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Background:
Since 1994, the University of California, San Diego (UCSD) and the Naval Medical Center San Diego (NMCSD) have offered joint training in community pediatrics. One goal of the training has always focused on the prevention, recognition, and intervention of child abuse and neglect. In the fall of 2000 a separate two week rotation addressing family violence issues was created. As with other community pediatrics activities, the rotation is experiential in nature. All pediatric residents at UCSD and all pediatric residents at NMCSD participate in this required rotation during their first year of residency.
Objectives:
The objectives for the rotation are to train pediatrics residents:
1. to increase awareness, understanding, and sensitivity regarding issues of family violence
2. to recognize, evaluate and intervene in family violence
3. to incorporate violence prevention strategies into their practice
Selected Sites:
San Diego City Attorney’s Office - Family Justice Center
- Review of the responsibilities of the Domestic Violence Unit of the San Diego City Attorney’s Office
- Attend domestic violence court hearings
Naval Family Advocacy Program – Case Review Committee
- Attend interdisciplinary meeting
- Review possible abuse cases
Kids in Court
- Learn how kids are prepared for testimony in child abuse cases
Polinsky Children’s Center
- Tour San Diego County’s emergency shelter facility for children who have been abused, abandoned, or neglected
- Participate in screening and sick visits in the shelter’s clinic
Chadwick Center for Children and Families – Children’s Hospital and Health Center (CHHC)
- Observation and discussion of evaluations for child sexual and physical abuse Orientation to the resources available at the center
- Observation and discussion of forensic interviewing
Mental Health Treatment at Chadwick Center for Children and Families – CHHC
- Discussion of types of treatment services available
- How to access services
Failure to Thrive (FTT) Clinic – CHHC
- Orientation to the purpose and structure of the clinic
- Participation in multidisciplinary FTT evaluations
Juvenile Hall
- Receive overview of medical services at Juvenile Hall
- Tour clinic
- Participate in screening / sick visits at the clinic
Child Protection Team Meeting
- Participate in multidisciplinary meeting to review and discuss status of current serious abuse cases
Domestic Violence Fatality Review Team Meeting
- Participate in a multidisciplinary team that reviews domestic violence fatalities to see how future violence can be prevented
Child Fatality Review
- Participate in a multidisciplinary team that reviews recent suspicious child deaths
Activities for Selected Independent Learning Exercises:
Accessing Resources When Abuse is Suspected
Family Violence Screening in the Pediatric Setting
Health Supervision and Violence Prevention
Barriers to Reporting Family Violence
Reporting Mandates
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