Pediatric Trauma Society

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Injury Prevention Counseling by Pediatrics Residents
Pamela M Choi, Lauren K Barron, Wen Hui Tan, Emily J Onufer, *Martin S Keller
Washington University, St Louis, MO

Background (issue): The American Academy of Pediatricians (AAP) has released several policy statements with recommendations for injury prevention strategies. We sought to determine the frequency pediatric residents are trained to discuss injury prevention guidelines as detailed by the AAP and what barriers may prohibit them from doing so.
Methods: After receiving IRB approval (#201608165), a 14-question survey was emailed out to current pediatric residents through the AAP resident list-server. The survey was conducted anonymously with no identifiers to residents or residency programs. No compensation was given to those who completed the survey.
Findings: There were a total of 439 resident responders (41% PGY-1, 31% PGY-2, and 28% PGY-3). Actual rates of injury prevention screening by pediatrics residents ranged from 5% to 79% across these topics (Table 1). Various barriers to injury prevention counseling based on these topics were identified. While lack of time was identified as the greatest barrier to counseling patients regarding bicycle (70%) and child passenger safety (71%), fear of alienating families (31%) was the most common reason for firearms. Only 15% of residents received training for ATV safety, with only 5% actually counseling families. Fifty-eight percent stated that ATV safety was not relevant for their patient population.
Conclusions (implications for practice): While the AAP has clear policy statements regarding injury prevention, variable rates of education and compliance were noted across pediatric residencies. Better identification of topic specific barriers may assist with promulgation.


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