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Medical Child Abuse Module in the Child Abuse Pediatrics Curriculum for Physicians (CAP-CuP)
Stephen L Harvey1, Caitlin E Crumm2, Emily C B Brown3
1Medical Student, Mayo Clinic Alix School of Medicine, Mayo Clinic.
Insights
Medical child abuse, a dangerous condition, requires better recognition and management. An interactive workshop significantly improved pediatric clinicians' confidence and knowledge in identifying and handling cases of medical child abuse.
Area of Science:
- Pediatric Medicine
- Medical Education
- Child Abuse Recognition
Background:
- Medical child abuse is underrecognized and undertaught, posing fatal risks.
- Harmful overmedicalization of children necessitates improved clinical awareness and management strategies.
Purpose of the Study:
- To develop and evaluate an interactive workshop for pediatric clinicians on recognizing and managing medical child abuse.
- To assess the impact of the workshop on clinician confidence and knowledge.
Main Methods:
- A 2-part interactive workshop (lecture and role-play) was delivered to pediatric clinicians.
- Pre- and post-module assessments evaluated changes in self-rated confidence and knowledge.
- Data were analyzed using descriptive statistics, paired t-tests, and Wilcoxon signed-rank tests.
Main Results:
- Participant confidence in recognizing and managing medical child abuse significantly increased after both parts of the workshop (P < .001).
- Knowledge scores improved substantially, from 66% pre-module to 88% post-module (P < .001).
- The workshop was adaptable across different clinical settings and audiences.
Conclusions:
- An interactive 2-part workshop effectively enhanced pediatric clinicians' confidence and knowledge regarding medical child abuse.
- This educational intervention is adaptable and beneficial for improving the recognition and management of medical child abuse.
Introduction:
Medical child abuse is an underrecognized and undertaught condition with potentially fatal consequences. Clinicians must learn to recognize and manage harmful overmedicalization of children.
Methods:
We developed a 2-part interactive workshop on medical child abuse for pediatric clinicians. We evaluated part 1, an interactive high-yield lecture, using a pre- and postmodule assessment of self-rated confidence and knowledge in 1 resident conference and 3 multidisciplinary grand rounds settings across 2 institutions. We evaluated part 2, a popcorn-style role-play, with an additional postmodule confidence assessment at 2 resident conferences. We excluded duplicate participants. Part 1 duration was 45 minutes and part 2 was 60 minutes. We summarized results using descriptive statistics and analyzed paired data using paired t tests for knowledge (mean ± SD), and Wilcoxon signed-rank tests for confidence (median and interquartile range [IQR]).
Results:
A total of 203 and 36 unique participants participated in part 1 and part 2, respectively. Participant confidence in recognizing and managing medical child abuse increased from a median of 5 (IQR 4-6; n = 124) to 7 (IQR 6-8) after part 1 (P < .001). Among participants completing part 2 (n = 20), confidence increased further to 8 (IQR 8-9; P <.001). Knowledge scores increased from 66% (SD = 29%) premodule to 88% (SD = 20%) postmodule (n = 119; P < .001).
Discussion:
This interactive 2-part workshop was adaptable across clinical audiences and settings and improved confidence and knowledge in recognition and management of medical child abuse.
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