{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:45:33Z","timestamp":1791549933035,"version":"4.3.4"},"reference-count":31,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"\n BACKGROUND AND OBJECTIVES:<\/jats:title>\n There is an urgent need to prepare pediatricians to care for children with behavioral and mental health (B\/MH) conditions. In this study, we evaluate the perceived competence of pediatric residents and recent graduates in the assessment and treatment of B\/MH conditions, characterize variation in competence across residency programs, and identify program characteristics associated with high competence.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n Cross-sectional survey of applicants for the initial certifying examination in pediatrics. Questions were focused on (1) who should be competent in B\/MH skills, (2) institutional support around B\/MH training, and (3) perceived competence in 7 B\/MH assessment skills and 9 treatment skills. Competence was rated on a 5-point scale, and high levels of assessment and treatment competence were defined as scores of \u22654. Composite measures for B\/MH assessment and treatment were calculated as mean scores for each domain. We examined variation in residents\u2019 self-reported competence across programs and used linear regression to identify factors associated with high levels of competence at the program level.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n Of applicants, 62.3% responded to the survey (n = 2086). Of these, 32.8% (n = 595) reported high competence in assessment skills and 18.9% (n = 337) in treatment skills. There were large variations in reported competence across programs. Respondents from smaller programs (&lt;30 trainees) reported higher competence in assessment and treatment than those from large programs (P &lt; .001).<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n Current and recent pediatric trainees do not report high levels of perceived competence in the assessment and treatment of children with B\/MH conditions. The substantial variation across programs indicates that the pediatric community should create standards for B\/MH training.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2019-2884","type":"journal-article","created":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T08:25:14Z","timestamp":1592555114000},"source":"Crossref","is-referenced-by-count":47,"title":["Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems"],"prefix":"10.1542","volume":"146","author":[{"given":"Cori","family":"Green","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Weill Cornell Medicine, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JoAnna K.","family":"Leyenaar","sequence":"additional","affiliation":[{"name":"The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam L.","family":"Turner","sequence":"additional","affiliation":[{"name":"The American Board of Pediatrics, Chapel Hill, North Carolina; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurel K.","family":"Leslie","sequence":"additional","affiliation":[{"name":"The American Board of Pediatrics, Chapel Hill, North Carolina; and"},{"name":"Departments of Medicine and Pediatrics, School of Medicine, Tufts University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,7,1]]},"reference":[{"issue":"3","key":"2021121013150576900_B1","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1542\/peds.2014-0594","article-title":"Changing trends of childhood disability, 2001\u20132011","volume":"134","author":"Houtrow","year":"2014","journal-title":"Pediatrics"},{"issue":"4","key":"2021121013150576900_B2","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1001\/jamapediatrics.2018.5399","article-title":"US national and state-level prevalence of mental health disorders and disparities of mental health care use in children","volume":"173","author":"Whitney","year":"2019","journal-title":"JAMA Pediatr"},{"issue":"6","key":"2021121013150576900_B3","doi-asserted-by":"crossref","first-page":"e20191576","DOI":"10.1542\/peds.2019-1576","article-title":"Growth and distribution of child psychiatrists in the United States: 2007\u20132016","volume":"144","author":"McBain","year":"2019","journal-title":"Pediatrics"},{"issue":"3","key":"2021121013150576900_B4","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1542\/pir.33.3.99","article-title":"Psychological aspects of chronic health conditions","volume":"33","author":"Perrin","year":"2012","journal-title":"Pediatr Rev"},{"issue":"4","key":"2021121013150576900_B5","first-page":"545","article-title":"The changing role of the pediatrician in child health care","volume":"127","author":"Haggerty","year":"1974","journal-title":"Am J Dis Child"},{"issue":"4","key":"2021121013150576900_B6","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1542\/peds.2009-0048","article-title":"Improving mental health services in primary care: reducing administrative and financial barriers to access and collaboration","volume":"123","author":"American Academy of Child and Adolescent Psychiatry Committee on Health Care Access and Economics","year":"2009","journal-title":"Pediatrics"},{"key":"2021121013150576900_B7","unstructured":"Accreditation Council for Graduate Medical Education. 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