Development of a Bright Futures curriculum for pediatric residents

Objective.-To develop a standardized case-based curriculum for Pediatric re sidents on child growth, development, behavior, and adolescent medicine tha t incorporates the Bright Futures health supervision guidelines. Design.-This project included a needs assessment, development of a list of important topics, writing and revising of standardized cases, formative eva luation of cases, and efficacy pilot testing of 2 cases. Setting.-A large pediatric teaching hospital continuity clinic. Participants.-Pediatric residents, fellows, and faculty. Interventions-Preparation of standardized cases, facilitator training, and resident-led teaching conferences. Outcome Measures.-Learner and facilitator evaluation forms and two 10-item diagnostic skills assessments. Results.-During the project, faculty-fellow teams wrote 29 case-teaching mo dules. All participants gave high ratings to cases, and resident facilitato rs reported increased comfort with the case discussion method. Resident lea rners' ability to accurately interpret developmental screening tests and gr owth charts improved following sessions on those topics. Conclusions.-Further evaluation is required, but these standardized cases a ppear promising for teaching pediatric residents. The curriculum is now fre ely available to faculty nationwide.