Resident Knowledge Research Articles

Knowledge and awareness assessment of sickle cell anemia in the Al-Darb governorate, Jazan region

Background: Sickle cell disease is a genetic disease passed from sick or carrier parents to their children. Raising awareness among individuals and couples planning to marry can reduce the spread of the disease. Objectives: This study aims to determine the knowledge and awareness of Al-Darb governorate residents in the Jazan region towards sickle cell anemia. Methods/Design: A cross-sectional study was conducted in the AlDarb governorate, Jazan region using a close-ended questionnaire. The data was then analyzed with SPSS v.23. Results: Among the 316 valid, collected, and analyzed questionnaires, 76.9% were completed by females, most of whom were students. About 25.6% of the participants had heard about the disease from their families. Additionally, 59% identified stroke and the acute chest syndrome as the most important complications of the disease. Regarding the individuals’ attitudes towards the disease, 95.6% believed that a preventive plan should be followed for infected children. Furthermore, 88% stated that genotype affects their decision to get married. Conclusions: In general, most participants demonstrated an acceptable level of knowledge about sickle cell disease, including its transmission methods and prevention. However, there is a significant need for increased community awareness regarding proper nutrition, addressing misconceptions about the disease, and establishing blood disease centers within the study population. Keywords: sickle cell anemia, knowledge, awareness, AlDarb governorate

Knowledge and Attitudes Toward Telemedicine Among Family Medicine Residents in Riyadh, Saudi Arabia: An Observational Cross-Sectional Study.

Background Telemedicine is an emerging concept that involves the use of electronic information and communications technologies to provide and support healthcare. This study aimed to assess the knowledge and attitudes of family medicine residents toward telemedicine in Riyadh, Saudi Arabia. Methodology This was a cross-sectional observational study using a self-administered questionnaire distributed among family medicine residents in Saudi Arabia. The collected data included sociodemographic features, residents' knowledge, and attitudes toward telemedicine. Data were collected in Excel and analyzed using SPSS software version 29. A P-value of less than 0.05 was considered statistically significant. Results The study included 279 family medicine residents with a median age of 27 years. The majority of participants (n=191, 68.5%) had a good level of knowledge regarding telemedicine, which was significantly associated with younger age (p-value = 0.012). Additionally, there was an overall good attitude toward telemedicine attributes, significantly associated with older age and female gender (p-values <0.05). Conclusion This study highlights that family medicine residents in Riyadh, Saudi Arabia, generally possess good knowledge and positive attitudes towards telemedicine. Key findings indicate that younger residents are more knowledgeable about telemedicine, while older residents and female participants show more favorable attitudes toward its attributes. However, further training and education on the ease of use of telemedicine applications are required.

Understanding the knowledge of Mogpog residents about heavy metal pollution due to mining and its associated health risk

The municipality of Mogpog in the Philippines was one of the severely hit areas during the 1993 mining disaster in the province of Marinduque. After three (3) decades, the aftermath of the disaster still lingers in the municipality and even in the whole province. This study was conducted to assess the relationship between the social demographics of the residents of Mogpog and their knowledge about heavy metal (HM) pollution and its associated health risks. A cross-sectional survey was conducted among the 314 residents of Mogpog. Six (6) social demographics were considered, such as age, sex, marital status, highest education attainment, monthly household income, and whether the respondents were government employees or not. Results of the binomial logistic regression analysis showed that the social demographics affecting the respondents’ knowledge about HM pollution were marital status and monthly household income (significant at the 0.05 level). Married individuals may have larger and more diverse social networks, which could expose them to a wider range of information, including environmental issues. On the other hand, those with lower incomes may have limited access to formal education or information resources, which could result in lower environmental awareness. The results underscore the need for specific interventions and educational initiatives to enhance the understanding of the adverse health impacts associated with HM pollution among residents in Mogpog

Implementation of the MIT KKN Program Group 56 Caruban Village in Improving Economic Empowerment, Education, and the Social Environment of the Community

Community Service (KKN) activities are a form of community service carried out by students as part of the tridharma of higher education. This article describes the KKN activities carried out by the KKN team of the State Islamic University (UIN) Walisongo Semarang in Caruban Village, Ringinarum District, Kendal. The focus of this service is to improve the quality of education and health of the village community, as well as increasing the potential of Caruban Village. The results of the activities show an increase in the knowledge and skills of residents in the fields of education and health, as well as the creation of several sustainable programs to utilize the potential of the village initiated by the KKN team.

Knowledge and skills of pediatric residents in managing pediatric foreign body airway obstruction using novel airway clearance devices in Spain: A randomized simulation trial

AimRecent emergence of airway clearance devices (ACDs) as a treatment alternative for foreign body airway obstructions (FBAO) lacks substantial evidence on efficacy and safety. This study aimed to assess pediatric residents’ knowledge and skills in managing a simulated pediatric choking scenario, adhering to recommended protocols, and using LifeVac© and DeCHOKER© ACDs. MethodsRandomized controlled simulation trial, in which 60 pediatric residents from 3 different hospitals (median age 27 [25.0–29.9]; 76.7% female) were asked to solve an unannounced pediatric simulated choking scenario using three interventions to manage (randomized order): 1) following the recommended protocol of the European Resuscitation Council (encouraging to cough or combination of back blows and abdominal thrusts); 2) using LifeVac©; and 3) using DeCHOKER©. A Little Anne QCPR™ manikin (Laerdal Medical) was used. The variable compliance rate (%) was calculated according to the correct/incorrect execution of the steps constituting the proper actions for each test. ResultsParticipants demonstrated a correct compliance rate only ranging between 50–75% in following the recommended protocol for managing partial FBAO progressing to severe. Despite unfamiliarity with the ACDs, pediatric residents achieved rates between 75% and 100%, with no significant difference noted between the two devices (p = 0.173). Both scenarios were successfully resolved in under a minute, with LifeVac© demonstrating a significantly shorter response time compared to DeCHOKER© (39.2 [30.4–49.1] vs. 45.1s [33.7–59.2], p = 0.010). ConclusionsOnly a minority of pediatric residents were able to adhere to the recommended FBAO protocol, whereas 70% of them were able to adequately use the ACDs. However, since a significant proportion could not, it seems that ACDs themselves do not address all issues.

The Uniqueness of Megapodius reinwardt and the Wisdom of the Local Community as Tourism Attraction and Conservation at Moyo Island

The distribution, graduation and conservation of Megapodius reinwardt based on the ecological knowledge of local residents to support ecotourism on moyo island, has been carried out. The objectives are: 1) to obtain an accurate picture of the distribution of the population and its behavior, 2) knowledge of the ecology of the local population, 3) perception and behavior of the local population, 4) to increase the population, and 5) to carry out conservation to prevent its extinction in the Moyo Island. This research consists of two stages of activities, namely first, mapping population distribution, nest analysis, diseases, pathogens, interviews and discussions with local community about their perception and knowledge about M. reinwardt, document study about tourist visits; second, building awareness and participation of local community to support M. reinwardt conservation activities, formulating its conservation design and identifying potential nests as tourist attractions. The perception of the local residents of Moyo Island towards the existence of M. reinwardt is useful in supporting the fulfillment of their life needs directly or indirectly. Locals believe that by keeping M. reinwardt, his life needs can be met. In addition, the locals of Moyo Island think that laboring the bird at the time of laying eggs will be "Mali" or bring bad luck to hunters. The attitude of the local residents of Moyo Island towards the preservation of M. reinwardt is mostly 85% of residents agree with the preservation of M. reinwardt on Moyo Island, 10% are still hesitant and 5% disagree. The efforts to manage M. reinwardt as one of the tourist attractions, must involve and be able to accommodate the needs of local residents, tourists, tourism entrepreneurs and the government. For the success of the bird conservation efforts, six things must be considered, namely: 1) an agreement on the recognition of the minimum rights of group members; 2) the clarity of the boundaries of the scope of control of each active management community group; 3) the suitability between the cost of nest management and the benefits obtained; 4) conflict resolution mechanisms; 5) firmness in the application of sanctions and 6) willingness to receive knowledge/information and technology on the conservation and management of M. reinwardt from outside the moyo island area.

Increasing Community Preparedness In Facing Floods Disaster In Jakarta City

Flood disasters are the third cause of economic loss of all natural disasters throughout the world. Jakarta, as a waterfront city, is often hit by floods every year, especially during the rainy season. This research is focused on identifying and analyzing community responses and their relationship with their knowledge, preparedness and level of action towards disasters. This research is an exploratory case study research based on primary and secondary data. Research findings show that people in coastal areas have a high level of knowledge about floods (64%). This knowledge is high relative to the sum of their past experiences; However, they are less prepared (43%) because most of the residents are fishermen with low incomes so they don't have to make much effort to adapt to flood-affected houses. On the other hand, people in the interior, they lack knowledge (18%), but they have a good level of preparedness (24%) because of their relatively high-income level. Furthermore, both communities in coastal and inland areas had a high level of action due to high levels of knowledge and experience for coastal residents and good preparedness for inland residents.

(078) ASSESSMENT OF RESIDENT EDUCATION IN THE DIAGNOSIS AND TREATMENT OF COMMON CONDITIONS OF FEMALE SEXUAL DYSFUNCTION

Abstract Introduction Female sexual dysfunction (FSD) affects 30-50% of women. Despite the fact that doctors from all specialties are likely to encounter patients with sexual health difficulties, just half of U.S. medical schools currently offer formal teaching in sexuality. Due to insufficient training in the female pelvic physical exam and minimal training on sexual health, FSD has been substantially underdiagnosed and undertreated. Objective The aim of our study was to assess the knowledge and confidence of residents on how to conduct a comprehensive vulvar examination, as well as to assess the comfortability with diagnosing and managing conditions of FSD. Methods This cross-sectional analytical survey study used Qualtrics to administer the survey. The target audience included urology residents, obstetrics and gynecology residents, dermatology residents, internal medicine residents, family medicine residents, and emergency medicine residents. The survey link and a brief description of the project were emailed to all residency program directors in these specialties who had valid email addresses provided in the FREIDA American Medical Association Residency Database. Program directors were requested to share the link to the anonymous online survey with their current resident cohorts. Results In total, n=141 residents completed the survey (n=19 OBGYN, n=18 urology, n=5 dermatology, n=37 family medicine, n=27 internal medicine, n=35 emergency medicine). Less than half of all respondents indicated they had received prior formal training in physical examination of the clitoris (23%), vulvar vestibule (45%), and pelvic floor (36%). Regarding FSD, the following percentage of respondents indicated they had received prior training in these conditions: 78% genito-pelvic pain/penetration disorder, 36% hypoactive sexual desire disorder, 24% female orgasmic disorder, 33% female sexual arousal disorder. The majority of respondents reported feeling uncomfortable with the diagnosis and management of these conditions. Conclusions Residents are uncomfortable with diagnosing and managing common female sexual dysfunctions, owing to a lack of training in both vulvar examination and these conditions of FSD. This educational shortcoming persists across several specialties. Awareness of this knowledge and comfortability gap is critical for implementing the appropriate changes to resident education. Improving residents’ ability to diagnose and treat FSD is important for preparing the next generation of physicians to appropriately attend to the needs of female patients. Disclosure No.

Dermatology resident comfort level treating hair conditions related to patients with skin of color.

Although recent studies demonstrated resident satisfaction in the treatment of skin of color (SOC) related disease, comfort levels treating hair specific to populations within the SOC spectrum is unclear. The purpose of this study is to assess dermatology residents comfort level in recognizing and treating various common hair conditions with a focus on those specific to SOC. An Institutional Review Board-approved survey was distributed to United States residents of Accreditation Council for Graduate Medical Education-accredited dermatology programs. Data pertaining to hair care knowledge and treatment comfort levels were collected. Analysis was completed using equal variance 2-sample t tests and analysis of variance F tests, P < .05. Dermatology residents were relatively comfortable with common conditions such as androgenetic alopecia and alopecia areata, but uncomfortable with creating healthy hair regimens, discussing natural hair care products, and treating trichorrhexis nodosa. Resident self-identification as underrepresented in medicine significantly impacted resident knowledge of hair care and treatment in patients with SOC. This study was limited due to small sample size and potential recall bias. This study highlights knowledge gaps in understanding hair-related care for patients with SOC, affirming the continued importance of diversifying dermatology programs as well as hair-specific training for residents.

Overview of The Level of Knowledge About Preparedness to Face Flood Disasters in Joyontakan District, Kratonan Surakarta Public Health Center (Puskesmas) Working Area

A disaster is an occurrence that cannot be predicted when it will occur and can cause injuries or lives, as well as result in damage and loss. Preparedness efforts in facing disasters must be increased to reduce the risk and impact of disasters. One of the factors in disaster preparedness is the level of knowledge. Knowledge is one of the main factors and is the key to preparedness for facing disasters. The knowledge a person has can usually influence attitudes and concern for preparedness in anticipating a disaster. Method: quantitative with descriptive research methods, the total sample was 53 people, in May 2024 in RT.02 RW.01 Joyontakan Village, Surakarta City. The sampling technique used total sampling. Results: An overview of the level of community knowledge in RT.02 RW 01, Joyontakan Subdistrict, Surakarta City showed that the majority of the good knowledge level was 57%. Discussion: The community will have good knowledge that can be obtained from the experience of experiencing flood disasters in their area. This experience can provide additional knowledge for residents of areas that are prone to flood disasters. The flood disaster that has been experienced by residents has influenced the community's attitude and concern to be ready and ready to anticipate when a flood disaster occurs.

Pediatric Residents Knowledge of Penicillin Allergy.

Penicillin allergy knowledge has not been evaluated specifically in the pediatric resident population. An anonymous electronic survey was distributed to all the pediatric residents in a single residency program to ascertain knowledge of penicillin allergies and allergy history taking skills. Responses among each resident class were compared using the Fisher exact test, 2-tailed. A total of 46 (52%) of 88 pediatric residents completed the survey. Only 63% reported to have had prior penicillin allergy education. All residents incorrectly identified low-risk symptoms as high-risk symptoms. The knowledge of penicillin allergy was poor across all training levels with no improvement over the duration of training. There is large support in the literature for de-labeling penicillin allergy in patients. Pediatric residents evaluate patients in childhood when most of the allergy labeling occurs. We need to consider strategies for incorporating penicillin allergy education in pediatric residency training.

Understanding Internal Medicine Residents' Rheumatology Knowledge Base.

Rheumatology is one of the internal medicine subspecialties that residents train to become proficient in during their internal medicine training. Our study sought to understand how residents across all postgraduate year levels felt in terms of comfortability and exposure to rheumatology. We focused on the subjective measurement of resident knowledge and exposure rather than objective data. A five-question survey was distributed to all 75 residents of Lenox Hill Hospital's Internal Medicine categorical residency program, from PGY1 to PGY3. When asked if they get enough exposure or feel confident treating patients with rheumatology diseases, 96% of residents responded no. When asked about their confidence in boards, the average response was a 3/10. The residents at our program voiced a strong concern for lack of exposure and education. Other studies and institutions have shown this to be a problem that has also been seen with poor testperformance on the subject. We explore educational modalities to help improve this gap in education.

The Impact and Opportunities of Digital Economy on Rural Revitalization

This study explores how the digital economy influences and provides opportunities for the rejuvenation of rural areas. Positioned as a crucial element in the contemporary global economy, the digital economy opens up fresh possibilities for the growth and revitalization of rural regions. The research reveals that the extensive application of digital technologies has transformed the operational methods in various sectors of rural economies, education, healthcare, finance, and agriculture. Digital technologies, such as rural e-commerce and smart agriculture, have provided rural residents with new economic opportunities, fostering economic growth and the sale of agricultural products. Remote education and digital skills training contribute to elevating the knowledge and skills of rural residents, thereby increasing employment prospects. Digital financial services enhance financial inclusivity in rural areas, aiding rural residents in better financial management. Furthermore, the development of digital healthcare services improves rural healthcare by providing opportunities for remote medical consultations and diagnoses. The digital economy's influence contributes to the enhancement of living standards among rural residents, fosters the development of rural infrastructure, and improves governance within rural communities. Digital technologies also contribute to enhancing the environmental sustainability of rural regions, reducing resource wastage and environmental pollution. These opportunities provide new impetus for rural revitalization and are expected to assist rural areas in achieving their sustainable development objectives. However, the digital economy also presents challenges, including the digital divide, privacy and security issues, barriers to technology adoption, knowledge and skill disparities, as well as social, cultural, navigating through these challenges demands thorough policies and strategies, aiming to optimize the digital economy's potential while guaranteeing that rural residents fully capitalize on the opportunities it offers. To sum up, the digital economy provides extensive possibilities for rejuvenating rural areas, enhancing living standards, fostering economic growth, and fostering sustainable development in rural communities. However, fully realizing these opportunities necessitates overcoming a series of challenges, devising appropriate policies, and enhancing the adoption and application of digital technologies. This will aid in attaining the objectives of rural rejuvenation and advancing sustainable development in rural areas.

Development and evaluation of a clinical simulation-based educational innovation on sexual orientation and gender identity in emergency medicine.

Sexual orientation and gender identity (SOGI)-diverse patients are marginalized and poorly cared for in the emergency department, yet well-designed educational interventions to meet this gap are lacking. We developed, implemented, and assessed a novel multi-modal SOGI curriculum on health and cultural humility for emergency medicine physician trainees. We conducted a prospective, single-arm evaluation of our educational intervention. A convenience sample of emergency medicine resident physicians (n = 21) participated in the facilitated curriculum including didactic and clinical simulation components. Participants completed a pre- and post-curriculum evaluation that assessed clinical skills, preparedness, attitudinal awareness, and basic knowledge in caring for SOGI-diverse patients. The content of the module was based on a scoping literature review and national needs assessment of Canadian emergency physicians, educators, and trainees along with expert collaborator and input from patient/community partners. The curriculum included a facilitated pre-brief, didactic presentation, clinical simulation modules, and a structured de-brief. Participant clinical skills were evaluated before and after the educational intervention. Our primary outcome was change in clinical preparedness, attitudinal awareness, and basic knowledge in caring for SOGI-diverse patients pre- and post-intervention. Our patient-centered, targeted emergency medicine SOGI health and cultural humility training resulted in a significant improvement in resident self-rated clinical preparedness, attitudes, and knowledge in caring for SOGI-diverse patients. This training was valued by participants. We have designed an effective, patient-centered curriculum in health and cultural humility for SOGI-diverse patients in EM. Other programs can consider using this model and developed resources in their jurisdictions to enhance provider capacities to care for this marginalized group.

Resident's Training in Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) [ID 2683656

INTRODUCTION: As the vaginal natural orifice transluminal endoscopic surgery (vNOTES) is becoming a common acceptable approach to perform benign gynecological surgeries, there is need to incorporate it in resident’s curriculum for surgical training. The aim of this study was to estimate the effect of hands-on lab simulation for vNOTES on residents’ perception and confidence in this surgical approach. METHODS: This is a prospective observational study conducted at a single tertiary medical center. Study population included 12 fourth-year residents that were evaluated by seven faculty attending surgeons. All residents completed didactic online training of adnexectomy, and vaginal assisted laparoscopic hysterectomy (VALH) performed by vNOTES. Three hands-on simulation labs were scheduled on a monthly base during the study period. Each resident performed both procedures on each encounter. Residents were evaluated by experienced surgeons in vNOTES approach. Survey evaluating the knowledge and confidence in the vNOTES approach was completed by the residents before and after all simulations. RESULTS: Forty-nine assessments were completed, of them 23 adnexectomies and 26 VALHs. Competence in VALH and adnexectomy were achieved in 5/12 and 2/12 of the residents, respectively. Feedback was completed by seven residents before and after the simulations. 33% increase in the confidence to perform anterior and posterior colpotomy was reported by the residents. 71% versus 85% reported confidence in transecting the uterosacral ligaments before and after the simulations, respectively. Confidence in transecting the uterine artery was found doubled (14% versus 28%) during vNOTES approach after the simulation. 15% increase in the confidence to perform adnexectomy was noted after the simulation; however, 14% reduction was reported by the residents in choosing vNOTES approach for hysterectomy. CONCLUSION: Hands-on simulation in vNOTES approach increases the knowledge and confidence of residents in the surgical steps of adnexectomy and VALH, keeping them up to date with the innovative surgical techniques.

Knowledge, Perception, and Attitudes of Residents of Northern Region of Ghana Towards COVID-19

Background: Africa is gradually becoming an epicenter of the COVID-19 pandemic. Based on the current disease trend, Africa might be the last hardest-hit continent. While scientific investigations continue to develop effective management through medications and vaccines, existing knowledge, perceptions, and attitudes could be harnessed to develop an effective strategy to curb community transmission of COVID-19. The present study assessed the awareness level, perceptions, and attitudes of people living in rural, peri-urban, and urban communities in Northern Ghana and their preparedness for the prevention and containment of COVID-19. Methods: We conducted a face-to-face interview and administered 553 semi-structured questionnaires in 18 rural, peri-urban, and urban communities in Tolon District, Kumbungu District, Sagnarigu Municipality, Savelugu Municipality, and Tamale Metropolis from April 23 to June 8, 2020. Results: The percentages of males and females among the respondents were 56.8% and 43.2%, respectively. Nearly half (41%) of the respondents had no formal education, and 91.3% of them were Muslims. Most respondents (85%) believed that COVID-19 is a punishment from God. There was a significant difference (P&lt;0.001) between the first-time rural, peri-urban, and urban communities heard of COVID-19. The majority (63%) of the rural respondents depended on radio, while the peri-urban and urban respondents (51%) relied on TV for information on COVID-19. All respondents were aware of COVID-19, and 91.7% could mention at least two symptoms of the disease. However, 18% believed there was no COVID-19 in Ghana. Most respondents (69.6%) thought they would not contract the virus. Conclusion: Our findings may provide valuable data to the government and other stakeholders to control COVID-19.

Knowledge, Attitudes, and Behaviors of Medical Residents towards Traditional and Complementary Medicine: A Cross-sectional Study

Objective: This study aimed to evaluate the knowledge, attitudes, and behaviors of medical residents working at a faculty of medicine hospital about Traditional and Complementary Medicine (TCM). Material-Method: This is a cross-sectional study. The study was conducted with clinical science assistants working at the faculty of medicine between 15 July and 15 December 2021. A survey containing questions to determine the clinical and demographic characteristics of the participants and their knowledge, behavior, and attitudes toward TCM applications was applied to the participants. Results: A total of 261 medical residents participated. The average age was 29.4±2.6 years and 51.7% (n=135) were male. 82% of the participants were studying internal medicine sciences. The average length of time as a physician was found to be 4.4 years, and the average length of time as a physician in the total branch was 2.6 years. Cupping therapy was the most known method with 55.6%. The most frequently used method (19.2%) was phytotherapy; the most frequently recommended (16.5%) was phytotherapy; the most formally trained (4.2%), was cupping therapy; the most desired formal training (41%) was acupuncture; the most frequently declared method (11.9%) as another TCM method was diet. 36.4% of the participants found TCM useful. 82% thought that these methods should only be applied by trained physicians. Conclusion: It was determined that the level of TCM knowledge among assistant physicians was low. Although the majority of participants had a positive attitude towards TCM, they had low rates of application, implementation, and recommendation.

Knowledge and competences in hematological malignancies amongst radiation oncology residents in Germany-results from anational survey.

Radiation oncology is apivotal modality in the treatment of hematologic malignancies. To enable state-of-the-art patient care, structured education during residency is essential. However, given the lack of detailed data, the scope of educational opportunities available to trainees remains elusive. This prompted our group to perform anational survey amongst radiation oncology residents in Germany assessing the status quo of competences in the treatment of lymphoma and leukemia patients. Furthermore, areas of potential improvement were identified to further the goal of competence-based education for residents. Asurvey-based analysis was conducted to assess the knowledge and competence of radiation oncology residents in Germany regarding hematological malignancies. Adecisive questionnaire covering demographics, self-assessment of competences, and areas for improvement was developed in adaption of asurvey by the Association of Residents in Radiation Oncology and distributed amongst 1439 members of the German Society of Radiation Oncology. Responses were collected anonymously via an online survey tool and analyzed using descriptive statistics and chi-square tests. Atotal of 59complete and 22partial responses were collected, yielding a5.6% response rate. Participants' competence varied, with notable experience gaps in pediatric cases, proton therapy, and large-field techniques like total-skin irradiation or pediatric total body irradiation. While participants felt confident in treatment planning and patient counseling, they showed deficiencies in the definition of the planning target volume for modern involved site radiotherapy. Resources for education included national and international guidelines, scientific reviews, and textbooks. Board-certified radiation oncologists and physicians from specialized lymphoma centers demonstrated higher overall competence levels. This survey highlights the diversity of resident education regarding hematological malignancies in German radiation oncology programs. Knowledge gaps exist in key areas, including pediatric cases and specialized techniques. Competence-based education, interactive teaching formats, and rotations to specialized centers are potential strategies to address these gaps. The study contributes to the understanding of the federal educational landscape, underscoring the need for standardized and comprehensive training to ensure optimal patient care in hematological malignancies within the context of radiation oncology. Further research and collaborations are warranted to enhance training and expertise in this critical domain.

A Case-Based, Longitudinal Curriculum in Pediatric Behavioral and Mental Health.

Pediatric behavioral and mental health (BMH) disorders are increasingly common, but most pediatricians feel inadequately trained to manage them. We implemented a case-based, longitudinal curriculum in BMH within a pediatric residency program to prepare trainees to diagnose and manage these conditions. The pediatric residency program at Wright State University/Wright-Patterson Medical Center implemented a new BMH curriculum in 2020-2021. The curriculum consisted of five simulated cases involving depression, anxiety, attention deficit disorder with hyperactivity (ADHD), developmental delays, behavioral concerns, and autism. To reflect follow-up within a continuity clinic, cases included initial encounters and multiple follow-up visits. Faculty facilitators led residents in monthly small-group meetings over the academic year, with each session consisting of two to three simulated patient encounters. Residents completed pre-post surveys regarding their confidence in diagnosing and managing BMH conditions and pre- and posttests to evaluate the impact of the curriculum on knowledge gains. All 47 pediatric residents participated in the curriculum; 38 (81%) completed pre-post surveys. Upon completion of the curriculum, residents reported significantly increased confidence in managing ADHD, treating depression, creating safety plans for suicidality, recognizing autism, and counseling patients and families on special education services. Knowledge-based pre- and posttests completed by 25 residents (53%) also demonstrated significant improvement (M = 92.4, SD = 10.9, pre vs. M = 99.3, SD = 6.6, post, p = .009). This case-based, longitudinal curriculum in pediatric BMH simulating patient continuity improved residents' confidence and knowledge in diagnosing and managing common BMH conditions.

Surveying the Knowledge and Practices of Primary Care Residents in Managing Adult Patients with Obesity.

The prevalence of obesity is increasing worldwide at an alarming rate, yet obesity remains under-addressed during clinic encounters. A lack of training in how to treat obesity is one crucial factor contributing to this deficiency. This study explored resident physicians' perceptions of their education on obesity and its relationship with confidence and practice behaviors when caring for patients with obesity. A survey was distributed to residency directors to share with residents in their programs. Participation was voluntary and anonymous. Data was collected over a 3-month period. Residents in Family Medicine and Internal Medicine programs in West Virginia and Indiana who saw adult patients in an ambulatory care setting. The electronic survey queried the presence of a formal curriculum on Obesity Medicine (OM) and each resident's knowledge, confidence, practice behaviors, and attitudes pertaining to OM. The survey was distributed to 490 residents in 12 programs. Response rate was 22.9% (112 resident physicians). All respondents felt that medical training in obesity should be strengthened. Residents who reported having a formal curriculum on OM were more likely than those without a curriculum to rate their confidence as "high" when discussing weight (35.0% vs. 16.7%, p = 0.03) and when counseling patients about diet and nutrition (37.5% vs. 18.1%, p = 0.02). They also more frequently reported learning enough from faculty to manage obesity (65.0% vs. 29.2%, p < 0.001). Residents with an OM curriculum reported discussing obesity as a problem with patients (100.0% vs. 86.1%, p = 0.01), and completing motivational interviews (90.0% vs. 58.3%, p = < 0.001), more frequently than their peers without a curriculum. Residents with a formal OM curriculum were more confident in addressing and discussing obesity with patients. Formal training in OM will strengthen resident training to better address and treat patients with obesity.