title: Measuring pediatric resident competencies in adolescent medicine.
abstract: OBJECTIVE
  To compare third-year pediatric resident competence on an adolescent medicine with competence in treating younger children.
  
  
  METHODS
  The participants were third-year residents (2010 [n = 24] and 2011 [n = 23]) at University of Colorado School of Medicine. Resident competence was measured in the domains of professionalism, communication, and history-taking skills in a multicase Objective Structured Clinical Examination.
  
  
  RESULTS
  Percent correct scores in professionalism, history-taking, and communication skills on the adolescent case ranked in the bottom half of cases in both years. T-tests comparing mean score difference between the adolescent case and pediatric cases combined were statistically significant for professionalism (79.57 ± 4.15 vs. 89.51 ± 14.14, p = .01) and history taking (66.27 ± 11.02 vs. 75.10 ± 18.40, p = .05).
  
  
  CONCLUSIONS
  Resident's history taking addressed immediate issues but not public health issues with adolescents. The professionalism findings suggest that residents engage in less patient-centered care when caring for adolescents, even while their communication skills remain on par.
authors.affiliation: Section of Adolescent Medicine, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado. Electronic address: paritosh.kaul@childrenscolorado.org.
authors.forename: Paritosh
authors.initials: P
authors.lastname: Kaul
authors.affiliation: Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gong
authors.affiliation: Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Gretchen
authors.initials: G
authors.lastname: Guiton
authors.affiliation: Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Adam
authors.initials: A
authors.lastname: Rosenberg
authors.affiliation: Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Gwyn
authors.initials: G
authors.lastname: Barley
mesh_terms: D000293:Adolescent; D000295:Adolescent Medicine / Q000193:education*; D000328:Adult; D002983:Clinical Competence; D003120:Colorado; D003142:Communication; D004503:Education, Medical, Graduate / Q000379:methods*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D008487:Medical History Taking / Q000379:methods; D020380:Needs Assessment; D010372:Pediatrics / Q000193:education; D010808:Physical Examination / Q000379:methods; D010817:Physician-Patient Relations; D055815:Young Adult
keywords: Adolescent medicine education; Medical education; Resident education