Education of the physician in child abuse

Child abuse training often mirrors the development of the field of child abuse by focusing on identification and reporting at the expense of other topics. Physical abuse, and recently sexual abuse, have been emphasized, although neglect is more often reported. The training approach should also include information on epidemiologies, treatment, and prevention. A high index of suspicion can be taught by learning to identify specific physical and behavioral patterns of abuse, and discrepancies between history and the child's condition, and developing better interview skills. Physicians need to know reporting laws, what happens to reports in their community, and how to challenge adverse decisions. Characteristics of child abuse treatment and prevention programs should be taught to residents and physicians providing primary care to children. Principles of learning can be used with various methods to present child abuse information and skills. Whether educating medical students, general physicians, or child abuse experts, their level of involvement with child abuse and the key concepts appropriate for that level should be identified before training methods can be selected. Pediatricians can play an active role in assuring that education in child abuse occurs for all physicians. Answers to first set of questions: STEP 1. Probably middle class or higher. 2. Probably at least 5 years old. 3. Children should have at least average verbal and intellectual skills; they may need to be formally tested. 4. Parents should have at least average verbal and intellectual skills. Answers to second set of questions: Childhood Comes First 1. Approximately 1 year in many cases. 2. It should not; it is an individualized program. 3. No, but it should be an emotionally stable individual with good interactive skills and willing to make a substantial time commitment. 4. A wide range can be tolerated, but the coach will have to read if the consumer cannot.