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Related Experiment Video

Updated: Dec 5, 2025

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Child Abuse Recognition Training for Prehospital Providers Using Deliberate Practice.

Kathleen Adelgais, Martin Pusic, Denise Abdoo

    Prehospital Emergency Care
    |October 15, 2020
    PubMed
    Summary
    This summary is machine-generated.

    Prehospital professionals (PHPs) improved their ability to identify abusive injuries in children through an online learning tool. This training enhanced diagnostic accuracy for burns and bruises, aiding in crucial reporting decisions.

    Keywords:
    child abuse and neglectdeliberate practiceeducational programsemergency medical services

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    Area of Science:

    • Pediatric injury diagnosis
    • Medical education technology
    • Child abuse recognition

    Background:

    • Prehospital professionals (PHPs) are mandated reporters for suspected child abuse.
    • Lack of training hinders PHPs' ability to recognize and report physical abuse.
    • A novel learning platform was developed for diagnosing pediatric abusive vs. non-abusive burn and bruise injuries.

    Purpose of the Study:

    • To examine skill acquisition in visual diagnosis of pediatric abusive injuries among PHPs.
    • To assess the effectiveness of an online educational intervention for improving injury recognition and reporting.
    • To determine the amount and rate of skill improvement in differentiating abusive from non-abusive injuries.

    Main Methods:

    • Prospective cross-sectional study involving 253 PHPs in an online educational intervention.
    • Participants reviewed 114 case vignettes, indicating concern for abuse and intent to report.
    • Deliberate practice with immediate feedback was employed; learning curves, accuracy, sensitivity, and specificity were analyzed.

    Main Results:

    • Mean diagnostic accuracy increased by 4.9%, with final accuracy at 82.1% (sensitivity 75.4%, specificity 85.2%).
    • Higher accuracy was associated with bruise cases (vs. burns), Advanced EMT/Paramedic level, and prior child abuse training.
    • PHPs reported increased confidence in recognizing and reporting cutaneous signs of abuse.

    Conclusions:

    • An online module incorporating deliberate practice significantly improved PHPs' skills in differentiating abusive from non-abusive burn and bruise injuries.
    • The intervention demonstrated measurable skill improvement, enhancing diagnostic capabilities for pediatric cutaneous injuries.
    • This educational approach supports mandated reporting by equipping PHPs with better diagnostic tools.