Child protection: a neglected area of pediatric residency training

Ward, Michelle; Bennett, Sally; Plint, Amy C.; King, W. James; Jabbour, Mona; Gaboury, Isabelle

doi:10.1016/j.chiabu.2004.05.002

Cited by 43 publications

(33 citation statements)

References 12 publications

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“…Recent graduates felt well prepared for competencies within the child/youth maltreatment domain that were previously identified as weaknesses (Ward et al 2004). …”

Section: Competencies Where Preparation Rated As Well Preparedmentioning

confidence: 99%

“…Mandatory ''academic half-days'', longitudinal clinic ''call back half-days'' and mandatory post-call regulations have an impact on the time available for residents to adequately achieve the educational objectives of training (OTR). Residents, therefore, often comment that they are comfortable caring for acutely ill children in an inpatient setting (Lieberman & Hilliard 2006), but express discomfort managing ambulatory general paediatric problems (Veale et al 1999;Ward et al 2004;Chamberlain et al 2005;Kolarik et al 2006;Korczak et al 2006;Narayan et al 2006;Grant et al 2007). These changes have also led to a continuing debate among educators across Canada as to whether the current 4-year residency training programmes adequately prepare paediatricians for their future careers.…”

Section: Introductionmentioning

confidence: 99%

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Validating objectives and training in Canadian paediatrics residency training programmes

2011

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“…Recent graduates felt well prepared for competencies within the child/youth maltreatment domain that were previously identified as weaknesses (Ward et al 2004). …”

Section: Competencies Where Preparation Rated As Well Preparedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validating objectives and training in Canadian paediatrics residency training programmes

2011

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“…Although physicians have a very important role in the diagnosis of child abuse and neglect, they report that their notion, ability and legal notices related with the subject are not sufficient (6)(7)(8)(9)(10). Limited number of studies related with child abuse and neglect in our country and the fact that child abuse and neglect has been only recently included in pre-and post-graduate education programs cause deficiency of knowledge and experience in healthcare workers including mainly physicians and cases which present to healthcare institutions may be missed.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the levels of knowledge and approaches in relation with child abuse and neglect in residents of pediatrics, pediatricians and practitioners working in the province of Ankara

Kara¹,

Çalışkan²,

Suskan³

2017

Türk Pediatri Arşivi

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Aim: In this study, it was aimed to evaluate the levels of knowledge and approaches related with child abuse and neglect in pediatricians and practitioners who have a significant role in recognition and prevention of child abuse and neglect. Material and Methods:Two hundred residents of pediatrics and 100 pediatricians working in university and education and research hospitals in the center of Ankara province and 250 practicioners working in primary health care centers were included in the study. A scale composed of five parts including history, physical examination, radiology, risk groups and symptoms was prepared to determine the level of knowledge of physician related with child abuse and neglect. The correct answers given to the questions included in the scale were added and knowledge scores for the subscales and the total score were calculated. Approval was obtained from Ankara University, Medical Faculty Ethics Committee for the study. The data were evaluated using Mann-Whitney U and Kruskal Wallis test.Results: A total of 550 physicians (339 female and 221 male) were included in the study. The mean total knowledge score related with child abuse and neglect was found to be 12.4±4.5 in residents of pediatrics, 13.7±2.8 in pediatricians and 13.6±2.8 in practitioners. The level of knowledge was found to be significantly higher in women, married physicians, physicians who received education before and after graduation, physician who confronted with cases of abuse or suspicious abuse and made a legal notice.

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“…13,21,[45][46][47][48][49] Although a majority of medical and nursing schools report providing some information about family violence, many fewer students report having been trained to screen and manage family violence, 50 perhaps because curriculum offerings vary widely from content provided within required courses, to elective courses, to more systematic curriculum coverage. 13,[51][52][53] Although increasing family violence coverage has been noted in recent years, providers' perceived competence and screening behaviors do not seem to have been enhanced by didactics alone, at least not in the "dose" or modality to which many providers traditionally have been exposed.…”

Section: Health Professionals' Current Practicesmentioning

confidence: 99%

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

Terre

Pfefer

2006

Journal of Chiropractic Education

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Introduction:Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. Methods: A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Results: Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. Conclusion: As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession.

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Child protection: a neglected area of pediatric residency training

Cited by 43 publications

References 12 publications

Validating objectives and training in Canadian paediatrics residency training programmes

Validating objectives and training in Canadian paediatrics residency training programmes

Comparison of the levels of knowledge and approaches in relation with child abuse and neglect in residents of pediatrics, pediatricians and practitioners working in the province of Ankara

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

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