I Know Something Happened: Physician Management of Parental Disclosure of Suspected Child Sexual Abuse

Format Publication ID Version Published
Case 9326 1 January 29, 2013
Maimonides Infants and Children's Hospital of Brooklyn

Description

This is a case scenario simulating a physician encounter with parent with concerns of the sexual abuse of her child. The case scenario was developed to enhance the competencies around the initial steps in management of child sexual abuse. In these cases, the establishment of rapport despite the emotionally charged nature of the issue is paramount in these initial stages. This resource is most applicable for addressing communication skills for trainees interacting with the caregiver of a possible child victim. In addition, this scenario impresses the need for trainees to acknowledge their role as a mandated reporter for all forms of family violence. Other competencies relevant to this case include being familiar with sexual behaviors that are considered developmentally appropriate behaviors in a prepubertal child while acknowledging the implications when there are variations from the norm.

Citation

Walker-Descartes I, Altshuler L, Kachur E, Smith L. I Know Something Happened: Physician Management of Parental Disclosure of Suspected Child Sexual Abuse. MedEdPORTAL; 2013. Available from: www.mededportal.org/publication/9326

Educational Objectives

  1. To build rapport with an anxious caregiver who suspects that her child is being sexually abused.
  2. Based on the rapport established, elicit the pertinent historical features that has led to the suspicions of this caregiver.
  3. To document details of the history including the disclosure from the parent.
  4. To acknowledge their role as a mandated reporter for all forms of family violence.

Keywords

  • Child Abuse (MeSH), Sex Offenses (MeSH), Disclosure of Sexual Abuse, Child Maltreatment, Parental Disclosure

Specialty

  • Medical
    • Child Abuse Pediatrics

Discipline

  • Dental
    • Patient Care
    • Professionalism
    • Skills & Doctoring

Competencies Addressed

  • Medical
    • Interpersonal & Communication Skills
    • Patient Care
    • Professionalism
    • Systems-based Practice

Academic Focus

  • Basic Sciences
    • Psychology/Behavioral Science
    • Sociology
  • Clinical Sciences
    • Clinical Skills/Doctoring

Professional Interest

  • Curriculum Development/Evaluation
  • Physician-Patient Relationship
  • Professionalism
  • Violence

Intended Audience

  • Practicing Health Professional
    • Physician
  • Professional School
    • Medical Student
  • Professional School Post-Graduate Training
    • Fellow
    • Resident

Instructional Methods

  • Assessment
    • Clinical Practice
    • Clinical Reasoning
    • Communication Skills
    • Emotional State
    • Empathy
    • Knowledge
    • Professionalism
  • Standardized Patient

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