25. KEYSTONES OF DEVELOPMENT ONLINE RESIDENCY CURRICULUM: WEAVING ATTACHMENT, AUTONOMY, AND EXECUTIVE FUNCTION INTO WELL-CHILD VISITS, BIRTH TO 5.

Abstract

Background Research has identified specific parenting behaviors that promote children's cognitive, social and emotional health. Per the AAP, pediatricians should counsel on these behaviors, but they may not do so without formal training during residency. An e-learning curriculum allows dissemination to multiple programs with little demand on faculty while providing a flexible learning experience for residents. Objectives To assess the likability and efficacy of an online resident curriculum focused on improving residents’ ability to promote positive parenting behaviors that foster optimal child development in their primary care practice. Methods/Design In this pilot study, pediatric residents at 5 institutions completed the Keystones of Development, an online 13-module curriculum, in their behavior and development rotation. We used a pre-posttest study design to assess intervention effect of self-reported behavioral outcomes (discussing, modeling, and praising positive parenting practices) and predictors of behavior with paired t-tests. Likability and use were assessed at posttest using a 5-point Likert scale. Results 24 pediatric residents (mean age=28.4yrs;79% female) participated. Within one-month post-intervention, there was a large statistically significant increase in the counseling behaviors that promote positive parenting, specifically, discussing (p Conclusion The Keystones of Development online curriculum was well received by pediatric residents and resulted in increased promotion of positive parenting practices during well-child visits. This study yields promising results that suggest benefits to the field through wider dissemination and use.