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Effects of Pediatric Training for Detecting Signs of Developmental Problems

Efeitos de Formação Pediátrica para Detecção de Sinais de Problemas de Desenvolvimento

Efectos de la Formación Pediátrica en la Detección de Señales de Problemas de Desarrollo

A multicenter study (2004-2008) of clinical Risk Indicators for Child Development (IRDI) created and validated 31 indicators that can be observed in the initial 18 months post birth, with a statistically significant ability to predict developmental problems and psychic risk. Pediatricians were trained to collect data using the instrument. We discuss what remained for the pediatricians by interviewing a pediatrician who attended the course. The interview was analyzed from an institutional discourse perspective, revealing an objective/subjective duality and a split between prior and acquired knowledge. The ward emergency scenario does not provide enough time for a guided look at the indicators; indicators associated with parental function had a greater impact. The course increased his pleasure in his clinical practice, although his prior knowledge was limited. We suggest investigating the extent and limits of the effects of IRDI-oriented training for medical practice.

Professional education; Pediatrics; Child development; Discourse Analysis


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