Jones J G, Rickert C P, Balentine J, Lawson L, Rickert V I, Holder J
University of Arkansas for Medical Sciences, Department of Pediatrics, Little Rock 72202.
Child Abuse Negl. 1990;14(1):79-85. doi: 10.1016/0145-2134(90)90083-6.
Resident physicians' contacts with the legal system during management of abused children may influence their attitudes, which were evaluated in a pilot survey completed by 42 pediatric and medicine/pediatric residents. Although negative attitudes toward attorneys were common, almost all of the residents considered general and hearing-specific legal training to be a legitimate part of their residency program. They reported lower levels of stress of court testimony than expected by the authors. Most who had testified in court believed their testimony had been needed and helpful, but all who believed their testimony had been a waste of time were senior-level residents. Although most residents believed the laws and courts usually work for protecting children, only 8 of the 20 residents who had previously testified in court responded affirmatively, and none of the 10 senior residents who had previously testified held this belief. The disillusionment of senior-level residents appeared to affect attitudes toward patient care less than expected, in that 90% of those who planned to enter private practice indicated they would perform physical abuse evaluations and 70% planned to perform sexual abuse evaluations. Only one resident who did not expect to perform the evaluations gave as a reason the prospect of having to testify in court.
住院医师在处理受虐儿童时与法律系统的接触可能会影响他们的态度，这一点在一项由42名儿科及内科/儿科住院医师完成的初步调查中得到了评估。尽管对律师持负面态度很常见，但几乎所有住院医师都认为一般的法律培训以及针对听证会的法律培训是其住院医师培训项目的合理组成部分。他们报告的法庭作证压力水平低于作者预期。大多数出庭作证的人认为他们的证词是必要且有帮助的，但所有认为自己的证词是浪费时间的都是高级住院医师。尽管大多数住院医师认为法律和法庭通常是为保护儿童而运作的，但在之前出庭作证的20名住院医师中，只有8人给出肯定回答，而在之前出庭作证的10名高级住院医师中，没有人持有这种观点。高级住院医师的幻灭感似乎对他们对患者护理的态度影响小于预期，因为计划进入私人执业的人中，90%表示会进行身体虐待评估，70%计划进行性虐待评估。只有一名预计不会进行此类评估的住院医师将不得不出庭作证作为原因。
