Paeds Vivas · child-safety-and-social-paediatrics
Trauma-informed examination and forensic documentation — branching viva
Branching viva on the trauma-informed approach to the medical examination, the neurobiology of the threat response, the single trained forensic interview, the documentation standard that makes a record court-admissible, and the chain of custody and disposition duties.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar assessing a child who may have been maltreated. The examiner will move from tempo and environment, to the threat response, to the forensic interview, to the documentation standard, and to a confidentiality and reporting dilemma.
Stem
The examiner will test whether you can defend the tempo and the environment of the assessment, the interpretation of the threat response, the role of the single trained forensic interview, the documentation standard that makes a record court-admissible, and the confidentiality and reporting duties — all under pressure. [1] [3]
References4ShowHide
- [1]Forkey H, Szilagyi M, Kelly ET, Duffee J Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
- [2]Lamb ME, Orbach Y, Hershkowitz I, Esplin PW, Horowitz D A structured forensic interview protocol improves the quality and informativeness of investigative interviews with children: a review of research using the NICHD Investigative Interview Protocol. Child Abuse & Neglect, 2007.PMID 18023872
- [3]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
- [4]Cross TP, Schmitt T Forensic medical results and law enforcement actions following sexual assault: A comparison of child, adolescent and adult cases. Child Abuse & Neglect, 2019.PMID 31075572