Schmitt B D
Am J Dis Child. 1979 Jul;133(7):691-6. doi: 10.1001/archpedi.1979.02130070027005.
Many pediatricians are being called on to undertake expanded roles in the field of child abuse and neglect, whether as a practicing pediatrician, a hospital-based child abuse consultant, or as a child protection team pediatrician. The practicing pediatrician must consider the diagnosis of child abuse and neglect, confirm the diagnosis, report all suspected cases to child protective services, hospitalize any abused child who needs protection, and provide preventive services. The hospital-based child abuse consultant should provide consultation to primary physicians, report seriously injured cases for the primary physician or surgeon, provide expert medical testimony on difficult to prove cases, teach house staff and medical students about child abuse and neglect, and improve treatment services for abused children who are hospitalized. The child protection team pediatrician will usually become involved in the broader problem of improving team decision making and the interagency system that deals with child abuse and neglect.
许多儿科医生被要求在虐待和忽视儿童领域承担更多职责，无论是作为执业儿科医生、医院儿童虐待顾问，还是作为儿童保护团队的儿科医生。执业儿科医生必须考虑虐待和忽视儿童的诊断，确认诊断结果，向儿童保护服务机构报告所有疑似病例，为任何需要保护的受虐儿童提供住院治疗，并提供预防服务。医院儿童虐待顾问应为初级医生提供咨询，为初级医生或外科医生报告重伤病例，就难以证明的病例提供专家医学证词，向住院医生和医学生传授有关虐待和忽视儿童的知识，并改善对住院受虐儿童的治疗服务。儿童保护团队的儿科医生通常会参与到更广泛的问题中，即改善团队决策以及处理虐待和忽视儿童问题的跨部门系统。
