric Residency Program from 1991-2001. Graduates before institution of PLC (pre-PLC) were compared with graduates after institution of PLC (post-PLC).
  
  
  METHODS
  A total of 137 (81%) of 169 graduates participated; 78 (85%) of 92 were in the pre-PLC group and 59 (77%) of 77 were in the post-PLC group.
  
  
  METHODS
  PLC provides all pediatric residents with a 2-week rotation working with multiple community-based organizations.
  
  
  METHODS
  Differences between pre-PLC and post-PLC graduates in self-reported attitudes and competencies in multiple community health and child advocacy activities on 4-point Likert scales.
  
  
  RESULTS
  The pre-PLC and post-PLC groups' attitudes toward community health activities were equally positive (3.4 vs 3.5, P =.08). The post-PLC group rated its competency higher in 8 of 12 activities (P <.05); its overall rating of competency was also higher (2.8 vs 2.3, P <.001).
  
  
  CONCLUSIONS
  Although all pediatricians surveyed had positive attitudes toward community health and child advocacy activities, those who participated in PLC had higher self-perceived competency in most activities. Residency training programs can increase graduates' competence in community health skills.
authors.affiliation: Department of Pediatrics, University of Rochester (Drs Kaczorowski, Aligne, Halterman, Aten, and Shipley and Ms Allan), Pediathink (Dr Aligne), University of Rochester School of Nursing (Dr Aten), and Panorama Pediatric Group (Dr Shipley), Rochester, NY.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Kaczorowski
authors.forename: C Andrew
authors.initials: CA
authors.lastname: Aligne
authors.forename: Jill S
authors.initials: JS
authors.lastname: Halterman
authors.forename: Marjorie J
authors.initials: MJ
authors.lastname: Allan
authors.forename: Marilyn J
authors.initials: MJ
authors.lastname: Aten
authors.forename: Laura Jean
authors.initials: LJ
authors.lastname: Shipley
mesh_terms: D001291:Attitude of Health Personnel; D002648:Child; D002651:Child Advocacy; D002662:Child Health Services; D002983:Clinical Competence; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009518:New York; D010372:Pediatrics / Q000193:education*; D015397:Program Evaluation