Citation

Kaul P, Fisher JH, Hanson JL. J. Pediatr. Adolesc. Gynecol. 2018; 31(2): 102-106.

Copyright

(Copyright © 2018, North American Society for Pediatric and Adolescent Gynecology, Publisher Elsevier Publishing)

DOI

10.1016/j.jpag.2017.11.003

PMID

29175430

Abstract

STUDY OBJECTIVE: To develop and evaluate an educational activity designed to teach the adolescent Home, Education and employment, Eating, Activities, Drugs, Sexuality, Suicide/depression, and Safety (HEADS) examination. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Participants were third-year medical students in their pediatric clerkships. Students received an article on the HEADS interview and attended an adolescent medicine educational session. The session included individualized goal-setting and coached role play. Students' skills in doing a HEADS interview were evaluated through a standardized patient encounter (SPE) with a checklist and a retrospective pre- and post-test survey. The SPE checklist was used to assess whether the students included questions in 6 key areas of a HEADS interview.
RESULTS: One hundred fifty-two students participated. During the SPE, 90% of students queried the adolescent's home life, 91% education, 82% activities, 84% drug/substance abuse, 95% sexual history, and 61% symptoms of depression. Pre- and postintervention data were compared using the Kruskal-Wallis Test and showed a statistically significant difference in the students' ability to list key topic areas of the HEADS exam (P < .001) and to use the skills needed for an adolescent interview using the HEADS exam (P < .001).
CONCLUSION: After an introduction to the HEADS examination, most students covered almost all of the topic areas of this screening interview during a SPE. Only three-fifths of the students, however, included questions about symptoms of depression. Coached role play with goal-setting facilitated effective learning of this approach to adolescent interviewing.

Language: en

Keywords

Humans; Female; Male; Adolescent; Retrospective Studies; Education, Medical; Adolescent Medicine; Students, Medical; Medical education; Clinical Competence; Role Playing; Adolescent medicine education; Coached role play; HEADS interview