Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

Introduction Many emergency medicine (EM) physicians have limited training in the care of sexual assault patients. Simulation is an effective means to increase the confidence and knowledge of physicians in such high-stakes, low-frequency clinical scenarios as sexual assault. We sought to develop and...

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Autores principales:	Kirsten Bechtel, Ambika Bhatnagar, Melissa Joseph, Marc Auerbach
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Sexual Assault Adolescent Sexual Abuse of Child Consent Forensic Evidence Collection Emergency Medicine Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/d461d46e876f4b928178b3b638ad1919
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spelling	oai:doaj.org-article:d461d46e876f4b928178b3b638ad19192021-11-19T14:10:25ZSexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers10.15766/mep_2374-8265.109422374-8265https://doaj.org/article/d461d46e876f4b928178b3b638ad19192020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10942https://doaj.org/toc/2374-8265Introduction Many emergency medicine (EM) physicians have limited training in the care of sexual assault patients. Simulation is an effective means to increase the confidence and knowledge of physicians in such high-stakes, low-frequency clinical scenarios as sexual assault. We sought to develop and implement a sexual assault simulation with a structured debriefing for EM residents and to determine its impact on resident learners’ attitudes and knowledge skills in the care of patients with sexual assault. Methods The simulation blended psychomotor skills (e.g., collecting forensic evidence), cognitive skills (e.g., ordering laboratory studies and medications), and communication skills (e.g., obtaining relevant patient history, responding to psychosocial concerns raised by team members and simulator). Our emergency department checklist was available as a cognitive aid for each step of the evidence collection process. A content expert answered questions in real time during the simulation and provided structured debriefing following the simulation. Trainees completed an anonymous survey within a week after the intervention and a follow-up survey within 8 months. Results Nineteen EM trainees participated. Presimulation, 39% reported never having received training in the medical care of a patient with sexual assault. The proportion of trainees agreeing or strongly agreeing with the statement “I am comfortable and confident managing a case of sexual assault” increased from 21% to 74% following the simulation (p < .05). Discussion This intervention was associated with EM trainees’ increased confidence with and knowledge of medical and forensic evaluations for an adolescent with sexual assault.Kirsten BechtelAmbika BhatnagarMelissa JosephMarc AuerbachAssociation of American Medical CollegesarticleSexual AssaultAdolescentSexual Abuse of ChildConsentForensic Evidence CollectionEmergency MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sexual Assault Adolescent Sexual Abuse of Child Consent Forensic Evidence Collection Emergency Medicine Medicine (General) R5-920 Education L
spellingShingle	Sexual Assault Adolescent Sexual Abuse of Child Consent Forensic Evidence Collection Emergency Medicine Medicine (General) R5-920 Education L Kirsten Bechtel Ambika Bhatnagar Melissa Joseph Marc Auerbach Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
description	Introduction Many emergency medicine (EM) physicians have limited training in the care of sexual assault patients. Simulation is an effective means to increase the confidence and knowledge of physicians in such high-stakes, low-frequency clinical scenarios as sexual assault. We sought to develop and implement a sexual assault simulation with a structured debriefing for EM residents and to determine its impact on resident learners’ attitudes and knowledge skills in the care of patients with sexual assault. Methods The simulation blended psychomotor skills (e.g., collecting forensic evidence), cognitive skills (e.g., ordering laboratory studies and medications), and communication skills (e.g., obtaining relevant patient history, responding to psychosocial concerns raised by team members and simulator). Our emergency department checklist was available as a cognitive aid for each step of the evidence collection process. A content expert answered questions in real time during the simulation and provided structured debriefing following the simulation. Trainees completed an anonymous survey within a week after the intervention and a follow-up survey within 8 months. Results Nineteen EM trainees participated. Presimulation, 39% reported never having received training in the medical care of a patient with sexual assault. The proportion of trainees agreeing or strongly agreeing with the statement “I am comfortable and confident managing a case of sexual assault” increased from 21% to 74% following the simulation (p < .05). Discussion This intervention was associated with EM trainees’ increased confidence with and knowledge of medical and forensic evaluations for an adolescent with sexual assault.
format	article
author	Kirsten Bechtel Ambika Bhatnagar Melissa Joseph Marc Auerbach
author_facet	Kirsten Bechtel Ambika Bhatnagar Melissa Joseph Marc Auerbach
author_sort	Kirsten Bechtel
title	Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
title_short	Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
title_full	Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
title_fullStr	Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
title_full_unstemmed	Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
title_sort	sexual assault in an adolescent female: a pediatric simulation case for emergency medicine providers
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/d461d46e876f4b928178b3b638ad1919
work_keys_str_mv	AT kirstenbechtel sexualassaultinanadolescentfemaleapediatricsimulationcaseforemergencymedicineproviders AT ambikabhatnagar sexualassaultinanadolescentfemaleapediatricsimulationcaseforemergencymedicineproviders AT melissajoseph sexualassaultinanadolescentfemaleapediatricsimulationcaseforemergencymedicineproviders AT marcauerbach sexualassaultinanadolescentfemaleapediatricsimulationcaseforemergencymedicineproviders
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Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

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