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Identifying Barriers to Trainees Addressing Corporal Punishment and Effective Discipline Using Simulation and
Brett Slingsby1, Jessica Moore1, Robyn Wing2
1From the Division of Pediatrics, Department of Pediatrics, The Alpert Medical School of Brown University.
Pediatric Emergency Care
|June 13, 2022
Summary
Physician trainees lacked confidence and knowledge to address corporal punishment (CP) during simulations. Future education is needed to equip them with skills for discussing discipline and distinguishing CP from abuse.
Area of Science:
- Medical Education
- Pediatrics
- Child Abuse Prevention
Background:
- Physician trainees encounter challenging situations regarding child discipline.
- Corporal punishment (CP) is a sensitive topic requiring specific communication skills.
- Current pediatric training may not adequately prepare trainees to address CP.
Purpose of the Study:
- To evaluate physician trainee responses to simulated corporal punishment (CP).
- To assess trainee knowledge, comfort, and experiences regarding CP during debriefings.
- To identify educational needs for addressing CP in medical training.
Main Methods:
- Utilized 7 simulation sessions (2018-2019) involving a simulated caregiver striking a child.
- Convenience sample of 37 physician trainees participated.
- Conducted semistructured debriefings and educational sessions post-simulation.
Main Results:
- Trainees struggled with wording and differentiating CP from physical abuse.
- Fear of offending families and negative past experiences hindered intervention.
- Participants expressed a need for further education and simulated encounters on CP.
Conclusions:
- Trainees reported discomfort and knowledge gaps in addressing CP and guiding families on discipline.
- Simulation revealed deficits in understanding CP vs. abuse, communication strategies, and resource provision.
- Integrating CP and discipline education into pediatric residency programs is recommended.
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