Child sexual abuse and assault assessment OSCE — acute adolescent assault and the non-acute normal examination

Observed structured encounter testing tempo recognition, conditional confidentiality, the staged acute assault bundle with its time-limited elements, and the interpretation and communication of a normal ano-genital examination.

osce communication and clinical station3 min readVerification in progress

Prompt

Station A is an acute adolescent assault within the forensic window, testing the time-limited bundle and conditional confidentiality. Station B is a non-acute prepubertal child with a normal examination, testing the meaning of a normal exam and the safeguarding response.

Station objectives

Recognise the acute versus non-acute tempo and prioritise the time-limited elements accordingly. [1]
State conditional confidentiality with its mandatory-reporting limits before the interview. [1]
Assemble the acute assault bundle in order, naming agents and time windows for contraception and prophylaxis. [2]
Interpret and safely communicate a normal ano-genital examination without excluding abuse. [1] [3]
Discharge the safeguarding, reporting and follow-up duties. [1] [4]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References4Show ledger

[1]Adams JA, Kellogg ND, Farst KJ, Harper NS, Palusci VJ, Frasier LD Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused. Journal of Pediatric and Adolescent Gynecology, 2016.PMID 26220352
[2]Workowski KA, Bachmann LH, Chan PA Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recommendations and Reports, 2021.PMID 34292926
[3]Adams JA, Harper K, Knudson S, Revilla J Examination findings in legally confirmed child sexual abuse: it's normal to be normal. Pediatrics, 1994.PMID 8065856
[4]Gavril AR, Kellogg ND, Nair P Value of follow-up examinations of children and adolescents evaluated for sexual abuse and assault. Pediatrics, 2012.PMID 22291113

Child sexual abuse and assault assessment OSCE — acute adolescent assault and the non-acute normal examination

osce communication and clinical station3 min readVerification in progress

Station objectives

Recognise the acute versus non-acute tempo and prioritise the time-limited elements accordingly. [1]

State conditional confidentiality with its mandatory-reporting limits before the interview. [1]

Assemble the acute assault bundle in order, naming agents and time windows for contraception and prophylaxis. [2]

Interpret and safely communicate a normal ano-genital examination without excluding abuse. [1] [3]

Discharge the safeguarding, reporting and follow-up duties. [1] [4]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References4Show ledger

[1]Adams JA, Kellogg ND, Farst KJ, Harper NS, Palusci VJ, Frasier LD Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused. Journal of Pediatric and Adolescent Gynecology, 2016.PMID 26220352
[2]Workowski KA, Bachmann LH, Chan PA Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recommendations and Reports, 2021.PMID 34292926
[3]Adams JA, Harper K, Knudson S, Revilla J Examination findings in legally confirmed child sexual abuse: it's normal to be normal. Pediatrics, 1994.PMID 8065856
[4]Gavril AR, Kellogg ND, Nair P Value of follow-up examinations of children and adolescents evaluated for sexual abuse and assault. Pediatrics, 2012.PMID 22291113