Child Abuse Pediatrics

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Department	Pediatrics
Course Number	PED 372
Course Title	Child Abuse Pediatrics
Course Director	Tanya Hinds, MD
Length (Weeks)	4
When Offered	All year
Prerequisites	PED 303
Availability Notes
Contact Name	Wilhelmina Bradford
Contact Phone	202-476-5692
Contact Fax	202-476-4741
Contact Email	wcbradfo@childrensnational.org
Other Contacts	Dr. Hinds (thinds [at] childrensnational.org (thinds[at]childrensnational[dot]org))
Location
Limit	1
Report	Please contact Ms. Vicky Morales (vmmorales [at] childrensnational.org (vmmorales[at]childrensnational[dot]org); 202-476-4073) or Ms. Grisham (tgrisham [at] childrensnational.org (tgrisham[at]childrensnational[dot]org); 202-476-6706) to determine where you should report on your first day at either 111 Michigan Avenue, East Wing, 1st Floor ED Fast Track Corridor or 429 O Street NW.
Evaluation	Uniform Clinical Evaluation and end of rotation project. Evaluation Method: Multidisciplinary Team offers feedback about trainee’s performance to Course Director.
Description	Trainees focus on identification, diagnosis and management of child abuse and neglect in the in-patient setting, a hospital-based clinic, and at DC’s Child Advocacy Center (Safe Shores). This elective offers a comprehensive overview of appropriate history taking and physical examination techniques. Elective includes opportunities to learn about normal and abnormal genital exams when there is concern for sexual abuse. Trainees are exposed to skin manifestations of abuse, fractures, and abusive head trauma. There are opportunities to observe forensic interviewers, social workers, law enforcement and legal colleagues, and to work directly with Child Abuse Pediatricians. Trainees on 4-week rotation are expected to complete a reflection paper or a project that reflects their interest in an aspect of child abuse or neglect. There are no weekend or call duties. Attendance at Children’s National’s Residents’ Noon conferences is encouraged. Personal transportation is recommended as patients may be seen at 429 O Street NW, in addition to 111 Michigan Ave NW. Duration: 4 weeks. A 4-week rotation will allow greater opportunity for direct patient care. Course Learning Objectives: By the end of this course, the student should be able to: Discuss the dynamics of obtaining a history of a suspected abuse survivor. Formulate a differential diagnosis of suspected abuse injuries. Perform a complete genital examination on male and female children. Identify the general presentations and work-up of child physical abuse cases. Describe acute rape examination protocols, including STD prophylaxis. Recognize the x-ray appearance of fractures and the context in which fractures raise concern for abuse. Describe the reporting laws for suspected child abuse. Identify the community services available for the investigation and treatment of child abuse cases. Prepare appropriate documentation for abuse cases. Explain the function of a multidisciplinary team. Recognize the dynamics of parent-child interactions.
Additional Notes