PD534M.7

Child Abuse Pediatrics

Director(s): Celeste Wilson
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Closed in August.
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: No (HMS only)
Description: This course will offer exposure to and education about the field of Child Abuse Pediatrics, a recently designated board certified subspecialty. Students will assist with consultation on inpatient and outpatient cases where there is a concern about child maltreatment. They will also attend multidisciplinary meetings within Boston Children's Hospital designed to help providers manage cases of child abuse and neglect. Given the legal nature of child protection work, students will not be asked to evaluate patients independently or to document in the medical record. There is no overnight call, although students may wish to come to the hospital for weekend consults should the child abuse pediatrician be called to see a patient. Students will also attend teaching sessions provided by our BCH child protection staff. Additionally, the student will have substantial time dedicated to independent study and one-on-one didactic teaching, as well as ample exposure to other subspecialists who often assist in the diagnosis of child abuse. Students will learn about the role of other agencies (e.g. child protective services, law enforcement) involved in the management of child maltreatment. When possible, students will attend community meetings and observe criminal trials when the child abuse pediatrician testifies in court proceedings.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Students will be asked to review current literature in the field of Child Abuse, as well as participate in Journal Club and research a topic of their choice.
Grade Criteria:
Honors with Distinction: A grade of Honors with Distinction will be given to a student who shows significant learning and understanding of the process involved in evaluating children who may be abused or neglected. This student will demonstrate an understanding of not only the medical aspects of evaluation, but the psychosocial repercussions of possible abuse and neglect on the family system. They will demonstrate respect of and an ability to learn from other members of the multidisciplinary team. Students who qualify for this grade will participate in the thought process used to evaluate abuse cases by reading literature and showing a mature understanding of the normal dynamics of the family. They will provide a sophisticated, detailed and evidence based final presentation, and enthusiastically seek out many experiences in community settings in agencies which address child maltreatment throughout Boston. Honors: Students who merit an Honors grade will show significant learning and understanding of the process involved in evaluating children who may be abused or neglected. This student will demonstrate an understanding of not only the medical aspects of evaluation, but some of the psychosocial repercussions of possible abuse and neglect on the family system. They will demonstrate respect of other members of the multidisciplinary team. They will provide a detailed and evidence based final presentation, and seek out experiences in community settings in agencies which address child maltreatment throughout Boston. Satisfactory: A grade of Satisfactory will be given to a student who shows understanding of the process involved in evaluating children who may be abused or neglected. They will demonstrate respect of other members of the multidisciplinary team. They will provide a detailed final presentation, and participate in experiences in community settings in agencies which address child maltreatment throughout Boston. Unsatisfactory: A grade of Unsatisfactory will be given if a student fails to show an improvement in their understanding of the medical literature on child abuse, does not participate in opportunities to experience the community settings where child maltreatment is addressed, and do not produce a final presentation which is evidence based and accurate. This student may have also demonstrated an inability to work respectfully with a multidisciplinary team.