Results of a multifaceted Intimate Partner Violence training program for pediatric residents

McColgan, Maria D.; Cruz, Mario; McKee, Jessica; Dempsey, Sandra H.; Davis, Martha B.; Barry, Patricia Z.; Yoder, Ana Lisa; Giardino, Angelo P.

doi:10.1016/j.chiabu.2009.07.008

Cited by 37 publications

(28 citation statements)

References 30 publications

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“…33 One clinic-based IPV education program for pediatric residents has increased IPV screening from less than 1% to over 30% 8 months after program completion. 34 We suggest that IPV education be included in both medical and residency training and that it should focus on clinic-based practical exercises.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Intimate Partner Violence: a cross sectional survey of surgical residents and medical students

et al. 2013

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Abstract:Background:Intimate partner violence (IPV) is an important health issue. Many medical students and residents have received training relating to IPV, but previous studies show that many students feel that their training has been inadequate. Our objective was to assess the knowledge, attitudes and perceptions about IPV among university medical students and surgical residents.Methods:We administered an online survey to a sample of Ontario medical students and surgical residents. The survey instrument was a modified version of the Provider Survey. Results:Two hundred medical students and surgical residents participated in the survey (response rate: 29%). Misperceptions about IPV among respondents included the following: 1) victims must get something from the abusive relationships (18.2%), 2) physicians should not interfere with a couple’s conflicts (21%), 3) asking about IPV risks offending patients (45%), 4) Victims choose to be victims (11.1%), 5) it usually takes ‘two to tango’ (18.3%), and 6) some patients’ personalities cause them to be abused (41.1%). The majority of respondents (75.0%) believed identifying IPV was very relevant to clinical practice. The majority of medical students (91.2%) and surgical residents (96.9%) estimated the IPV prevalence in their intended practice to be 10% or less. Most of the medical students (84%) and surgical residents (60%) felt that their level of training on IPV was inadequate and over three quarters of respondents (77.2%) expressed a desire to receive additional education and training on IPV. Conclusions:There are misconceptions among Canadian medical students and surgical residents about intimate partner violence. These misconceptions may stem from lack of education and personal discomfort with the issue or from other factors such as gender. Curricula in medical schools and surgical training programs should appropriately emphasize educational opportunities in the area of IPV.

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Section: Discussionmentioning

confidence: 99%

Perceptions of Intimate Partner Violence: a cross sectional survey of surgical residents and medical students

et al. 2013

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“…In a survey of practicing physicians and nurses, inadequate preparation was identified as a key barrier to routine inquiry about IPV [14]. Formal training of healthcare professionals has been shown to increase knowledge and self- efficacy in discussing IPV as well as to improve attitudes about IPV [20-23]. This makes the establishment of healthcare provider education programs in Guyana a prime target for interventions to help combat IPV and is consistent with the needs assessment of the country [10].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of intimate partner violence in patients presenting with traumatic injuries to a Guyanese emergency department

et al. 2012

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BackgroundIntimate partner violence (IPV) occurs throughout the world, and has both short- term and long- term negative health effects. Little is know about the prevalence of IPV in patients presenting to Emergency Departments (EDs) in the developing world. This information is needed to help delineate the scope of the problem and shape effective interventions to combat IPV. The purpose of this study was to determine the prevalence of intimate partner violence in adult patients with acute traumatic injuries presenting to an ED in Georgetown, Guyana.MethodsRetrospective descriptive analysis of a prospectively collected ED quality assurance database. Patients 18 years or older who presented with a traumatic injury and answered the question “Was the injury inflicted by a domestic partner?” were included in the analysis.ResultsOverall, 38 of 475 (8%) patients admitted to having injuries inflicted by a domestic partner. Thirty- one (81.6%) patients disclosing IPV were female and 7 (18.4%) were male. The self- reported prevalence of IPV in females presenting with traumatic injuries was 16% compared to 2% for males (RR 6.4; 95% CI 2.9-14.3). IPV was the cause of 31 of the 67 (46.3%) women presenting with assaults.ConclusionsIPV is thought to be a serious problem in Guyana, and this study confirms a high prevalence (16%) of IPV in women presenting with traumatic injuries to the Georgetown Public Hospital Corporation ED. This is likely a significant underestimate of the true prevalence.

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“…These findings have generated numerous training tools and interventions to help HCPs better address IPV, but no study has demonstrated sustained improvements in addressing IPV in clinical practice. 19–21 Sims et al 15 reported no increase in IPV questioning after an educational intervention for trauma residents, suggesting that education alone may not increase IPV detection without profession-wide guidelines. Additionally, documenting IPV by using standard diagnostic codes may warrant caution given concerns for safety and confidentiality.…”

Section: Introductionmentioning

confidence: 99%

"They Told Me To Leave": How Health Care Providers Address Intimate Partner Violence

Morse¹,

Lafleur²,

Fogarty³

et al. 2012

The Journal of the American Board of Family Medicine

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Background Intimate partner violence (IPV) victims frequently seek medical treatment though rarely for IPV. Recommendations for health care providers (HCPs) include: IPV screening, counseling, and safety referral. Objective Report women’s experiences discussing IPV with HCPs. Design Structured interviews with women reporting IPV HCP discussions; descriptive analyses; bivariate and multivariate analyses and association with patient demographics and substance abuse. Participants Women from family court, community-based, inner-city primary care practice, and tertiary care-based outpatient psychiatric practice. Key Results A total 142 women participated: family court (N=44; 31%), primary care practice (N=62; 43.7%), and psychiatric practice (N=36; 25.4%) Fifty-one percent (n=72) reported HCPs knew of their IPV. Of those, 85% (n=61) told a primary care provider. Regarding IPV attitudes, 85% (n=61) found their HCP open, and 74% (n=53) knowledgeable. Regarding approaches, 71% (n= 51) believed their HCP advocated leaving the relationship. While 31% (n=22) received safety information, only 8% (n=6) received safety information and perceived their HCP as not advocating leaving the abusive relationship. Conclusions Half of participants disclosed IPV to their HCP’s but if they did, most perceived their provider advocated them leaving the relationship. Only 31% reported HCPs provided safety planning despite increased risks associated with leaving. We suggest healthcare providers improve safety planning with patients disclosing IPV.

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Results of a multifaceted Intimate Partner Violence training program for pediatric residents

Cited by 37 publications

References 30 publications

Perceptions of Intimate Partner Violence: a cross sectional survey of surgical residents and medical students

Perceptions of Intimate Partner Violence: a cross sectional survey of surgical residents and medical students

Prevalence of intimate partner violence in patients presenting with traumatic injuries to a Guyanese emergency department

"They Told Me To Leave": How Health Care Providers Address Intimate Partner Violence

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