pediatric residents

Child abuse and neglect is a public health challenge with lifelong consequences for survivors. Physicians’ knowledge regarding child abuse and neglect is essential for diagnosis, treatment, and timely referral to legal authorities. This study aimed to determine pediatric residents’ and pediatricians’ knowledge and attitude regarding child abuse and neglect. In this cross-sectional study, pediatric residents› and pediatricians› knowledge and attitude regarding child abuse and neglect were measured using a standard questionnaire with confirmed validity and reliability. In this questionnaire, knowledge score ranged from 0 to 17, and attitude score ranged from 10 to 50. After collecting the questionnaires and calculating the scores, the information was entered into the SPSS software (version 22), and statistical analysis was performed. A total of 80 participants, including 38 pediatric residents and 42 pediatricians, participated in this research. Among them, 71.3% were female, and 28.8% were male. The mean score of knowledge and attitude in all participants was 14.05 ± 1.88 out of 17 and 41.39 ± 4.36 out of 50, respectively. The mean score in the pediatric residents and pediatricians was 13.42 ± 2.02.  and 14.62 ± 1.57 for knowledge and 40.66 ± 4.32 and 42.05 ± 4.35 for attitude, respectively. Regarding knowledge, 19 participants (23.8%) had a good score, 35 (43.8%) had a moderate score, and 26 (32.5%) had a poor score (p=0.24). There was a significant difference in terms of knowledge score among four academic groups (first-year resident, second-year resident, third-year resident, and pediatrician) (p=0.031), as the score wassignificantly higher in pediatricians than in residents (p=0.004). However, no significant difference was observed for attitude score (p=0.056). In general, and regarding all participants, no significant relationship was observed between attitude score and knowledge score (p=0.059). Most pediatric residents and pediatricians participating in the present study had moderate knowledge and attitude toward child abuse and neglect, and less than a quarter of the participants had good knowledge in this regard. Also, the pediatricians had significantly higher knowledge scores than the pediatric residents. These results emphasize the importance of more education for pediatric residents regarding child abuse and neglect and continuing education programs for pediatricians.

Asthma is a common chronic respiratory disorder in children and adults worldwide. Inhalers are vital medications that are prescribed to control the disease and reduce its mortality and morbidity.

This study aimed to assess the knowledge and skills of Medical Students (MSs) and pediatric residents (PRs) in using different inhaler devices (IDs).

This cross-sectional study included 243 MSs and PRs at Shiraz University of Medical Sciences, Iran, from March 2018 to March 2019. The MSs were divided into the senior medical students (SMSs) and junior medical students (JMSs). Data regarding participants’ knowledge on metered dose inhalers (MDIs), dry powder inhalers (DPIs), and nebulizers (NBs) were gathered using questionnaires and a face-to-face interview.

Of the 243 participants in the study, 113 (46.5%) were SMSs, 87 (35.8%) were JMSs, and 43 (17.7%) were PRs. The mean age of the participants was 26/20 ± 4/25 years. There was no significant difference between studied groups regarding recognition of MDI device (P = 0.072). PRs were more familiar with the DPIs than MSs (P < 0.001). They also could recognize the NBs better than the MSs (P < 0.001). In terms of using DPIs correctly, PRs executed all the steps better than MSs (P < 0.001) except for the third step which all the participants had the same knowledge (P = 0.13). Regarding correct use of NBs, PRs had better performance compared to MSs (P < 0.001).

According to our results, there was an educational vacancy in training MSs regarding using IDs correctly, which can lead to poor compliance in asthmatic patients and deteriorating their lifestyle. The current research supports the need to redesign the educational curriculum of MSs and PRs in Iran to teach them sufficient knowledge and skills about how to use different types of inhalers properly.

Specialized and sub-specialized medical education, considering the special role of residents in the educational and medical system of universities, is of key importance in the higher education system of Iran. The aim of the present study was to investigate the factors affecting the quality of residency education from the perspective of professors and pediatric residents.

In this cross-sectional study, sample size consists of pediatric residents and faculty members who were working in the pediatric wards of training hospitals affiliated with Mashhad University of Medical Sciences, Mashhad, Iran in 2020. The individuals have been selected through convenience sampling. The samples then filled a researcher made questionnaire (about the quality of Resident Education in clinical fields), and the obtained data were analyzed using SPSS software version 16.0.

A total of 10 faculty members and 35 pediatric residents participated in this study. Findings showed that professors assigned higher mean scores to the effect of individual and environmental factors on the residency education as compared to pediatric residents (p <0.05). The results showed a significant difference between professors and residents in terms of the mean scores given to the educational quality in items 14 and 13 and items 18 to 23. In other words, professors had more positive attitude towards quality of clinical education than pediatric residents (P <0.05).

Faculty members and pediatric residents did not have the same views on the quality of residency education and professors had more positive assessment of the effect of individual and environmental factors on the clinical field as compared to pediatric residents.

Child abuse causes serious mental, physical, and social problems, and it is considered as a universal problem occurring in every society. Pediatricians are often the first professionals who see the children with symptoms of child abuse; thus, they must play a crucial role in the diagnosis, treatment, and prevention of child abuse. This study evaluated pediatric residents’ knowledge and attitudes towards this issue. This cross-sectional descriptive study was performed to describe the knowledge and attitudes of pediatric residents toward child abuse. Eighty-one out of all pediatric residents of (n = 121) Shiraz University of Medical Sciences were enrolled (using the census sampling method). The data were collected by using a questionnaire, the validity and reliability of which were confirmed by experts in the field of pediatrics and medical ethics. The questionnaire consisted of three parts, including demographic information, questions about the knowledge of participants, and queries which were designed to assess the participants’ attitude toward child abuse. Descriptive and inferential statistics were used for analyzing the data. The pediatric residents had “good” knowledge with a mean score of 57.48 ± 6.46 (score range: 23 to 69) and “moderate” attitudes with a mean score of 54 ± 7.73 (score range: 16 to 80) toward child abuse, although they did not recognize some of the most important risk factors and symptoms. No relationship was confirmed between gender, age, academic level, and previous source of information and knowledge or attitudes (P > 0.05). Pediatricians serve an important role in reducing the rate of child abuse. However, a large proportion of the respondents did not recognize some of the most important risk factors and symptoms regarding suspected cases of abuse in their practice. Thus, they need more specific training and support to increase their competence with better case identification and report

Factors influencing the choice of the subject could strengthen the knowledge and motivation to enter the field to promote the health of society. This study explores factors influencing specialty choice of Ahvaz Jundishapur University of Medical Sciences pediatric department residents In this cross-sectional study all 38 pediatric residents were was undertaken using a questionnaire designed to assess their reasons with regard to pediatric course choice. The nameless questionnaire with sixteen questions was completed separately. The reliability and validity of the questionnaires were verified by experts and Cronbach''s alpha 0. 810. From 38 pediatric residents, including 26 female (71%) and 12 male (29%), twenty six (70. 3%) were married. Mean age was 33. 1±4. 2 years. participating in the study mentioned factors such as «helping patients», «raising knowledge and skills» and «the ability to do a better service» with the average of 4. 32, 4. 26 and 4. 18 respectively as high priority; and factors such as «lack of heavy duty,» «comfortable and effortless» and «lack of urgency», respectively, with an average of 2. 18, 2. 24 and 2. 37 had a low priority in choosing pediatric specialty course. According to the t-test, statistically significant differences were observed between gender, marital status and factors influence specialty choice of pediatric course (P)

Clinical settings and teaching methods play a key role in student's learning. So, the present study aimed to investigates the effect of holding special training rounds on performance of pediatric residents. This quasi-experimental study was conducted on 30 residents. They were randomly divided into two case (n=15) and control (n=15) groups. Two groups received pretest and posttest. Case group received a period of one month of special training rounds by professors. Special training round was one hour training a day. The control group received no intervention. Data was analyzed using SPSS 13 and descriptive and analytic statistical tests. 100% of all residents in case group were satisfied with training round. Mean scores of control residents were as followed: pretest 37.9+5.1 and post-test 55.2+7.0 (P >0.05). Mean scores of intervention residents were as followed: pretest 37.5 +3.7 and post-test 65.6 +6.7 (P<0.05). There was a significant increase in resident's scores after holding a training round (P<0.05). findings confirmed the efficacy of special training round on achievement and increase of resident's satisfaction with learning in Pediatric Gastroenterology Department.

Training of pediatric residents is a dynamic process which should be changed as the nature and epidemiology of pediatric diseases change. In this study, we compared the training program of the pediatric residents with the disorders of the pediatric patients who had referred to pediatric offices. The study was conducted in pediatric offices in Shiraz, South of Iran. The main complaints of all the patients who were referred to these offices in the first 3 days of the four seasons of the year were recorded. Finally, descriptive statistics was used to determine the frequency of different complaints among these patients. There are 58 Pediatrics offices in Shiraz and 37 offices completed the questioners (64%). The most frequent complaints of the patients were related to infections, especially respiratory and gastrointestinal ones. Nutritional and growth problems were other frequent complaints. Nonetheless, a high number of the patients were referred due to skin, eye, or ear problems or for check up of the baby. There is an important training–practice problem in the curriculum of pediatric residents. Thus, we suggest decreasing the periods of inpatient subspecialty training and increasing the period of outpatient dermatology, ophthalmology, otolaryngology, and well-baby clinics.