Palusci V J, McHugh M T
Department of Pediatrics, New York University School of Medicine, Bellevue Hospital Center, New York 10016, USA.
Child Abuse Negl. 1995 Sep;19(9):1031-8. doi: 10.1016/0145-2134(95)00065-g.
To increase their knowledge of the medical evaluation and reporting of child sexual abuse, medical students, pediatric resident physicians, fellows and attendings participated in an interdisciplinary team-based training program consisting of didactic lectures, case discussions, videotapes and direct participation in patient evaluation. Content focused on the medical knowledge and skills needed for an assessment of the child's interview, anogenital examination and the indications for case reporting to child protection authorities. We evaluated the results of this training in our outpatient child abuse clinic located in a university-affiliated, municipal hospital using a survey which assesses knowledge of female genital anatomy, sexually-acquired diseases and case reporting in a nonrandomized control trial. Fifteen medical students and pediatric physicians participated and were compared to a reference group of 127 participants who did not receive this training and 15 others who randomly repeated the survey instrument during the study period. The results showed that resident physicians demonstrated increased mean total scores in the survey instrument. We conclude that an interdisciplinary team using patient care exposure increases physician knowledge in the evaluation of child sexual abuse.
为增加医学生、儿科住院医师、研究员和主治医师对儿童性虐待医学评估及报告的了解，他们参加了一个跨学科的团队培训项目，该项目包括理论讲座、病例讨论、录像以及直接参与患者评估。内容聚焦于评估儿童面谈、肛门生殖器检查以及向儿童保护当局报告病例的指征所需的医学知识和技能。我们在一所大学附属市级医院的门诊儿童虐待诊所，通过一项调查评估了此次培训的结果，该调查在一项非随机对照试验中评估女性生殖解剖学知识、性传播疾病知识及病例报告情况。15名医学生和儿科医生参与其中，并与127名未接受此培训的参与者组成的参照组以及在研究期间随机重复使用调查问卷的另外15人进行比较。结果显示，住院医师在调查问卷中的平均总分有所提高。我们得出结论，通过接触患者护理的跨学科团队可增加医生在儿童性虐待评估方面的知识。
