title: Five-year follow-up of Community Pediatrics Training Initiative.
abstract: OBJECTIVE
  To compare community involvement of pediatricians exposed to enhanced residency training as part of the Dyson Community Pediatrics Training Initiative (CPTI) with involvement reported by a national sample of pediatricians.
  
  
  METHODS
  A cross-sectional analyses compared 2008-2010 mailed surveys of CPTI graduates 5 years after residency graduation with comparably aged respondents in a 2010 mailed national American Academy of Pediatrics survey of US pediatricians (CPTI: n = 234, response = 56.0%; national sample: n = 243; response = 59.9%). Respondents reported demographic characteristics, practice characteristics (setting, time spent in general pediatrics), involvement in community child health activities in past 12 months, use of ≥1 strategies to influence community child health (eg, educate legislators), and being moderately/very versus not at all/minimally skilled in 6 such activities (eg, identify community needs). χ(2) statistics assessed differences between groups; logistic regression modeled the independent association of CPTI with community involvement adjusting for personal and practice characteristics and perspectives regarding involvement.
  
  
  RESULTS
  Compared with the national sample, more CPTI graduates reported involvement in community pediatrics (43.6% vs 31.1%, P < .01) and being moderately/very skilled in 4 of 6 community activities (P < .05). Comparable percentages used ≥1 strategies (52.2% vs 47.3%, P > .05). Differences in involvement remained in adjusted analyses with greater involvement by CPTI graduates (adjusted odds ratio 2.4, 95% confidence interval 1.5-3.7).
  
  
  CONCLUSIONS
  Five years after residency, compared with their peers, more CPTI graduates report having skills and greater community pediatrics involvement. Enhanced residency training in community pediatrics may lead to a more engaged pediatrician workforce.
authors: Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; andPediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland cmink@jhu.edu.
authors: Cynthia S
authors: CS
authors: Minkovitz
authors: Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and.
authors: Matt
authors: M
authors: Goldshore
authors: Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland.
authors: Barry S
authors: BS
authors: Solomon
authors: Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and.
authors: Bernard
authors: B
authors: Guyer
authors: Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and.
authors: Holly
authors: H
authors: Grason
mesh_terms: D000328:Adult; D002321:Career Choice; D003154:Community Medicine / Q000193:education*; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010372:Pediatrics / Q000193:education*; D011795:Surveys and Questionnaires; D013997:Time Factors; D014481:United States
keywords: child advocacy/education; community health services; pediatrics/manpower