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Normal Variants In Pediatric Exams
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This webinar presentation will illustrate the differential diagnosis tree the clinician must consider when performing a prepubescent medical forensic exam or consulting when ano-genital injury has been identified. A review of normal pediatric anogenital anatomy, followed by case studies that include normal variants that can be mistaken for abuse, STI’s that may mimic trauma, straddle injury review, and traumatic injuries from sexual abuse.

6/27/2018
When: 2:00 PM
Where: At your Computer
Your City
United States
Presenter: Diane Daiber and Kim Nash
Contact: Tribal Forensic Healthcare Project


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Target Audience: 

This activity has been designed to meet the educational needs of medical and behavioral health professionals involved in the care of victims of sexual assault and domestic violence.

 

Program Overview: 

This webinar presentation will illustrate the differential diagnosis tree the clinician must consider when performing a prepubescent medical forensic exam or consulting when ano-genital injury has been identified.  A review of normal pediatric anogenital anatomy, followed by case studies that include normal variants that can be mistaken for abuse, STI’s that may mimic trauma, straddle injury review, and traumatic injuries from sexual abuse. 

 

Objectives:

 

Learn the process of differential diagnosis by:

1.      Identifying normal pediatric exams

2.      Identifying normal variants of a pediatric exam

3.      Findings of injury in a pediatric sexual assault exam

 

 

  

 

 

 

 

 

 

Technical Requirements: 

This webinar requires a computer with:

Supported Operating Systems:

  • Windows: XP (Service Pack 3), Vista, 7, 8, & 10 (32 & 64 bit)
  • Mac: OSX 10.7, 10.8, 10.9, 10.10, and 10.11 (For access to all features, presenters must be on Mac OSX 10.8+)
  • Linux: 2.6+ kernel; 64 bit; x86 CPU required


Supported Browsers:

  • Internet Explorer: 7+
  • Firefox: 31+
  • Google Chrome
  • Safari: 5.0+

Required Plugins:

  • Adobe Flash 11+ 

 

 

Presenter(s):

Diane Daiber BSN, SANE-A, SANE-P  As a Forensic Nursing Specialist for the International Association of Forensic Nurses( IAFN), Diane was responsible for the collaborative development of the U.S. Department of Justice, Office on Violence Against Women’s, National Protocol for Sexual Abuse Medical Forensic Examinations: Pediatric (Pediatric SAFE Protocol). Since the release of the Protocol, Diane has been providing technical assistance and training on both the National SAFE Protocol and the Pediatric SAFE Protocol. In this role, she participated in the 2017 revision of the National SAFE Training Standards and was a contributing author to the IAFN’s Pediatric Strangulation Case Review and Assessment Program. A forensic nurse examiner with extensive experience, including program development and management, she also teaches the Indian Health Service and IAFN Adolescent/Adult and Pediatric Sexual Assault Nurse Examiner Course as well as a member of the Ohio Attorney General Sexual Assault Response Training Team, a preferred trainer for the Ohio Peace Officers Training Academy, and the Collaborative Initiative to End Human Trafficking. Diane holds a Bachelor of Science in Nursing from Ursuline College and holds international certifications as a Sexual Assault Nurse Examiner for Adolescent, Adult and Pediatric

 

Kimberly Nash BSN, SANE-A, SANE-P is a Forensic Nursing Specialist for the International Association of Forensic Nurses (IAFN) since May 2017, providing medical forensic training and technical assistance.  She earned her BSN from Regis University in 1998 and became a Sexual Assault Nurse Examiner in 2006.  Dual board certified as a SANE-A and a SANE-P, she has been part of a team of forensic nurses since 2006 at Memorial Hospital, University of Colorado Health in Colorado Springs, Colorado who provide medical forensic care to more than 1800 patients per year who are victims of violence (sexual assault, intimate partner violence, child abuse, elder abuse, strangulation, human trafficking). She served on the Board of Directors for the International Association of Forensic Nurses (IAFN) 2012-2014, and is a Past President of the Colorado Chapter of IAFN. Additionally, she provides clinical skills training through Memorial Hospital’s Simulation Laboratory, utilizing live models and teaching sexual assault care to providers from across the US, with a special emphasis on those working in rural or underserved areas.  In 2012, she served as an international consultant for a USAID project in Swaziland, Africa, mentoring local health care professionals in the care of pediatric rape patients with an emphasis on the prevention of HIV.  Ms. Nash was involved as the medical consultant for the International Association of Chiefs of Police (IACP) for a project addressing the response to sexual gender based violence in Egypt and in August 2015 and October 2016 she traveled to Cairo to teach. She was involved with a similar international project (2017) with the IAFN and IACP addressing organized crime and gender-based violence in Mexico.  Ms Nash has extensive experience providing training to various disciplines on sexual violence across the lifespan, intimate partner violence, child abuse, elder abuse, strangulation and human trafficking.

 

 

Joint Accreditation Statement:

   

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and International Association of Forensic Nurses.  Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


 

Physician Credit Designation:

The Postgraduate Institute for Medicine designates this live activity for 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 

Nursing Accreditation Statement:

The International Association of Forensic Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nursing Credit Designation:

The International Association of Forensic Nurses designates this live activity for 1.5 Nursing CE Credits.

Disclosure of Conflicts of Interest: 

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy.  PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or Presenter Reported Financial Relationship
Diane Daiber
Nothing to disclose
Kim Nash
 Nothing to disclose

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN and Jan Schultz, MSN, RN, CHCP hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

The following International Association of Forensic Nurses planners and managers, Kim Day, RN, FNE A/P, SANE-A, SANE-P and Bonnie Barsa, BS hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months

Nursing CE: 

For any questions relating to Nursing CE , please contact us at tribalforensichealthcare@iafn.org.

CME Method of Participation and Request for Credit:

There are no fees for participating and receiving CME credit for this activity. During the period June 27, 2018, participants must read the learning objectives and faculty disclosures and study the educational activity.

How to Obtain your CME Certificate

PIM supports Green CME by offering your Request for Credit online. If you wish to receive acknowledgment for completing this activity, please follow the steps below:

 

1.       Go to CME University at: www.cmeuniversity.com and register or login

2.       Once logged in, click on “Find Post-test/Evaluation by Course” at the top of the page

3.       Type in 13608 in the box, and hit enter

4.       Click on the activity title

5.       Complete the online post-test and evaluation and obtain your CME/CEU certificate to download and/or print for your files.

 

Upon completion of the online post-test and evaluation form, you will have immediate access to a certificate of attendance to print or save for your files. You can save your certificate by selecting the “Save” option on the print screen. 

  

For any questions relating to CME (physician) certification for this activity, please contact Postgraduate Institute for Medicine at: inquiries@pimed.com or (303) 799-1930.

 

Media: 

 

Internet Activity

Time to Complete: 

 

90 minutes

Disclosure of Unlabeled Use: 

 

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners.  Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

 

Disclaimer: 

 

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

 

Jointly provided by Postgraduate Institute for Medicine and International Association of Forensic Nurses

This activity is funded by Indian Health Service.