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Professional Conduct
& Attitude
Skills
Knowledge
Health Supervision
Growth
Development
Behavior
Nutrition
Prevention of Illness
Issues Unique to Adolescence
Issues Unique to Newborns
Medical Genetics
Common Illnesses & Problems
Common Chronic Illnesses/Disabilities
Therapeutics
Fluid & Electrolyte Management
Poisoning
Pediatric Emergencies
Child Abuse
Child Advocacy
Clinical Cases
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Medical Student Curriculum Guide
Knowledge—Child Advocacy
Rationale
Abuse of children and adolescents is part of the spectrum of family
dysfunction and results in injury and death to millions of children each year in
the United States. Abuse causes physical, sexual and/or emotional trauma or may
occur in the form of neglect when caregivers fail to provide basic physical,
emotional or medical needs. Medical professionals are required by law in all 50
states to protect children and adolescents by identifying abuse and by reporting
it to child protective services. Students must understand the varying
presentations of abuse and must recognize the physical, emotional and social
factors that put a child at risk for abuse. Students must know when to consider
abuse in the differential diagnosis of child or adolescent health problems and must further understand the
legal obligation they will eventually have as mandatory reporters of abuse.
Learning Objectives
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List the physical and behavioral signs of physical abuse, sexual abuse and
neglect.
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List the risk factors for domestic violence and child abuse.
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Describe the specific types or patterns of injury that suggest physical
abuse.
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List which family, social and environmental history items are important
when considering possible abuse.
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Summarize the physical findings expected in an infant who has been
subjected to abuse by shaking (i.e. the shaken baby syndrome).
Competencies
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Know the types of questions to ask in assessment of a child for
non-accidental injuries and child abuse.
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Summarize the ethical responsibilities to identify and report child abuse
and the obligation placed on reporters by community or state.
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