Articles: emergency-medicine.
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Child abuse and wife abuse are linked. Studies indicate 30% to 59% of mothers of children reported for child abuse also are battered. In homes where domestic violence occurs, the children are at increased risk of physical abuse or neglect. Children who witness battering of their mothers are at risk for psychosocial sequelae including developmental delays and posttraumatic stress disorder. ⋯ Battered mothers are rarely identified in the pediatric emergency department even though the physicians report handling a significant number of child abuse/neglect cases. Education on domestic violence, including the implications of woman battering for childrens' health, should be incorporated in the training curricula of pediatric emergency department physicians to raise awareness of the need to explore for the presence of concurrent abuse in both children and their mothers. Identifying battered women through their children will impact greatly on the welfare of both mother and child.
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About one fourth of physicians report having received training on domestic violence. The purpose of this study was to determine the response of the ED house staff to an educational program on domestic violence against women. The research questions in this study were as follows: (1) What training topics did the house staff rate as most important and relevant to their practice? (2) What topics did the house staff rate as most useful to their day-to-day practice? (3) What were the house staff's attitudes and beliefs before training? (4) Did the method of training on domestic violence influence the house staff's attitudes and beliefs? (5) What were the house staff's perceptions in terms of sociodemographic variables? ⋯ The major conclusion of the study was that the house staff had a positive response to training on violence against women. Sixty-five percent of the house staff had no previous training on domestic violence. Implications for practice include continuing education and research on domestic violence training in the emergency department.
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Pediatric emergency care · Feb 1997
GuidelinePediatric Emergency Medicine (PEM) fellowship: essentials of a three-year academic curriculum. Three-Year Academic Subcommittee of the PEM Fellowship Committee of the Section of Emergency Medicine, American Academy of Pediatrics.
This committee of fellowship directors has proposed guidelines for an academic curriculum for training fellows in PEM. The curriculum should be modified to each unique program, but is based on current expectation of the American Board of Pediatrics and the ACGME for graduate education. ⋯ Ongoing refinement and adaptation based on feedback from fellows and directors is essential to provide the best fellowship experience to our trainees. The proposed curriculum is also subject to further change as more details are given for ACGME approval of the fellowship programs.