title: Skills for Interviewing Adolescent Patients: Sustainability of Structured Feedback in Undergraduate Education on Performance in Residency.
abstract: BACKGROUND
  Effective adolescent (10 to 19 years) interviewing by physicians is an essential skill that many trainees can find challenging.
  
  
  OBJECTIVE
  We assessed whether structured adolescent interviewing using standardized patients (SPs) and feedback in undergraduate medical education (UME) has a sustained effect on residents' skills.
  
  
  METHODS
  Postgraduate year (PGY) 1 residents conducted interviews with a SP adolescent-mother pair. The SPs independently scored each PGY-1 interview using the structured communication adolescent guide (SCAG). Unpaired t tests were conducted comparing "Total-Item" and "Global" scores of PGY-1s who received structured SP adolescent interviewing with feedback in UME ("structured training" group) to those who had not ("no structured training" group).
  
  
  RESULTS
  PGY-1s in the structured training group (n = 23) received significantly higher mean Total-Item scores from both the SP adolescent (40.78 ± 7.04 and 32.41 ± 10.12, respectively; P = .001) and the SP mother (40.48 ± 7.90 and 33.34 ± 10.90, respectively; P = .01) than those without structured training (n = 29). Statistically significant results favoring PGY-1s with prior training were also seen with the SP adolescent and mother total Global SCAG scores.
  
  
  CONCLUSIONS
  Structured training in adolescent interviewing with SPs and feedback in UME appears to have a sustained effect on residents' adolescent interviewing skills. PGY-1s will interview adolescents and may benefit from structured adolescent SP interviewing with feedback, especially individuals who did not have this experience during their medical school training.
authors.forename: Nadim
authors.initials: N
authors.lastname: Joukhadar
authors.forename: Genna
authors.initials: G
authors.lastname: Bourget
authors.forename: Sarah
authors.initials: S
authors.lastname: Manos
authors.forename: Karen
authors.initials: K
authors.lastname: Mann
authors.forename: Jill
authors.initials: J
authors.lastname: Hatchette
authors.forename: Kim
authors.initials: K
authors.lastname: Blake
mesh_terms: D000293:Adolescent; D002648:Child; D002983:Clinical Competence; D003142:Communication; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic / Q000379:methods*; D008297:Male; D016544:Patient Simulation; D055815:Young Adult