Affiliation:
1. Eastern Virginia Medical School, Virginia
2. Children's Hospital of The King's Daughters, Norfolk, Virginia
Abstract
OBJECTIVE. The objective of this study was to determine the level of knowledge, comfort, and training related to the medical management of child abuse among pediatrics, emergency medicine, and family medicine residents.
METHODS. Surveys were administered to program directors and third-year residents at 67 residency programs. The resident survey included a 24-item quiz to assess knowledge regarding the medical management of physical and sexual child abuse. Sites were solicited from members of a network of child abuse physicians practicing at institutions with residency programs.
RESULTS. Analyzable surveys were received from 53 program directors and 462 residents. Compared with emergency medicine and family medicine programs, pediatric programs were significantly larger and more likely to have a medical provider specializing in child abuse pediatrics, have faculty primarily responsible for child abuse training, use a written curriculum for child abuse training, and offer an elective rotation in child abuse. Exposure to child abuse training and abused patients was highest for pediatric residents and lowest for family medicine residents. Comfort with managing child abuse cases was lowest among family medicine residents. On the knowledge quiz, pediatric residents significantly outperformed emergency medicine and family medicine residents. Residents with high knowledge scores were significantly more likely to come from larger programs and programs that had a center, provider, or interdisciplinary team that specialized in child abuse pediatrics; had a physician on faculty responsible for child abuse training; used a written curriculum for child abuse training; and had a required rotation in child abuse pediatrics.
CONCLUSIONS. By analyzing the relationship between program characteristics and residents' child abuse knowledge, we found that pediatric programs provide far more training and resources for child abuse education than emergency medicine and family medicine programs. As leaders, pediatricians must establish the importance of this topic in the pediatric education of residents of all specialties.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Reference28 articles.
1. Kempe CH, Silverman FN, Steele BF, Droegemueller W, Silver HK. The battered-child syndrome. JAMA. 1962;181:17–24
2. American Academy of Pediatrics Division of Health Policy Research. Periodic Survey of Fellows #55, Executive Summary: Pediatricians Views on the Treatment and Prevention of Violent Injuries to Children; 2004. Available at: www.aap.org/research/periodicsurvey/ps55aexs.htm. Accessed March 29, 2005
3. Brayden R, Altemeier W 3rd, Yeager T, Muram D. Interpretations of colposcopic photographs: evidence for competence in assessing sexual abuse?Child Abuse Negl. 1991;15(1–2):69–76
4. Flaherty E, Sege R, Binns HJ, Mattson CL, Christoffel KK. Health care providers experience reporting child abuse in the primary care setting. Arch Pediatr Adolesc Med. 2000;154(5):489–493
5. Makoroff KL, Brauley JL, Brandner AM, Myers PA, Shapiro RA. Genital examinations for alleged sexual abuse of prepubertal girls: findings by pediatric emergency medicine physicians compared with child abuse trained physicians. Child Abuse Negl. 2002;26(12):1235–1242
Cited by
79 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献