Abusive Bruising and Cutaneous Mimics Module in the Child Abuse Pediatrics Curriculum for Physicians (CAP-CuP)

儿童虐待儿科医师课程(CAP-CuP)中的虐待性瘀伤和皮肤模仿模块

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Abstract

INTRODUCTION: Despite the extensive amount of literature available on bruising and child abuse, there are few open access teaching materials on this topic. METHODS: An interactive module on abusive bruising and cutaneous mimics was created as part of a comprehensive child maltreatment curriculum. The module was evaluated in four formats: pilot presentation to a large audience of pediatric practitioners at a CME conference; presentation to an audience of family medicine residents; individual, self-paced completion by a large cohort of medical students; and presentation by a family medicine resident to a group of colleagues, to evaluate the accessibility of presentation by a non-child abuse pediatrician. In all formats, the module took 45-60 minutes to complete. Module effectiveness was evaluated with pre- and postmodule assessments. RESULTS: The CME conference audience (n = 137) provided favorable feedback about the content; four of 51 anonymous comments focused on areas for growth, which were used to improve the content. Among in-person resident (n = 18) and asynchronous medical student (n = 300) participants, increases in confidence were negligible but knowledge scores notably increased from pre- to postmodule, changing from a median of 25% to 100% and median of 50% to 100%, respectively. In evaluating accessibility, the presenting resident commented on increased engagement, ability to gauge the audience's understanding, and ease of use of the script and technical guide. DISCUSSION: This interactive, versatile module on abusive bruising and cutaneous mimics was well-received and effective at increasing short-term knowledge among medical student and physician audiences.

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