Dubowitz H
Department of Pediatrics, University of Maryland Medical School, Baltimore.
Pediatrics. 1988 Sep;82(3 Pt 2):477-80.
Child maltreatment has become an increasingly important concern for pediatricians. The purpose of this study was to assess, via mailed questionnaires, the training and resources of pediatric residents in the area of child maltreatment. Responses were received from 72% of all US programs. The median amount of training was eight hours during the first and third years of training and seven hours during the second year; approximately half of this was clinical supervision in the care of maltreated children. Eighty-one percent of programs had an interdisciplinary team for suspected cases of child maltreatment. Only 17 of 167 programs reported a separate budget for their team. Although two thirds of programs were rated as adequate or better, 79% of respondents wanted to strengthen their teaching efforts. There appears to be a limited commitment by residency programs to enhance the competency of pediatricians in the area of child maltreatment. There is a need for improved training and resources.
虐待儿童已成为儿科医生日益关注的重要问题。本研究的目的是通过邮寄问卷来评估儿科住院医师在虐待儿童领域的培训和资源情况。收到了全美72%项目的回复。培训时长的中位数在第一年和第三年为8小时，第二年为7小时；其中约一半是在照料受虐儿童方面的临床督导。81%的项目针对疑似虐待儿童的病例设有跨学科团队。167个项目中只有17个报告为其团队设有单独预算。尽管三分之二的项目被评为足够或更好，但79%的受访者希望加强教学工作。住院医师培训项目在提高儿科医生处理虐待儿童问题能力方面的投入似乎有限。需要改进培训和资源。
