Student-Run Teen and Tot Service: Increasing Medical Trainee Exposure to Pediatric Education while Providing Educational and Health Services to Teenage Mothers and their Children

Julia Krumholz; Hannah  Mumber; Emma  Tunstall; Amanda Okaka; Minh-Thuy  Nguyen; Rebecca  Webb; Larissa Wenren; Eily  Cournoyer; Sarah  Rodriguez; Celine  Toder; Natalie  Pierre-Joseph

doi:10.59586/jsrc.v8i1.315

Julia Krumholz, MD University of Minnesota https://orcid.org/0000-0003-1322-2318
Hannah Mumber, MD Cohen Children's Medical Center
Emma Tunstall, MD, MBE New York University https://orcid.org/0000-0003-4054-3141
Amanda Okaka, MPH Boston University
Minh-Thuy Nguyen, MD Brigham and Women's Hospital
Rebecca Webb, MD University of California, San Francisco https://orcid.org/0000-0001-5822-6617
Larissa Wenren, MD Boston Children's Hospital https://orcid.org/0000-0002-6540-0537
Eily Cournoyer, MD Cincinnati Children's Hospital https://orcid.org/0000-0002-4580-8009
Sarah Rodriguez, MD Northwestern University https://orcid.org/0000-0003-2782-1944
Celine Toder Boston University https://orcid.org/0000-0003-1775-2834
Natalie Pierre-Joseph, MD Boston Medical Center

DOI: https://doi.org/10.59586/jsrc.v8i1.315

Keywords: Pregnancy, Pediatrics, Adolescent, Medical Education, Vulnerable Populations

Abstract

Background: Student Run Teen and Tot Service (SRTTS) is a student-run, interdisciplinary service-learning program at Boston University School of Medicine (BUSM) and Boston Medical Center (BMC). In this paper, we describe the program, which aims to increase medical students’ exposure to pediatrics while providing education and support to teenage mothers and their babies.

Methods: Medical students at BUSM learned developmental milestones and trained in communication, patient-centered education, and the pediatric interview and physical exam. SRTTS leaders recruited patients to free monthly service evenings held at BMC. The babies received medical exams and the teenage mothers received health and parenting education. Students filled out pre- and post-participation surveys rating their comfort with pediatric medicine and education, and patients completed demographic and satisfaction surveys. Both the patient and student surveys were analyzed using a descriptive approach.

Results: Analysis of pre-and post-participation student surveys demonstrated that the mean confidence level (reported on a 5-point scale, with 1=Not at all confident and 5=Extremely confident) increased for all measured domains, including interacting with children and adolescent mothers (from 2.46 to 4.08 and 2.08 to 3.92, respectively), giving anticipatory guidance (from 1.62 to 3.63), and performing a pediatric physical exam (1.08 to 2.85). Patients rated their experience with the program and the care they received highly, indicating that they would use the health education that they received in the future.

Conclusions: The supplemental care provided by SRTTS was well received by patients. Additionally, medical students improved their skills in a variety of pediatric medicine and education topics. SRTTS is limited by the number of patients and students who participated. Expanding SRTTS will further integrate adolescent mothers and children into the healthcare system and allow medical students to further increase their proficiency in pediatric medicine.