Hamberger L Kevin
Department of Family and Community Medicine, Medical College of Wisconsin, USA.
Trauma Violence Abuse. 2007 Apr;8(2):214-25. doi: 10.1177/1524838007301163.
Medical schools and postgraduate residency programs have largely included intimate partner violence (IPV) in their curricula. There is presently disagreement on the optimal model for implementing such training and the amount of time to be devoted to IPV. There is considerable overlap in the general content and teaching methods that focus on enhancing medical knowledge, professional attitudes, and clinical skills for asking about and responding to patient reports of IPV. Curricular evaluations have generally supported the idea that training increases knowledge, attitudes, and skills. However, a number of methodological issues preclude firm conclusions. There is a need for more randomized, controlled studies, better quasi-experimental designs, posttraining follow-up intervals, and demonstrations of actual clinical behavioral competency. Despite the latter concerns, however, the future shows promise that the next generation of physicians will understand and accept IPV and its health effects on their patients as constituting an important health issue that they will comfortably address.
医学院校和研究生住院医师培训项目在很大程度上已将亲密伴侣暴力(IPV)纳入其课程。目前,对于实施此类培训的最佳模式以及用于IPV的时间量存在分歧。在侧重于增强医学知识、专业态度以及询问和应对患者IPV报告的临床技能的一般内容和教学方法方面,存在相当多的重叠。课程评估总体上支持培训能增加知识、态度和技能这一观点。然而,一些方法学问题妨碍了得出确凿结论。需要更多的随机对照研究、更好的准实验设计、培训后的随访间隔以及实际临床行为能力的展示。然而,尽管存在后者这些问题,但未来有望新一代医生将理解并接受IPV及其对患者健康的影响,将其视为一个他们能够轻松应对的重要健康问题。