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.

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.

The forensic implications of different STIs will be discussed in depth, as well as new technologies and currently accepted recommendations and guidelines for treatment.

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.

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.

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.

The need for this session has been established through a review of peer‐reviewed literature and media coverage. 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 childhood experiences that occurred on average a half‐century earlier.

This ongoing collaborative effort by Kaiser Permanente and the CDC found that: adverse childhood experiences are surprisingly common although typically concealed, and are overwhelmingly unrecognized in medical practice; they still have a profound effect 50 years later, now transformed from life experience into organic disease and mental illness; and that adverse life experiences in childhood are the main determinant of the health and social well‐being of the nation.

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.

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.

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.

Due to the sensitive nature of this topic and the genital injury photos, registration for this webinar is limited to a medical audience (nurses, physicians assistants, and physicians). 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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.