Supervision of pediatric trainees in biosocial pediatrics. A survey of graduate programs
D. P. Orr and M. I. Reiff
To assess the current state of supervisory methods in biosocial pediatrics,
fellowship programs in ambulatory pediatrics (AP), adolescent medicine
(AM), and behavioral pediatrics/child development (BP/CD) were surveyed.
Fifty-eight responses (98%) were analyzed. Forty-five percent of programs
dealt extensively with behavioral pediatric problems. The AM and BP/CD
fellowships were more psychosocially oriented than the AP programs.
Ninety-two percent of AM and 82% of BP/CD programs used a formal
supervisory style, but 48% of AP programs relied solely on unscheduled
supervision. Direct observation or audiovisual tapes were used by only 57%
of the programs. Significantly fewer AP programs used such objective
methods. Supervision of biosocial pediatric programs should be formalized
and include direct observation or audiovisual tapes.
