- From Anne Taylor-Vaisey: Arch Pediatr
Adolesc Med.
2005 Jun;159(6):561-6:
-
Continuing medical education in childsexual abuse: cognitive gains but not expertise.
Botash AS,Galloway AE, Booth T, Ploutz-Snyder R, Hoffman-Rosenfeld J, Cahill
L.
State University of New York, Upstate Medical University,Syracuse, NY 13210, USA. [email protected]
OBJECTIVE: Describe theeffect of an educational intervention on medical provider knowledge and
competency regarding child sexual abuse. DESIGN: Using a before and after trial
design with an educational intervention, the study assesses knowledge changes in
specific content areas and describes a post-intervention competency
assessment.Setting/ PARTICIPANTS: Voluntary participation of practicing medical
providers and pediatric residents.Intervention Completion of a self-study,
case-based, published learning curriculum on child sexual abuse, including a
work book and videotaped genital examinations. MAIN OUTCOME MEASURES: Pre- and
post-intervention multiple choice and short answer (30 questions) test results
as well as a written response to a clinical case scenario. RESULTS: Sixty-four
participants completed pre- and post-tests. The average posttest score (26.9/30,
SD = 4.13) was significantly higher (P< .001) than the average pretest score
(20.4/30, SD = 1.65). More than half (59.4%) of providers did not correctly
interpret the exam findings, 28.1% did not correctly reassure the child and
family, and 39.1% did not indicate an appropriate understanding of the legal
implications. CONCLUSIONS: Motivated medical providers demonstrated significant
knowledge gains regarding the evaluation of child sexual abuse following
participation in the educational program. This new knowledge was not enough to
provide competency in the interpretation of genital findings or in offering
legal advocacy to the families. Competence in these areas may in fact represent
the domain of experts, not primary care providers, and further studies are
needed to determine how much experience is necessary to provide competency in
these areas.
PMID: 15939856 [PubMed - in process]
CME in child sexual abuse
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