Pediatric Residency Training in Child Abuse and Neglect in the United States

Narayan, Aditee P.; Socolar, Rebecca R. S.; Claire, Karen St.

doi:10.1542/peds.2006-0160

Cited by 55 publications

(53 citation statements)

References 14 publications

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“…It is likely that training in this area will help providers recognize signs and symptoms of IPV, direct their inquiries appropriately and efficiently, and allow them to provide appropriate advice and treatment to victims. Physician training in the recognition and management of female patients with IPV was associated with greater preparedness on the part of providers for screening and assistance of such patients [17,24]. Only approximately 1 .…”

Section: Discussionmentioning

confidence: 99%

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Rocca

Sprague

Dosanjh

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Intimate partner violence (IPV)-physical, sexual, psychologic, or financial abuse between intimate partners-is the most common cause of nonfatal injury to women in North America. As many IPV-related injuries are musculoskeletal, orthopaedic surgeons are well positioned to identify and assist these patients. However, data are lacking regarding surgeons' knowledge of the prevalence of IPV in orthopaedic practices, surgeons' screening and management methods, and surgeons' perceptions about IPV. Questions/purposes We aimed to identify (1) surgeon attitudes and beliefs regarding victims of IPV and batterers and (2) perceptions of surgeons regarding their role in identifying and assisting victims of IPV. Methods We surveyed 690 surgeon members of the Orthopaedic Trauma Association. The survey had three sections: (1) general perception of orthopaedic surgeons regarding IPV; (2) perceptions of orthopaedic surgeons regarding victims and batterers; and (3) orthopaedic relevance of IPV. One hundred fifty-three surgeons responded (22%). Results Respondents manifested key misconceptions: (1) victims must be getting something out of the abusive relationships (16%); (2) some women have personalities that cause the abuse (20%); and (3) the battering would stop if the batterer quit abusing alcohol (40%). In the past year, approximately 1 . 2 the respondents (51%) acknowledged identifying a victim of IPV; however, only 4% of respondents currently screen injured female patients for IPV. Surgeons expressed concerns regarding lack of knowledge in the management of abused women (30%). Conclusion Orthopaedic surgeons had several misconceptions about victims of IPV and batterers. Targeted educational programs on IPV are needed for surgeons routinely caring for injured women.

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Section: Discussionmentioning

confidence: 99%

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Rocca

Sprague

Dosanjh

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Mandatory ''academic half-days'', longitudinal clinic ''call back half-days'' and mandatory post-call regulations have an impact on the time available for residents to adequately achieve the educational objectives of training (OTR). Residents, therefore, often comment that they are comfortable caring for acutely ill children in an inpatient setting (Lieberman & Hilliard 2006), but express discomfort managing ambulatory general paediatric problems (Veale et al 1999;Ward et al 2004;Chamberlain et al 2005;Kolarik et al 2006;Korczak et al 2006;Narayan et al 2006;Grant et al 2007). These changes have also led to a continuing debate among educators across Canada as to whether the current 4-year residency training programmes adequately prepare paediatricians for their future careers.…”

Section: Introductionmentioning

confidence: 99%

Validating objectives and training in Canadian paediatrics residency training programmes

2011

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“…42 Some of the most basic knowledge, such as the appropriate identification of anatomic structures, has not always been part of pediatric residencies or physicians' continuing education. 43,44 Appropriate techniques for evaluating children' s anogenital regions are an important part of pediatric education.…”

Section: The Physical Examination When Sexual Abuse Is Suspectedmentioning

confidence: 99%

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

Jenny¹,

Christian²,

Crawford-Jakubiak³

et al. 2013

Pediatrics

184

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This clinical report updates a 2005 report from the American Academy of Pediatrics on the evaluation of sexual abuse in children. The medical assessment of suspected child sexual abuse should include obtaining a history, performing a physical examination, and obtaining appropriate laboratory tests. The role of the physician includes determining the need to report suspected sexual abuse; assessing the physical, emotional, and behavioral consequences of sexual abuse; providing information to parents about how to support their child; and coordinating with other professionals to provide comprehensive treatment and follow-up of children exposed to child sexual abuse.

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Pediatric Residency Training in Child Abuse and Neglect in the United States

Cited by 55 publications

References 14 publications

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Orthopaedic Surgeons’ Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women

Validating objectives and training in Canadian paediatrics residency training programmes

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

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