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Published on: July 4, 2013
Addressing Intimate Partner Violence: Reducing Barriers and Improving Residents' Attitudes, Knowledge, and Practices
Laura Marie LaPlante1, Priya Gopalan2, Jody Glance2
1University of Washington School of Medicine, Seattle, WA, USA. laura.laplante2@va.gov.
Physicians recognize intimate partner violence (IPV) screening importance but lack consistent practice and preparedness. Targeted medical education curricula are crucial to improve IPV assessment and patient counseling skills.
Area of Science:
- Medical Education
- Public Health
- Gynaecology
Background:
- Intimate partner violence (IPV) is a significant public health issue requiring medical intervention.
- Physicians' roles in identifying and managing IPV are critical for patient safety.
Purpose of the Study:
- To evaluate residents' attitudes, knowledge, practices, and barriers regarding intimate partner violence (IPV) assessment.
- To develop and implement a targeted educational curriculum to address identified deficits in IPV care.
Main Methods:
- A survey was administered to residents across various specialties at a major academic institution.
- A workshop was designed based on obstetrics/gynecology residents' feedback, with post-intervention assessments conducted.
Main Results:
- 147 residents completed the survey, with all acknowledging physician responsibility for IPV assessment.
- Consistent screening rates were low: 40% for new female patients, 36% for pregnant patients, and 18% for post-partum patients.
- Half of residents reported inadequate training and unpreparedness for IPV counseling, though the intervention showed improved knowledge and preparedness.
Conclusions:
- Residents understand the importance of IPV assessment but face challenges in consistent screening and comfort levels.
- The development of comprehensive, targeted curricula is essential to enhance residents' ability to address intimate partner violence effectively.
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