APa

H

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S48 Poster Abstracts / 48 (2011) S18–S120

with sexuality issues and skin problems comprising the mostfrequent entries 49% and 20% respectively. Straightforwardinformation and specific suggestions regarding the healthquestions were provided for 60% of the entries. In 21% of theinquiries, referral to the primary care physician or to special-ized clinicswas necessary, and in 19% a conditional advicewasoffered, with a suggestion to consult a physician if that advicedid not alleviate the health problem. No significant differenceswere noted in the referral rates among the six respondingphysicians.Conclusions: This survey, demonstrates that in an internetsetup adolescents seek health professionals’ advice mainlyconcerning sexuality issues. Among the multiple other healthissues skin problems are of the most frequent concern. Sur-prisingly, mood and psychosocial issues are scarcely repre-sented in this survey. The internet service is limited in itscapacity to address health issues and referral to clinical care isfrequently warranted.Sources of Support: None.

59.

WORKINGWITH YOUNG PEOPLE: EVALUATION OF ANEDUCATION INTERVENTION TO IMPROVE SKILLS ANDCONFIDENCELee Hudson, MBChB2, Susan Sawyer, MBBS,MD4, Jennifer Conn, MBBS, FRACP, BSc(Hons),MClinED DipEd3, Katharine Reid, MPsych/PhD1,gnes Dodds1, Michele Yeo, MBBS, FRACp, PhD4,roimos Jenny4. 1Faculty of Medicine, Dentistry,nd Health Sciences 2Institute of Child Health

3Medical Education Unit 4Royal Children’sospital

Purpose: The Royal Australasian College of Physicians hasrecently commissioned a training resource entitled Workingwith Young People to equip physicians in training with coreknowledge and skills around adolescent health and medicineas a foundation for subsequent learning. The resource consistsof printed instructional materials and an accompanying DVDand focuses on 6 key areas of adolescent health andmedicine:adolescent development; ethical and legal issues in adolescenthealth care; therapeutic engagement with the adolescent pa-tient; psychosocial assessment of the adolescent patient; ap-proaches to promoting self-management in young peoplewith chronic illness; and aspects of transition to adult healthcare. Training in Australia and New Zealand is split into basicand advanced levels of training. The purpose of this study wasto evaluate the self-directed teaching resourcewith bothAdultMedical trainees and Pediatric Medicine trainees at basic andadvanced levels of training.Methods: Specialist medicine trainees were invited to com-plete a pre-evaluation questionnaire to assess their baselineattitudes and confidence in working with young people. Theywere then provided with a copy of the printed teaching re-source. Six weeks later, they completed a post-evaluationquestionnaire that included additional questions about howthey used the resource and their opinions of it. Repeatedmea-sures analyses of variance were used to assess changes inattitudes, knowledge, and confidence, by trainee type, with

effect size measured as partial eta-squared (hp

2). The �2 tests

were used to compare variation in use and opinions of theresource.Results: Thirty-two trainees (20 Pediatric, 12 Adult; 17 basic,15 advanced) completed the evaluation. After using the re-source, awareness of the health issues that affect youngpeople(F [1, 30] � 26.47, p � .000, hp

2 � .47), confidence in workingwith young people (F [1, 30] � 20.79, p � .000, hp

2 � .41), andconfidence in knowledge about the content of the resourcegreatly improved. Before using the resource, Adult Medicinetrainees scored lower than Pediatric trainees; a relativelyhigher rate of improvement resulted in similar scores betweenAdultMedicine and Pediatric trainees after using the resource.There were no differences between basic and advanced train-ees in how they used the resource or in their opinions about it.Conclusions: These data show that this resource improvedtrainee’s knowledge, skills, and confidence in working withyoung people. The resource had the most marked impact onAdult Medicine trainees, bringing their confidence to a similarlevel to that of pediatric trainees. A high proportion of respon-dents suggested that some structured teaching would be apositive adjunct to the Working with Young People resource.An internet-based version of the resource is now being devel-oped.Sources of Support: None.

SESSION I: EATING DISORDERS AND OBESITY

60.

MEDICAL COMPROMISE AND INITIAL MANAGEMENT OFYOUNG ADOLESCENTS AND CHILDRENWITH EARLY ONSETEATING DISORDERS: A NATIONAL STUDY FROM THE UNITEDKINGDOMLee Hudson, MBChB2, Dasha Nicholls, MBBSMD1, Richard Lynn, BSc MSc3, Russell Viner, MBS PhD4. 1Great Ormond Street Hospital

2Institute of Child Health 3Royal College ofediatrics and Child Health 4UCL Institute of

Child Health

Purpose: To describe the medical status at presentation of allincident cases of Eating Disorders in children less than 13 yearolds (EOED) over a 15 month year period in the UK.Methods: We identified all incident cases of EOED in the UKbetweenMarch 2005 toMay 2006 through high quality estab-lished national surveillance systems (British Pediatric Surveil-lance Unit (BPSU) and the Child and Adolescent PsychiatricSurveillance System (CAPSS). Eligibility by diagnosiswas iden-tified with modified DSM-IV and ICD-10 criteria. Notifyingpediatricians and psychiatrists provided detailed data on eli-gible cases. Of 505 notifications, we identified 208 discretecases after removal of duplicates, reporting errors or thosewith insufficient data. Here we present data on medical com-promise and initial management.Results: Pediatricians notified 24% of cases, with 76% notifiedby psychiatrists. Estimated incidence of EOED was 3.01/100,000 (95%CI 2.6-3.5). Incidence increasedwith age,with nocases aged 5 years or below. 43% of cases were classified asEating Disorder Not Otherwise Specified (EDNOS); 37% as An-

orexia Nervosa; 1% as Bulimia Nervosa. 82% of cases were