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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Unique sexual assault examiner program utilizing mid-level providers.

Elliot C Pennington¹, Frank L Zwemer, Dolores A Krebs

¹Department of Emergency Medicine, University of Rochester, Strong Memorial Hospital, Rochester, New York 14642, USA.

The Journal of Emergency Medicine

|August 9, 2008

Summary

This summary is machine-generated.

Sexual assault examiner (SAE) programs using mid-level providers improve the quality of forensic evidence collection in standardized kits. This study found SAE kits had higher quality evidence compared to non-SAE kits.

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Area of Science:

Forensic Medicine
Emergency Medicine
Sexual Assault Response

Background:

Sexual assault forensic evidence collection lacks uniformity across emergency departments (EDs).
A unique sexual assault examiner (SAE) program utilized mid-level providers in the ED setting.

Purpose of the Study:

To evaluate the quality of forensic evidence collection by SAEs compared to non-SAE providers.
To assess the impact of a standardized SAE program on evidence kit quality.

Main Methods:

Prospective study of evidence kits collected between November 2004 and October 2005.
Evaluation of kit quantity (slides, envelopes, swabs) and quality (forensic standard compliance).
Comparison between kits from SAE program EDs and non-SAE program EDs.

Main Results:

SAE kits demonstrated higher quality forensic evidence.
Specifically, SAE kits had significantly more compliant envelopes (5.44 vs. 1.44, p < 0.001) and compliant slides (6.4 vs. 4.5, p < 0.001).
While total evidence piece counts were similar, SAE kits showed superior forensic evidence quality in key measures.

Conclusions:

An integrated SAE program with trained mid-level providers enhances the quality of sexual assault evidence collection.
SAE-trained providers yield higher quality forensic evidence compared to non-SAE providers.
Standardized training and program implementation are crucial for improving sexual assault forensic evidence collection in EDs.