Heisler Kurt W, Starling Suzanne P, Edwards Hailey, Paulson James F
a Department of Pediatrics , Center for Pediatric Research, Children's Hospital of The King's Daughters, Eastern Virginia Medical School , Norfolk , VA , USA.
Med Educ Online. 2006 Dec;11(1):4600. doi: 10.3402/meo.v11i.4600.
To assess the training, comfort, and knowledge related to the medical management of child abuse among emergency medicine, family medicine, and pediatric residents.
In 2004, a 25-item survey was distributed to 274 pediatric, emergency medicine, and family medicine residents at two medical schools in Norfolk, Virginia and Dallas, Texas. Analyses focused on identifying differences in training, comfort, and knowledge by specialty and site, and identifying factors associated with greater knowledge and comfort.
Pediatric residents reported receiving the most hours of instruction in child abuse during residency. Training experiences of family medicine residents differed significantly by site. Clinical and overall knowledge and comfort with handling exams correlated strongly with the number of abuse patients seen during residency. On both clinical and overall knowledge, family medicine residents performed significantly worse than pediatric and emergency medicine residents. Knowledge of genital anatomy and comfort with sexual abuse exams was poor among all specialties.
The results support the need for improvements in and a more systematic approach to residency training in child abuse.
评估急诊医学、家庭医学和儿科住院医师在虐待儿童医疗管理方面的培训情况、舒适度及知识水平。
2004年，向弗吉尼亚州诺福克市和得克萨斯州达拉斯市两所医学院的274名儿科、急诊医学和家庭医学住院医师发放了一份包含25个条目的调查问卷。分析重点在于确定不同专业和地点在培训、舒适度及知识方面的差异，以及找出与更多知识和更高舒适度相关的因素。
儿科住院医师报告称在住院实习期间接受了关于虐待儿童方面最多时长的指导。家庭医学住院医师的培训经历因地点不同而有显著差异。临床及整体知识以及处理检查的舒适度与住院实习期间见到的虐待患者数量密切相关。在临床知识和整体知识方面，家庭医学住院医师的表现明显不如儿科和急诊医学住院医师。所有专业对生殖器官解剖学的知识以及对性虐待检查的舒适度都较差。
结果表明需要改进并采用更系统的方法进行虐待儿童方面的住院医师培训。
