Resident Surveillance of Pediatric Patient Developmental Status at the Two Month Preventive Care Visit
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| ClinicalTrials.gov Identifier: NCT00465361 |
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Recruitment Status :
Completed
First Posted : April 25, 2007
Results First Posted : February 9, 2012
Last Update Posted : February 9, 2012
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| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Growth & Development Child Development Internship and Residency Education, Medical Developmental Disabilities | Procedure: performance feedback with an educational module | Not Applicable |
Many children in the United States have developmental or behavioral disabilities. The American Academy of Pediatrics recently published a policy statement outlining recommendations for developmental surveillance and screening of infants and young children. One of the Academy's recommendations was for inclusion of developmental surveillance during all preventive care visits. The five components of developmental surveillance include elicitation and attendance to parental concerns, maintenance of the developmental history, observation of the child through physical and developmental examinations, identification of risk and protective factors, and documentation of surveillance findings and process (referral, follow-up, etc.).
As a result of concerns expressed by the public regarding accountability in medical education and health care, the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties mandated that training programs shift to a competency based assessment system. The focus of this study will be to assess the impact of performance feedback (based upon video recorded observation) coupled with an educational module on resident demonstration of competency in regard to the physical and developmental examinations component of developmental surveillance of infants at the two month preventive care visit.
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 7 participants |
| Allocation: | Non-Randomized |
| Intervention Model: | Single Group Assignment |
| Masking: | None (Open Label) |
| Official Title: | Evaluation of Resident Surveillance of Pediatric Patient Developmental Status at the Two Month Preventive Care Visit |
| Study Start Date : | May 2007 |
| Actual Primary Completion Date : | July 2008 |
| Actual Study Completion Date : | July 2008 |
| Arm | Intervention/treatment |
|---|---|
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No Intervention: Baseline Performance
Observation of baseline performance
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Experimental: Post-intervention Performance
Observation of performance post-intervention
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Procedure: performance feedback with an educational module
individual performance feedback with an educational module |
- Presence of Resident Surveillance Behaviors of Specific Aspects of Developmental Status at the Two Month Preventive Care Visit [ Time Frame: Residents were observed during each of the eligible preventive care visits. Each visit was an average of 20 minutes in length. Preventive care visits were observed over a 13 month time period. ]Residents were observed to determine whether specific aspects of infant developmental status, as part of developmental surveillance, were assessed during the two-month preventive care visit. The components of developmental surveillance observed were: assessment of the infant's ability to follow past midline, assessment of the infant's ability to lift his/her head off of the table in prone, assessment of the infant's ability to hold an object placed in his/her hand, assessment of the infant's ability to coo, and assessment of the infant's ability to demonstrate a social smile.
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| Ages Eligible for Study: | Child, Adult, Older Adult |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Categorical pediatric residents in their second year of training at Children's Mercy Hospitals and Clinics who are scheduled to see infants for a two month preventive care visit.
Exclusion Criteria:
- Preventive care visits for infants who have parents/guardians who do not speak English fluently
- Preventive care visits for infants who have a previously identified genetic or other medical syndrome or developmental delay
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00465361
| United States, Missouri | |
| Children's Mercy Hospitals and Clinics | |
| Kansas City, Missouri, United States, 64108 | |
| Principal Investigator: | Sarah S Nyp, MD | Children's Mercy Hospital Kansas City |
| Responsible Party: | Sarah Nyp, Medical Physician, Children's Mercy Hospital Kansas City |
| ClinicalTrials.gov Identifier: | NCT00465361 |
| Other Study ID Numbers: |
07 02-027E |
| First Posted: | April 25, 2007 Key Record Dates |
| Results First Posted: | February 9, 2012 |
| Last Update Posted: | February 9, 2012 |
| Last Verified: | December 2011 |
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Growth and Development Child Development Developmental Surveillance Medical Education Internship and Residency |
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Developmental Disabilities Neurodevelopmental Disorders Mental Disorders |