摘要：To assess in pediatric residents the effects of a case-based educational exercise about child neglect and parental alcoholism on their knowledge and attitudes. Quasi-experimental controlled trial of a standardized educational intervention and qualitative analysis of residents' reactions. Resident continuity clinic conferences at a large pediatric teaching hospital. Convenience sample of pediatric residents (n=37). The residents in the control group received no intervention at all, while residents in the intervention group received the educational intervention. A structured, 40-minute case discussion ("The Silent Cry") facilitated by trained faculty. Learner ratings of materials and methods. Pre/post change in scores on a knowledge quiz and attitude scale. Codes and themes generated from qualitative analysis of focus group transcripts. Intervention group residents rated the experience highly. The two groups did not differ significantly in mean pre-post change on the knowledge quiz or attitude scale. Focus group discussions revealed feelings of frustration and powerlessness when dealing with child neglect and parental alcoholism. While this standardized educational intervention was well received by residents, more time is needed for discussion and multiple teaching sessions may be required. Discussion of emotional responses should be included as a standard part of the educational experience.
