This activity has been designed to meet the educational needs of registered nurses, advanced practice nurses, physicians, and physician assistants involved in the treatment and care of victims of sexual assault and domestic violence.
Statement of Need/Program Overview:
Clinicians evaluating patients who have experienced sexual assault often fail to recognize the importance of comprehensive medical treatment and evaluation of the patient, which is included in the medical forensic examination. They lack basic training in performing the medical forensic evaluation of the patient, and are unable to provide the services or the care necessary to prevent long term health sequelae in the aftermath of sexual violence. Current peer reviewed literature indicates that to provide the best outcomes for the patient in terms of their health and well-being, a provider needs specialized education and training in the care of this patient population. This online training will provide clinical information, along with the cultural and historical information necessary for completing a medical forensic evaluation on the American Indian/Alaska Native populations that Indian Health Services provide services to.
- Recognize the magnitude of the problem of sexual assault in Native American/Alaska Native communities
- Implement effective communication strategies when working with AI/AN peoples
- Analyze the health consequences of sexual assault/abuse
- Identify best practices when working with prison rape victims
- Prepare the patient for the anogenital examination
- Identify assessment techniques and identification of strangulation injury
- Discuss the anogenital anatomy as it changes through the lifespan
- Recognize the limitations in testimony regarding the presence or absence of anogenital injury
- Describe the benefits of employing commonly used assessment tools during the anogenital examination
- Distinguish between traumatic injury, disease process and normal examinations
- Explain the benefits and limitations of using photography as a documentation tool in sexual assault cases.
- Explain the benefits and limitations of using a colposcope to document anogenital findings post sexual assault
- Differentiate appropriate time frames for evidence collection in the sexually assaulted adolescent and adult
- Explain the anonymous evidence collection system
- Define and describe drug and alcohol facilitated sexual assault
- Discuss evidence collection in the unconscious patient suspected of having been sexually assaulted
- Differentiate between evidence collection in victims of sexual assault, and evidence collection in suspect examinations
- Demonstrate documentation of the physical assessment using the written (electronic) word and body maps and diagrams
- Explain the health risks associated with being sexually assaulted
Kermit B. Channell II
Executive Director, Arkansas State Crime Lab Little Rock, AR
Susan Chasson MSN, JD, SANE-A
Utah Coalition Against Sexual Assault- SANE Coordinator Provo, UT
Kim Day, RN, FNE, SANE-A, SANE-P
SAFE Technical Assistance Coordinator, International Association of Forensic Nurses Elkridge, MD
Kathleen Flarity, DNP, PhD, CEN, CFRN. FAEN
Emergency Clinical Nurse Specialist/Nurse Scientist,Memorial Hospital, University of Colorado Health Colorado Springs, CO
Leslie A. Hagen, JD
National Indian Country Training Coordinator, Department of Justice Columbia, SC
Tara Henry, MSN, FNP‐C, SANE‐A, SANE‐P
Forensic Nurse Consultant, Forensic Nurse Services Anchorage, AK
Major Thomas Hurley, JD
Deputy, Defense Counsel Assistance Program, US Navy Washington, DC
Megan Lechner, MSN, RN, CNS, SANE-A, SANE-P
Forensic Nurse Examiner, Memorial Health System Colorado Springs, CO
Jim Markey, MS
Detective Sergeant, Phoenix Police Department Phoenix, AZ
Linda McFarlane, LCSW
Deputy Executive Director, Just Detention International Los Angeles, CA
Jennifer Pierce-Weeks, RN, SANE-A, SANE-P
Education Director, International Association of Forensic Nurses Elkridge, MD
Physician Accreditation Statement:
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Postgraduate Institute for Medicine and International Association of Forensic Nurses. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.
Physician Credit Designation:
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 40 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Education 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 Continuing Education Credit Designation:
The International Association of Forensic Nurses designates this activity for 40 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 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:
| Name of Faculty or Presenter
|Reported Financial Relationship
| Kermit B. Channell II
| Susan Chasson MSN, JD, SANE-A
| Kim Day, RN, FNE, SANE-A, SANE-P
| Kathleen Flarity, DNP, PhD, CEN, CFRN. FAEN
| Leslie A. Hagen, JD
| Tara Henry, MSN, FNP‐C, SANE‐A, SANE‐P
| Major Thomas Hurley, JD
| Megan Lechner, MSN, RN, CNS, SANE-A, SANE-P
| Jim Markey, MS
| Linda McFarlane, LCSW
| Jennifer Pierce-Weeks, RN, SANE-A, SANE-P
The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, RN, BSN and Jan Schultz, RN, MSN, 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, Jennifer Pierce-Weeks, RN, SANE-A, SANE-P and Sarah Tucker, BA, 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.
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.
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.
Information about obtaining your certificate is provided within the course.
CME Method of Participation and Request for Credit:
There are no fees for participating and receiving CME credit for this activity. During the period May 7 - July 23, 2019, participants must read the learning objectives and faculty disclosures and study the educational activity.
Physicians: 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 11935 in the box, and hit enter
4. Click on the activity title
5. Complete the online posttest and evaluation and obtain your CME certificate to download and/or print for your files.
Upon completion of the online posttest 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: email@example.com
or (303) 799-1930.
This course requires a Laptop or Desktop Computer, a modern web browser (Internet Explorer 7+, Mozilla Firefox, Apple Safari, Google Chrome), Adobe Flash and access to YouTube.
Jointly provided by Postgraduate Institute for Medicine and International Association of Forensic Nurses
This activity is funded by Indian Health Service.