Published online June 1, 2006
PEDIATRICS Vol. 117 No. 6 June 2006, pp. 2215-2221 (doi:10.1542/10.1542/peds.2006-0160)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via ISI Web of Science (1)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Narayan, A. P.
Right arrow Articles by St Claire, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Narayan, A. P.
Right arrow Articles by St Claire, K.
Related Collections
Right arrow Office Practice
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Pediatric Residency Training in Child Abuse and Neglect in the United States

Aditee Pradhan Narayan, MD, MPHa, Rebecca R.S. Socolar, MD, MPHb and Karen St Claire, MDa

a Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
b Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina

BACKGROUND. Child abuse and neglect are leading public health problems with significant morbidity and mortality. Previous studies indicate that physicians often lack knowledge and confidence in addressing child abuse and neglect.

OBJECTIVES. Our goal was to assess the child abuse and neglect curricula in pediatric residency programs as reported by chief residents and to identify levels of preparedness of residents to address child abuse and neglect on graduation. We analyzed variables related to preparedness.

METHODS. A 28-item survey was sent to chief residents of all 203 Accreditation Council for Graduate Medical Education–accredited pediatric residency programs in the United States from 2004–2005. We performed descriptive, bivariable, and multivariable analyses.

RESULTS. The response rate was 71%. Most programs taught didactics on physical and sexual abuse, but only 54% included domestic violence. Ninety-three percent of respondents rated their didactics as useful or very useful. Forty-one percent of programs required mandatory clinical rotations in child abuse and neglect, 57% offered elective rotations, and 25% offered no rotations at all. Respondents rated the levels of preparedness of graduating residents to address child abuse and neglect as: very well (12%), well (54%), somewhat well (28%), or not well (6%). Preparedness was significantly associated with didactic usefulness, number of hours of didactics, total number of inpatient cases of child abuse and neglect seen, percent of residents completing mandatory rotations, number of sexual abuse cases during mandatory rotation, number of physical abuse cases during mandatory rotation, and length of mandatory rotation.

CONCLUSIONS. Mandatory clinical experiences in child abuse and neglect improve the preparedness of graduating residents to identify and evaluate patients for child abuse and neglect. Perhaps residency training in child abuse and neglect should be a required subspecialty rotation with more explicit curricular content than in the current mandates.


Key Words: abuse • pediatric residents • neglect • medical education • clinical education/teaching

Abbreviations: CMH—Cochran-Mantel-Haenszel


Accepted Mar 20, 2006.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
PediatricsHome page
S. P. Starling, K. W. Heisler, J. F. Paulson, and E. Youmans
Child Abuse Training and Knowledge: A National Survey of Emergency Medicine, Family Medicine, and Pediatric Residents and Program Directors
Pediatrics, April 1, 2009; 123(4): e595 - e602.
[Abstract] [Full Text] [PDF]


Home page
PediatricsHome page
C. W. Christian
Professional Education in Child Abuse and Neglect
Pediatrics, September 1, 2008; 122(Supplement_1): S13 - S17.
[Abstract] [Full Text] [PDF]


Home page
JBJSHome page
M. Bhandari, S. Sprague, P. Tornetta III, V. D'Aurora, E. Schemitsch, H. Shearer, O. Brink, D. Mathews, S. Dosanjh, and on Behalf of the Violence Against Women Health Res
(Mis)Perceptions About Intimate Partner Violence in Women Presenting for Orthopaedic Care: A Survey of Canadian Orthopaedic Surgeons
J. Bone Joint Surg. Am., July 1, 2008; 90(7): 1590 - 1597.
[Abstract] [Full Text] [PDF]


Home page
AAP Grand RoundsHome page
B. Spivack
Child Abuse Training of Pediatric Residents Neglected?
AAP Grand Rounds, September 1, 2006; 16(3): 32 - 33.
[Full Text] [PDF]


Home page
AAP NewsHome page
E. Verkler
Seeking the truth: Child abuse experts serve myriad roles, assist general pediatricians in assessing abuse cases
AAP News, August 1, 2006; 27(8): 1 - 9.
[Full Text]