Impacts on paediatricians testifying in cases of child maltreatment: protocol for a systematic review

Alyce Horstman1,2, J Anne S Smith2, Richard B Bassed3

  • 1Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia alyce.horstman@rch.org.au.

BMJ Open
|May 3, 2024
PubMed

Insights

This systematic review examines the impacts on pediatricians who testify in child maltreatment cases. It synthesizes existing evidence to inform practice and policy for child protection and legal proceedings.

Area of Science:

  • Child Abuse Pediatrics
  • Forensic Pediatrics
  • Child Protection Services

Background:

  • Pediatricians play a crucial role in assessing child maltreatment.
  • They often interact with child protection agencies and law enforcement.
  • Pediatricians may be required to provide expert testimony in legal proceedings related to child abuse cases.

Purpose of the Study:

  • To systematically review and synthesize the existing literature on the impacts of testifying in child maltreatment cases on pediatricians.
  • To identify gaps in the current evidence base.
  • To inform best practices and support for pediatricians involved in the legal system.

Main Methods:

  • A comprehensive search strategy was employed across six major electronic databases (Medline, EMBASE, PsycINFO, CINAHL, Criminal Justice Abstracts, Cochrane Library) from inception to May 2023.
  • Two independent reviewers screened titles, abstracts, and full-text articles based on predefined eligibility criteria.
  • A third reviewer resolved any disagreements between the initial two reviewers.

Main Results:

  • The review aims to synthesize evidence on the professional, psychological, and ethical impacts experienced by pediatricians when testifying in child maltreatment cases.
  • Findings will highlight the current state of research and identify areas needing further investigation.
  • The synthesis will provide a foundation for developing supportive resources and guidelines.

Conclusions:

  • There is a need for a comprehensive understanding of the multifaceted impacts on pediatricians who testify in child maltreatment cases.
  • This systematic review will provide critical insights into the challenges and consequences faced by these medical professionals.
  • The findings will contribute to improved support systems and professional development for pediatricians engaged in child protection and legal matters.
Abstract

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