Ambulatory Pediatrics
Volume 5, Issue 2 , Pages 112-116 , March 2005

Precepting Genital Exams: Challenges in Implementing a Complex Educational Intervention in the Continuity Clinic

  • M. Ranee Leder, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Dr Leder, Children's Hospital, WA 4022, 700 Children's Dr, Columbus, OH 43205
    • ,
  • Gina M. French, MD

      Affiliations

    • From the Sections of Developmental-Behavioral Pediatrics (Dr Leder) and Ambulatory Pediatrics (Dr French), Children's Hospital, The Ohio State University, Columbus, Ohio

Received 22 March 2004 ,Accepted 29 October 2004.

REFERENCES 

  1. Balk S , Dreyfus N , Harris P . Examination of genitalia in children: the remaining taboo . Pediatrics . 1982;70:751–753
  2. American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health. . Guidelines for Health Supervision III . Elk Grove, Ill: AAP Publications; 1997;
  3. In: Green M editors. Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents . Arlington, Va: National Center for Education in Maternal and Child Health; 1994;
  4. Grimm K . The well-child visit . In: Dershewitz R editors. Ambulatory Pediatric Care . Philadelphia: Lippincott-Raven; 1999;p. 69
  5. Leder M , Emans S , Hafler J , et al.   Addressing sexual abuse in the primary care setting . Pediatrics . 1999;104:270–275
  6. Lentsch K , Johnson C . Do physicians have adequate knowledge of child sexual abuse? The results of two surveys of practicing physicians; 1986 and 1996 . Child Maltreatment . 2000;5:72–78
  7. Nadel F , Lavelle J , Fein J , et al.   Teaching resuscitation to pediatric residents . Arch Pediatr Adolesc Med . 2000;154:1049–1054
  8. Saba G , Draisin J . Teaching residents to develop healing relationships when caring for the chronically ill . Acad Med . 2000;75:549
  9. Socolar R , Raines B , Chen-Mok M , et al.   Intervention to improve physician documentation and knowledge of child sexual abuse: a randomized, controlled trial . Pediatrics . 1998;101:817–824
  10. In: Kittredge D editors. Educational Guidelines for Residency Training in General Pediatrics . McLean, Va: Ambulatory Pediatric Association; 1996;
  11. Muram D . Classification of genital findings in prepubertal girls who are victims of sexual abuse . Adolesc Pediatr Gynecol . 1988;1:151
  12. Muram D . Child sexual abuse: relationship between genital findings and sexual acts . Child Abuse Negl . 1989;13:211
  13. Adams J , Harper K , Knudson S , et al.   Examination findings in legally confirmed child sexual abuse: it's normal to be normal . Pediatrics . 1994;94:310
  14. Kerns D , Ritter M . Medical findings in child sexual abuse with perpetrator confessions [abstract] . Am J Dis Child . 1992;146:494
  15. Berenson A , Chacko M , Wiemann C , et al.   A case-control study of anatomic changes resulting from sexual abuse . Am J Obstet Gynecol . 2000;182:820–834
  16. Heger A , Ticson L , Velasquez O , et al.   Children referred for possible sexual abuse: medical findings in 2384 children . Child Abuse Neglect . 2002;26:645–659
  17. Makoroff K , Brauley J , Brandner A , et al.   Genital examinations for alleged sexual abuse of prepubertal girls: findings by pediatric emergency medicine physicians compared with child abuse trained physicians . Child Abuse Neglect . 2002;26:1235–1242
  18. Chianese J, Ozuah P. Assessing pediatric residents' competencies in diagnosing otitis media Paper presented at: Pediatric Academic Societies Meeting; May 2003; Seattle, Wash

PII: S1530-1567(05)60180-3

doi: 10.1367/A04-045R1.1

Ambulatory Pediatrics
Volume 5, Issue 2 , Pages 112-116 , March 2005

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