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When Attitudes Become Obstacles: An Exploratory Study of Future Physicians' Concerns about Reporting Child

Morgan E Dynes1, Stephne S Rasiah2, Michele Knox1

  • 1Department of Psychiatry, University of Toledo, Toledo, OH 43614, USA.

Children (Basel, Switzerland)
|June 28, 2023
PubMed
Abstract

Insights

Future physicians who perceive fewer barriers to reporting child maltreatment (CM) are more likely to report it. Addressing misconceptions about mandated reporting early in medical education is crucial for improving child protection.

Area of Science:

  • Pediatrics
  • Medical Education
  • Public Health

Background:

  • Child maltreatment (CM) is a significant component of adverse childhood experiences (ACEs).
  • A competent healthcare workforce is essential for assessing and reporting CM within ACEs frameworks.
  • Understanding barriers to CM reporting among future physicians is critical.

Purpose of the Study:

  • To investigate the obstacles future physicians face in reporting child maltreatment (CM).
  • To assess the relationship between perceived obstacles and the likelihood of reporting suspected CM.

Main Methods:

  • Surveyed 196 medical students and residents using the Healthcare Provider Attitudes Toward Child Maltreatment Reporting Scale.
  • Assessed participants' likelihood of reporting suspected CM.
  • Analyzed the association between subscale scores and reporting likelihood.

Main Results:

  • Medical students reported more negative attitudes and perceived greater obstacles to CM reporting than residents.
  • Lower scores on the Concerns about Reporting subscale correlated with a higher likelihood of reporting CM.
  • Reporting Responsibilities subscale scores did not significantly predict reporting likelihood.

Conclusions:

  • Perceived obstacles significantly influence future physicians' likelihood to report child maltreatment.
  • Misconceptions regarding retaliation, child removal, and legal repercussions may hinder mandated reporting.
  • Early medical education should address and correct myths surrounding mandated reporting and its consequences.
Keywords:
child maltreatmentmandated reportingmedical studentsphysiciansresidents

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