title: Improving residents' understanding of issues, comfort levels, and patient needs regarding screening for and diagnosing Down syndrome.
abstract: OBJECTIVE
  This study assessed obstetrics and gynecology and pediatrics residents' knowledge about Down syndrome (DS) and their comfort in delivering a prenatal or postnatal diagnosis of DS before and after interaction with a web-based tutorial.
  
  
  METHODS
  A team of physicians, parents, and educational specialists developed an interactive tutorial that asked resident physicians to provide their own responses to "virtual patient" cases related to DS diagnoses in utero and at birth. We tested resident knowledge and comfort-level changes and their satisfaction with the web-based tool.
  
  
  RESULTS
  The study yielded significant improvement in knowledge and level of comfort changes with both obstetrics and gynecology and pediatric resident physicians at 16 programs nationally. There were no significant differences between the 2 specialties.
  
  
  CONCLUSIONS
  This interactive tutorial is effective in improving physicians' knowledge of and comfort level with imparting accurate, balanced information about DS pre- and postnatally.
authors.affiliation: Human Development Institute, University of Kentucky and Chandler Medical Center, Lexington, KY, USA.
authors.forename: Harold L
authors.initials: HL
authors.lastname: Kleinert
authors.forename: Carol A
authors.initials: CA
authors.lastname: Lunney
authors.forename: Lynn
authors.initials: L
authors.lastname: Campbell
authors.forename: James E
authors.initials: JE
authors.lastname: Ferguson
mesh_terms: D000328:Adult; D004314:Down Syndrome / Q000175:diagnosis*; D005260:Female; D006176:Gynecology / Q000193:education; D006801:Humans; D007231:Infant, Newborn; D020407:Internet; D007396:Internship and Residency; D009774:Obstetrics / Q000193:education; D010372:Pediatrics / Q000193:education; D010817:Physician-Patient Relations; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000523:psychology; D013663:Teaching / Q000379:methods