image of computer and books - Archived Webinars

   

This is a collection of free instructional webinars that present information on a wide variety of Medical Forensic Healthcare related topics. Continuing Education credits (CE) are available when indicated below.

  

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System Requirements:  Desktop or Laptop Computer with Adobe Flash enabled and updated. Check your Flash here.   High Speed Internet is required.  Google Chrome is preferred but Firefox and some versions of Internet Explorer will also work.  The new Microsoft Edge browser (Windows 10) is not recommended as it will not play all courses.    Tablet/iPad viewing is not recommended. Some courses may play on your tablet/ipad but older courses/all segments may not play properly. Courses are not optimized for viewing on your phone.   

 

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Adult Webinars



Evidence Integrity: Keeping it SAFE In addition to defining "forensic evidence", this 90 minute webinar will discuss the policies necessary for transfer and storage of evidence. Proper storage of forensic exam documentation and record retention will be outlined, as well as Evidence Integrity from the National SAFE Protocol recommendations.

 March 2017

 

CE Available

Funding for Forensic Exams: VAWA 2013 Requirements and Crime Victims Compensation (VOCA) This 60 minute webinar will review the state requirements for access to and payment for sexual assault forensic exams and crime victims compensation.  

February 2017


CE Available

Historical Trauma in Tribal Communities

Dr. Art Martinez will discuss historical trauma, its effect on culture/tradition and the impact across generations in American Indian/Alaska Native Communities. Additionally, he will discuss how to incorporate cultural traditions/beliefs into the healthcare response to Sexual Assault/Abuse and Domestic Violence


 March 2016

Sexual Assault Examiner: Adult/Adolescent Case Review (Feb 2016)

Forensic nurses provide specialized care for the patient who is presenting for health care related to known or suspected sexual violence. A variety of case studies of patients will be utilized for this webinar. Presenting signs and symptoms, patient and caregiver histories, and clinical evaluation will be included and discussed.


 February 2016




Sexual Assault Examiner: Adult Case Study


A variety of sexual assault case studies will be utilized for this webinar. Presenting signs and symptoms, patient histories, and clinical evaluation will be included and discussed


 January 2016





Intimate Partner Sexual Violence Case Studies


A variety of sexual assault/domestic violence case studies will be utilized for this webinar. Presenting signs and symptoms, patient histories, and clinical evaluation will be included and discussed.


 December 2015




Elder Abuse


Elder abuse is relatively new in Native American communities, with only limited data available. Tribal codes that protect elders are currently being developed but information about and an understanding of how to identify and combat elder abuse is lacking.

 November 2015




Neurobiology of Trauma


Dr. Rebecca Campbell discusses the neurobiology of sexual assault and the effect trauma has on victim behavior. She explains the underlying neurobiology of traumatic events, its emotional and physical manifestation, and how these processes can impact the investigation and prosecution of sexual assaults. This webinar will examine how rape crisis centers and the legal, medical, and mental health systems respond to the needs of victims of sexual assault.

 July 2015




Sexual Assault Examiner: Case Study Review (March 2015)


Forensic nurses provide specialized care for the patient who is presenting for health care related to known or suspected sexual violence. A variety of case studies of patients will be utilized for this webinar. Presenting signs and symptoms, patient and caregiver histories, and clinical evaluation will be included and discussed. 


 March 2015


Suspect Exams


This webinar will review what can be collected during a suspect exam and discuss the steps for creating a suspect exam policy.


 February 2015


Health Impact of IPV


The health impacts of intimate partner violence (IPV) are well documented in the scientific literature. There are a wide variety of comorbid health complaints described, ranging from chronic pain complaints to gynecological disorders to cardiac disease. Because of this, clinicians must approach the care of IPV patients as more than just the documentation of an acute episode of violence. All healthcare providers, regardless of specialty, need to understand how experiencing violence, including IPV, impact both the short- and long-term health of patients.


 November 2014


Pregnancy and Intimate Partner Violence

This webinar will review the current empirical evidence on the prevalence and health effects of IPV among childbearing women and will assist practitioners to more effectively intervene with patients who are experiencing IPV. The presenter has nearly 30 years of experience in the violence against women arena and over 20 years experience working as a primary health care provider for pregnant women. Along with the research and knowledge of others, she will share some of her own experiences addressing IPV as a health care provider and as a researcher..


 October 2014


Advanced Anorectal Evaluation of the Sexual Assault Patient

This webinar will discuss the proper way to conduct an anorectal post sexual assault exam. Discussion will include various assessment techniques as well as identification of ano-rectal structures. Anoscopes as an assessment tool will also be discussed in the presentation.


September 2014


DV Case Study

Medical evaluation of the intimate partner violence (IPV) patient is often under assessed as it is often not understood. This webinar will discuss medical forensic care of the IPV patient. Case studies of IPV patients who presented to a forensic nurse examiner program will be utilized. Presenting signs and symptoms, patient histories, clinical evaluation and case outcome (when known) will be included.

August 2014


Helping Hearts Hurt: Understanding Compassion Fatigue and How to Plan For It and Prevent It

Although compassion fatigue is a predictable response in “helping” professions, it is rarely addressed in a systematic an ongoing basis. This webinar emphasizes that compassion fatigue is a preventable and natural consequence of working with traumatized populations. Understanding it, planning for it, and preventing it can increase the sustainability of employees devoted to this work, such as healthcare workers, law enforcement and military personnel, teachers, and social workers. In this webinar, participants will learn what compassion fatigue is, how to identify and describe its signs and symptoms, and how to develop self-care practices.


 May 2014

Lethality Assessment

Most health care practitioners have little training on how to provide appropriate medical care to patients who are victims of intimate partner violence. More specifically, health care practitioners have not been trained on how to accurately assess for potential lethality in intimate partner violence relationships.


March 2014


The Pregnant Sexual Assault Patient


SANE's are uncertain of how to care for pregnant victims of sexual assault. It is the projected outcome that with the information provided by this presentation, pregnant victims of sexual assault will receive appropriate care with a team approach.


February 2014


Abuse Screening, Intervention & Documentation in the Health Care Setting


This program is intended to increase knowledge of the appropriate roles of health care providers in addressing current and/or historic domestic and sexual abuse in the health care setting. This program will familiarize participants with current standards of care that apply to screening, intervention and documentation of abuse. Primary and secondary screening methods and barriers to effective screening and intervention will be examined. Health indicators of abuse will be discussed. Accurate documentation and coding will be reviewed. The importance of Collaborative Community Responses that include health care providers, advocates, law enforcement and mental health will be considered.


January 2014


Adverse Childhood Experiences and the Impact on Adult Health


The Adverse Childhood Experiences (ACE) Study is a long term, in-depth, epidemiologic analysis of over 17,000 middle-aged, middle-class Americans, matching their current health status against 10 categories of adverse childhoos experiences that occurred on average a half-century earlier.


December 2013


Courtroom Testimony in Adult/Adolescent Sexual Assault Cases


This webinar will enhance the SANEs ability to provide fact and expert testimony in criminal trials. SANE trial preparation focused on documentation, notice of expert, motions and rulings effecting testimony, and suggestions for meeting with attorneys will be reviewed. Foundations of evidence-based testimony will be discussed, and guidance for providing ethical and effective testimony on direct and cross-examination will be provided.


November 2013


Co-occurrence of Sexual and Domestic Violence


This webinar will focus on the intersection of women’s experiences of sexual and physical violence in their intimate partnerships. Common patterns of women’s experiences, prevalence, and the causes and consequences of this frequently overlooked form of violence against women will be addressed. Particular attention will be given to discussing the challenges women face in disclosing their experiences, barriers to service provision and best practices in providing resources to women who have been physically and sexually abused by their intimate partners.


October 2013


Alcohol-facilitated Sexual Assault


The intersection between alcohol and sexual violence is well-documented in the literature, and American Indians experiencing violence are significantly more likely than any other group to report that the offender was under the influence of alcohol. For healthcare providers, it’s critical to understand this relationship and how it can impact the medical-forensic care of sexual assault patients.


September 2013


Medical Forensic Care of the Adult Sexual Assault Patient


Medical forensic care of the adult and adolescent patient who has experienced sexual assault is much more than the collection of a sexual assault evidence kit. This webinar will provide an outline of the comprehensive, holistic care that should be delivered to the patient in the aftermath of sexual assault in the medical forensic exam.


August  2013

 The Lethality of Strangulation in Adult Patients  Overall, women who experience nonfatal strangulation by an intimate partner have greater than sevenfold odds of becoming a victim of homicide. In this webinar, participants will learn to recognize the patterns of injury and lethality associated with strangulation in the adult patient and summarizes the critical need for medical intervention, both from the victim as well as the legal perspective.  June  2013

 

 

 

Pediatric Webinars


 

Who Said What?!? Utilizing Case Presentations to Improve Pediatric Forensic Medical Evaluations

Pediatric forensic examinations can be intimidating. What would happen during an examination if you can’t see the rim of the hymen? Is what I’m seeing an injury or something else? Does injury always mean abuse? Are there tests to be done when abuse is suspected? This presentation will utilize case presentations to assist in answering these questions! The information is intended for novice forensic nurses. 


 February 2016

 

Creating an Effective Medical Forensic Response to Pediatric Victims of Sexual Abuse in Indian Country

 

Rachel Locker, MD from the Snwiyaila Miyanashna (Talking for the Children) Child Advocacy Center in Warm Springs, OR and Misty Hunter, RN from the Four Directions Clinic in Kyle, SD will share how their programs were developed and discuss their successes and challenges along the way.


 January 2016




Child Maltreatment Case Studies


 

This webinar will discuss interesting child maltreatment cases both sexual and physical abuse. Sexual abuse findings will be described using the 2015 updated Adams Classification. Variations of normal/non-specific ano-genital exams will also be explored. Physical abuse cases will highlight evidence based practice guidelines. This webinar will provide important information to the novice to expert pediatric SANE.


 November 2015





Pediatric Head Trauma


 

This webinar will provide an overview of different types of head trauma encountered in pediatric practice (contact injuries, hypoxia/ischemia, and acceleration/deceleration). Case presentations will be used to highlight the importance of history, physical exam and usage of objective testing strategies in differentiating accidental vs. abusive causes of pediatric head trauma.


 September 2015




Neurobiology of Trauma in Pediatric Patients


 

Dr. Bessel van der Kolk discusses the neurobiology of sexual assault and the effect trauma has on children.


 August 2015




Pediatric Sexual Assault Examiner: Case Study Review (May 2015)


 

Forensic nurses provide specialized care for the pediatric patient who is presenting for health care related to known or suspected child maltreatment. A variety of case studies of child maltreatment patients will be utilized for this webinar. Presenting signs and symptoms, patient and caregiver histories and clinical evaluation will be included and discussed. 


 May 2015

 




Pediatric Sexual Assault Examiner: Case Study Review (January 2015)


 

Forensic nurses provide specialized care for the pediatric patient who is presenting for health care related to known or suspected child maltreatment. A variety of case studies of child maltreatment patients will be utilized for this webinar. Presenting signs and symptoms, patient and caregiver histories and clinical evaluation will be included and discussed.


 January 2015


Bringing Life and Hope to Kids Exposed to Toxic Stress including Substance Abuse


 

This webinar will discuss the health and social impact of toxic stress, including family substance abuse on children. Providers will learn how to identify ways that they and their community can change the trajectory of children exposed to toxic stress.


 December 2014


Adolescent Consent and Privacy Issues


 

This webinar will discuss the legal issues surrounding adolescent (minor) consent to medical treatment for sexual assault. Also will review medical record privacy and disclosure, parental access to minor records, and consent issues related to pregnancy prevention.


 September 2014


CARE: Child Adolescent Referral & Evaluation Center A model for the assessment of child abuse created by the Crow and N. Cheyenne MDTs

 

This webinar will identify the functions of a CAC as well as discuss the different models of CAC's. The relationship between CAC's and MDT's will be discussed along with the critical elements needed for both to function. Essential resources and the sequential steps needed to develop a CAC will be explained.


 August 2014


Straddle Injury vs Sexual Abuse: Managing Traumatic Genital Injury in Children

 

While it is routine for Sexual Assault Nurse Examiners and Child Abuse Physicians to evaluate children who have disclosed or are suspected as having been sexually abused, it is less common for children who are seen for a chief complaint of straddle injury to be examined by these same experts. This webinar will examine the child sexual abuse expert's role in examining straddle injuries, and how to manage significant genital injury in children.


July 2014


Genital Dermatologic Conditions in Children


 

Vulvovaginitis is the most common gynecologic problem in pre-pubertal girls. The pre-pubertal hypo estrogenic tissues are atrophic and therefore more susceptible to infection and irritation. These types of complaints can result from a variety of sources including infection, congenital abnormalities, trauma or dermatologic conditions. In this webinar, we will explore each of these etiologies, paying special attention to the dermatologic conditions clinical providers should consider when evaluating genital skin complaints in children.


June 2014


Child Sexual Exploitation


 

Clinicians need further training regarding the six types of child sexual exploitation, recognizing that often more than one type of abuse exists in these types of cases. The role of the Internet and communication technology, particularly 3G and 4G technology allow for easier victimization of children and a less likely occurrence of apprehension and subsequent prosecution. Emerging research underscores that the victim impact is worse in child sexual exploitation than in child sexual abuse, primarily because of recurrent nature of the abuse and the likelihood that these represent a multi-offender case in many types of sexual exploitation.


March 2014


Trafficking of Minors on Tribal Lands


 

Clinicians need further training regarding the three types of human trafficking, the medical problems associated with this form of exploitation and recognize that there is often a juxtaposition of labor and sex trafficking in tribal country. In addition, there is a need to understand the unique vulnerabilities of Native women and girls who are victims of sex trafficking and the generational trauma inherent in this population.


January 2014


Child Neglect: A Review


 

A review of the risks and potential problems for children who are felt to be victims of neglect. This population of children rarely receives the attention that other forms of maltreatment do. However this group of victims has potential long term consequences that can be as devastating as what victims of other abuse experience. And this is a population that has better potential for early recognition and intervention for the benefit of the child, and for the benefit of the caregivers so that they might function better in their role with this child.


December 2013


 Order in the Court! Surviving and Thriving as an Expert Medical Witness

 

It is assumed that through education as well as on the job training medical providers possess the knowledge and skill necessary to provide holistic, comprehensive, compassionate care to the patients they serve. Most medical providers, however, have not received training or developed the skills to provide expert, objective and empirically sound court testimony.


November 2013  

Total Recall or Mission Impossible? Developmentally Sensitive Interviewing of Children


 

Children are not little adults. In the context of a sexual abuse or sexual assault evaluation we are talking with children about sensitive and highly emotionally charged issues. We often ask children questions that would be difficult for many adults to answer. Understanding child development is critical to a successful interview, which is even more important in the presence of trauma. It is the responsibility of the interviewer to assess the child’s developmental status and then ask questions accordingly.


October 2013


Sexually Transmitted Infections in Pediatric Patients


 

Sexually transmitted infections (STIs) in the pediatric sexually abused population are rare. This webinar will review the epidemiology, clinical presentation, and indications for testing STIs in children.


August 2013


Medical Forensic Care of the Child Sexual Assault Patient


 

Medical forensic care of the pediatric patient who has experienced sexual abuse is significantly different than care of the adult.  Compliant victimization, multiple methods of effective grooming by the offender, internet and pornographic offenses all complicate the medical providers approach, and even make disclosure more difficult for the child.


September 2013


Evaluation of Suspected Child Physical and Sexual Abuse


 

The majority of health care providers have only minimal formal education and even less clinical experience in dealing with suspected cases of physical and sexual child abuse. This presentation will review the different types of medical and nursing professionals who commonly deal with child abuse pediatrics, their respective roles, and the skill’s set expected of each regarding child abuse. History taking and physical examination of suspected victims of child sexual and physical abuse will also be covered through review of actual cases.


July 2013


The Lethality of Strangulation in Pediatric Patients   


 

Medical literature regarding issues of strangulation in children is limited and generally consists of case studies often involving fatality. Strangulation in children can present differently that than of the adult patient in that children may engage in "the choking game" without understanding the health consequences, may be attempting suicide or may be victims of child maltreatment with the offender using strangulation as a tactic.


June  2013