Michael Farrell|Pramita Kuruvilla
Assessment of Parental Understanding by Pediatric Residents During Counseling After Newborn Genetic Screening
Medical College of Wisconsin|Contra Costa Health Services
investigate pediatric residents efforts assess understanding discussions positive newborn screening test results newborn screening saves lives confusion falsepositive carrier results often leads psychosocial problemsexplicitcriteria abstraction transcripts encounters standardized parents fictitious infant found carry cystic fibrosis sickle cell hemoglobinopathysimulated doctorpatient encounterpediatric residents participating educational workshop inform parents positive newborn screening test resultsabstraction used explicitcriteria data dictionary definitions 5 different ways assess understanding partial designation used leading syntax pause responseinterabstractor reliability 59 transcripts 2 per resident kappa 093 26 59 transcripts 441 met definite criteria least 1 assessment understanding assessments less effective closeended 373 transcripts ok question types 322 transcripts 3 transcripts met definite criteria openended assessment transcripts included request teachback type thought effective four transcripts 68 included advance request questions partialcriteria assessments included additional 31 transcripts 52 identifiedthe small number assessments understanding high fraction less effective assessments bode well parental understanding especially parents limited health literacy training programs address assessments understanding quality improvement activities using types assessment methods may also needed