Prevention Training and Medical Residency

Abstract

We developed a questionnaire to assess training and perceived competence in prevention skills during medical residency. We asked residents at a university training program about 20 prevention interventions recommended by the U.S. Preventive Services Task Force. Primary care and categorical medicine residents rated the adequacy of training and the perceived relevance to clinical practice of these interventions as well as basic skill and knowledge areas (such as patient education) on five-point Likert-type scales (1 = very inadequate or very unimportant and 5 = very adequate or very important). Fifty-eight residents (n = 19 primary care and 39 categorical medicine) completed the questionnaire (response rate = 63%). Primary care residents felt significantly (P < .05) more competent than categorical medicine residents in 14 of the 20 prevention interventions. Primary care residents rated the adequacy of training in eight of 10 basic skill and knowledge areas significantly (P < .05) higher than did categorical medicine residents. For both groups of residents, mean relevance scores significantly exceeded mean perceived competence scores in 18 of 20 prevention interventions and in all 10 skill and knowledge areas. Primary care residents felt more competent than categorical medicine residents in performing most prevention interventions. However, residents in both training programs rate the relevance of several basic skill and knowledge areas as higher than their perceived competence, suggesting training underemphasis. Both primary care and categorical medicine training programs could use this instrument to assess the adequacy of their training in these areas.