{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:50:48Z","timestamp":1761519048479,"version":"3.40.5"},"reference-count":25,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,10,1]]},"abstract":"\n OBJECTIVE:<\/jats:title>\n We examined California pediatric residents' knowledge, practices, and comfort of providing expedited partner therapy (EPT) for sexually transmitted infections, by postgraduate year of training and presence of an adolescent medicine fellowship. We hypothesized that few residents are aware of EPT, and fewer are comfortable providing it; knowledge, practices, and comfort increase during residency; and presence of an adolescent medicine fellowship increases knowledge, practices, and comfort.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n Online anonymous questionnaires were completed by pediatric residents from 14 California programs.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n Two hundred eighty-nine pediatric residents (41% response; mean age, 29.4 \u00b1 2.7 years; 78% female) responded. Twenty-two percent reported being moderately or very familiar with EPT. Most correctly identified several EPT methods. Incorrectly identified as EPT included patient (55%), health department (42%), and provider (37%) referrals. Only 8% were aware of California\u2019s legal status regarding EPT. Sixty-nine percent knew that California law allows EPT for chlamydia and gonorrhea, but 38% incorrectly stated that EPT can be used to treat trichomoniasis. Fifty-two percent reported ever providing EPT, but 30% of them were uncomfortable doing so. Postgraduate year 1 residents were significantly more likely to report lack of experience as a barrier to prescribing EPT. Residents in programs with the presence of an adolescent medicine fellowship had significantly higher global knowledge scores and were more likely to practice EPT with fewer concerns.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n California pediatric residents have knowledge gaps and discomfort providing EPT, and the presence of adolescent medicine fellowship is associated with increased EPT knowledge, use, and comfort among residents. Our findings demonstrate a need to improve EPT education in pediatric residencies.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2011-3764","type":"journal-article","created":{"date-parts":[[2012,9,18]],"date-time":"2012-09-18T02:32:11Z","timestamp":1347935531000},"page":"705-711","source":"Crossref","is-referenced-by-count":12,"title":["Pediatric Residents\u2019 Knowledge, Use, and Comfort With Expedited Partner Therapy for STIs"],"prefix":"10.1542","volume":"130","author":[{"given":"Anne","family":"Hsii","sequence":"first","affiliation":[{"name":"Division of Adolescent Medicine, Department of Pediatrics, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Hillard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecologic Specialties, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophia","family":"Yen","sequence":"additional","affiliation":[{"name":"Division of Adolescent Medicine, Department of Pediatrics, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neville H.","family":"Golden","sequence":"additional","affiliation":[{"name":"Division of Adolescent Medicine, Department of Pediatrics, and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2012,10,1]]},"reference":[{"issue":"6","key":"2021120823524229900_B1","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1542\/peds.2009-0674","article-title":"Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States.","volume":"124","author":"Forhan","year":"2009","journal-title":"Pediatrics"},{"issue":"1","key":"2021120823524229900_B2","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1363\/3600604","article-title":"Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000.","volume":"36","author":"Weinstock","year":"2004","journal-title":"Perspect Sex Reprod Health"},{"key":"2021120823524229900_B3","first-page":"1","article-title":"Sexually Transmitted Diseases Treatment Guidelines, 2010.","volume":"59","author":"Centers for Disease Control and Prevention","year":"2010","journal-title":"MMWR"},{"volume-title":"Sexually Transmitted Disease Surveillance 2010","year":"2011","author":"Centers for Disease Control and Prevention","key":"2021120823524229900_B4"},{"issue":"3","key":"2021120823524229900_B5","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/OLQ.0b013e31815c11fe","article-title":"Chlamydia trachomatis reinfection rates among female adolescents seeking rescreening in school-based health centers.","volume":"35","author":"Gaydos","year":"2008","journal-title":"Sex Transm Dis"},{"issue":"1","key":"2021120823524229900_B6","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1097\/OLQ.0b013e3181860108","article-title":"Determining risk markers for gonorrhea and chlamydial infection and reinfection among adolescents in public high schools.","volume":"36","author":"Anschuetz","year":"2009","journal-title":"Sex Transm Dis"},{"issue":"8","key":"2021120823524229900_B7","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1097\/OLQ.0b013e3181a2a933","article-title":"Repeat infection with Chlamydia and gonorrhea among females: a systematic review of the literature.","volume":"36","author":"Hosenfeld","year":"2009","journal-title":"Sex Transm Dis"},{"issue":"2","key":"2021120823524229900_B8","doi-asserted-by":"crossref","first-page":"89","DOI":"10.7326\/0003-4819-147-2-200707170-00007","article-title":"Gonorrhea and chlamydia in the United States among persons 14 to 39 years of age, 1999 to 2002.","volume":"147","author":"Datta","year":"2007","journal-title":"Ann Intern Med"},{"issue":"4","key":"2021120823524229900_B9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.7326\/0003-4819-137-4-200208200-00010","article-title":"U.S. Centers for Disease Control and Prevention guidelines for the treatment of sexually transmitted diseases: an opportunity to unify clinical and public health practice.","volume":"137","author":"Workowski","year":"2002","journal-title":"Ann Intern Med"},{"volume-title":"Expedited Partner Therapy in the Management of Sexually Transmitted Diseases","year":"2006","author":"Centers for Disease Control and Prevention","key":"2021120823524229900_B10"},{"issue":"3","key":"2021120823524229900_B11","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1097\/OLQ.0b013e31815b0158","article-title":"California guidelines for expedited partner therapy for Chlamydia trachomatis and Neisseria gonorrhoeae.","volume":"35","author":"Bauer","year":"2008","journal-title":"Sex Transm Dis"},{"issue":"3","key":"2021120823524229900_B12","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.jadohealth.2009.05.010","article-title":"Expedited partner therapy for adolescents diagnosed with chlamydia or gonorrhea: a position paper of the Society for Adolescent Medicine.","volume":"45","author":"Burstein","year":"2009","journal-title":"J Adolesc Health"},{"issue":"4","key":"2021120823524229900_B13","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1542\/peds.2009-1954","volume":"124","author":"Statement of Endorsement\u2013expedited partner therapy for adolescents diagnosed with chlamydia or gonorrhea","year":"2009","journal-title":"Pediatrics"},{"issue":"3","key":"2021120823524229900_B14","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1097\/AOG.0b013e3182310cee","article-title":"Committee opinion no. 506: expedited partner therapy in the management of gonorrhea and chlamydia by obstetrician-gynecologists.","volume":"118","year":"2011","journal-title":"Obstet Gynecol"},{"key":"2021120823524229900_B15","unstructured":"Opinion 8.07 \u2013 Expedited Partner Therapy. AMA Code of Medical Ethics. Available at: www.ama-assn.org\/ama\/pub\/physician-resources\/medical-ethics\/code-medical-ethics\/opinion807.page. Accessed February 22, 2012"},{"key":"2021120823524229900_B16","unstructured":"Centers for Disease Control and Prevention. Legal status of expedited partner therapy (EPT). Available at: www.cdc.gov\/std\/ept\/legal\/default.htm. 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