Department of Pediatrics, McMaster University, Hamilton, ON L8S 4K1, Canada.
McMaster Children's Hospital, Hamilton, ON L8N 3Z5, Canada.
Int J Environ Res Public Health. 2022 Mar 11;19(6):3319. doi: 10.3390/ijerph19063319.
Child maltreatment (CM) is a public health problem with devastating effects on individuals, families, and communities. Resident physicians have varied formal education in CM, and report feeling inadequately trained in identifying and responding to CM. The purpose of this study is to explore residents' understanding of the impacts of CM, and their perceptions of their role in recognizing and responding to CM to better understand their educational needs. This study analyzed qualitative data obtained from a larger project on family violence education. Twenty-nine resident physicians enrolled in pediatric, family medicine, emergency medicine, obstetrics and gynecology, and psychiatry training programs in Alberta, Ontario, and Québec participated in semi-structured interviews to elicit their ideas, experiences, and educational needs relating to CM. Conventional (inductive) content analysis guided the development of codes and categories. Residents had thorough knowledge about the impacts of CM and their duty to recognize CM, but there was less consistency in how residents understood their role in responding to CM. Residents identified the need for more education about recognizing and responding to CM, and the need for educational content to be responsive to training, patient and family factors, and systemic issues. Despite knowledge about the impacts of CM and laws pertaining to mandated reporting, residents reported challenges with responding to concerns of CM. Findings of this study emphasize the need for better training in response to CM. Future educational interventions should consider a multidisciplinary, experiential approach.
儿童虐待（CM）是一个公共卫生问题，对个人、家庭和社区都有毁灭性的影响。住院医师在 CM 方面接受了不同形式的正规教育，但报告称在识别和应对 CM 方面的培训不足。本研究旨在探讨住院医师对 CM 影响的理解，以及他们对自己在识别和应对 CM 方面的角色的看法，以更好地了解他们的教育需求。本研究分析了一项关于家庭暴力教育的更大项目中获得的定性数据。来自阿尔伯塔省、安大略省和魁北克省的儿科、家庭医学、急诊医学、妇产科和精神病学培训项目的 29 名住院医师参加了半结构化访谈，以了解他们与 CM 相关的想法、经验和教育需求。常规（归纳）内容分析指导了代码和类别的确立。住院医师对 CM 的影响及其识别 CM 的责任有深入的了解，但对他们如何理解自己在应对 CM 中的角色的理解却不太一致。住院医师认识到需要更多关于识别和应对 CM 的教育，并且需要教育内容能够响应培训、患者和家庭因素以及系统问题。尽管了解 CM 的影响和与强制报告有关的法律，但住院医师报告称在应对 CM 问题方面存在挑战。本研究的结果强调了需要更好的 CM 应对培训。未来的教育干预措施应考虑采用多学科、体验式的方法。
