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Child Protection Competencies in Medical Education
Ruth Helena Fellmeth1, Sophie Schlüter1, Julia Hubbert2
1Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Münster, University of Münster, Germany.
Abstract:
Background: Child maltreatment is a major global public health concern with severe physical, psychological, and developmental consequences. Physicians across many medical specialties may encounter affected children, making child protection an important component of medical education. However, many medical students and early-career physicians feel insufficiently prepared to recognize and manage suspected cases. Methods: We conducted a cross-sectional online survey using self-developed questions among medical students at the University of Münster (September-November 2025). The survey assessed experiences with child protection, perceived preparedness, and preferences regarding curricular content and teaching formats. Of the 376 respondents, we analyzed 323 complete responses (11.4 % of enrolled students). Via descriptive statistics, ANOVA, and MANOVA, we examined differences across academic years. Results: Students strongly supported integrating child protection as a mandatory standalone course (92.3 %). Preferred teaching formats were communication training (88 %), simulations (83.3 %), and case-based discussions (82 %). Many students reported uncertainty in handling suspected cases, particularly regarding communication with affected children and caregivers (84.8 %) and legal aspects (80.2 %). Perceived preparedness increased significantly with academic progression (p < .001). Conclusions: Medical students demonstrate a strong interest in structured child protection education. Practice-oriented and interdisciplinary teaching approaches may strengthen competencies required to recognize and manage suspected child maltreatment.
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