As new competency-based residency training curricula have been and are being designed, it is clear that certain areas of knowledge could use additional attention during this initial training phase of our careers. Two studies released this month highlight some areas that need such attention. The first, by Hsii et al. (doi: 10.1542/peds.2011-3764 -- early released next week!), looked at the familiarity of residents in California with the use of expedited partner therapy (EPT) for sexually transmitted infections. Not only was a knowledge gap identified in this study of more than 280 residents, but also difficulty by trainees in even considering or implementing this method of treating partners despite California law that allows EPT for chlamydia and gonorrhea injections.
The second study by Hymowitz et al. (doi: 10.1542/peds.2011-3570) surveyed residency program directors on how well their programs prepared residents to address use of tobacco and smoke exposure including familiarity with medications to help parents stop smoking. The results leave this topic somewhat smoky in terms of being adequately covered in most programs surveyed. Even if you are not a resident, it is possible that these topics may need some attention in your own life-long learning curriculum and these two articles may be the wake-up call needed to do just that.
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