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Case-Based Workshop for Teaching Child Abuse Prevention to Resident Physicians.

Lynette M Froula1, Ann M Lenane2, Julie R Pasternack3

  • 1Instructor of Clinical Emergency Medicine, Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry.

Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
PubMed
Summary

Physician training on child abuse prevention improved resident ability to identify abuse risks and integrate prevention into well-child visits. This enhanced their skills for secondary, tertiary, and primary prevention efforts.

Keywords:
Child AbuseFamily MedicinePediatricsPreventionPublic HealthResident EducationToxic Stress

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Area of Science:

  • Medical Education
  • Child Abuse Prevention
  • Public Health

Background:

  • Child abuse presents significant personal, social, and interpersonal challenges.
  • Established risk factors and preventive strategies can reduce abusive parenting and child maltreatment.
  • Physician training is crucial for early identification and prevention of child abuse.

Purpose of the Study:

  • To develop and evaluate a curriculum for resident physicians on child abuse identification and prevention.
  • To assess the impact of a case-based workshop on resident knowledge and clinical practice regarding child abuse.

Main Methods:

  • Literature review to establish core curriculum content.
  • Online surveys to assess resident learning needs.
  • Interactive, case-based workshops designed using adult learning theories.
  • Pre- and post-workshop qualitative assessments and 3-month follow-up surveys.

Main Results:

  • Residents demonstrated increased association of somatic/behavioral complaints with potential abuse or toxic stress.
  • Residents showed improved understanding of risks and needs in families affected by child abuse.
  • Most residents reported incorporating discussions on risk factors, stress, and abuse into routine well-child visits.

Conclusions:

  • The child abuse prevention workshop enhanced resident physicians' knowledge and skills in secondary and tertiary prevention.
  • Participants showed progress towards primary prevention goals within 3 months post-curriculum.
  • The curriculum effectively equipped physicians to address child maltreatment.