title: Addressing behavioral health issues during well child visits by pediatric residents.
abstract: The study examined practices by pediatric residents (n = 61) concerning psychosocial care during well child visits. A random sample (n = 719) of well child visits was selected, and a medical record review was conducted. Results suggested that a behavioral health issue was discussed in 38% of the cases. The most frequent type of problem discussed involved a medical component, while problems with mood were rarely discussed (<1%). Residents treated 67% of the cases and referred 20% of the cases with behavioral health concerns. Logistic regression suggested that residents were significantly more likely to treat medically focused problems (P = 0.05), but more likely to refer children with social/environmental or learning problems (P = 0.05). Results suggested the need for further training in recognition of internalizing disorders.
authors.affiliation: Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, NC 27157, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Williams
authors.forename: Stephanie
authors.initials: S
authors.lastname: Burwell
authors.forename: Capri G
authors.initials: CG
authors.lastname: Foy
authors.forename: Jane Meschan
authors.initials: JM
authors.lastname: Foy
mesh_terms: D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis*; D006801:Humans; D007396:Internship and Residency; D010372:Pediatrics / Q000193:education; D012017:Referral and Consultation; D012189:Retrospective Studies