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Department: MEPED-Pediatrics
Course: 454-Child Abuse Pediatrics

Course Coordinator: Dr. Marcella Donaruma-Kwoh
Course Faculty: Dr. Reena Isaac
Elective Location: TCH
Periods Elective offered: Qtr: 1,2,3,4
Min. Number of Students:Max: 1
Course Level: Clinical Elective: Counts toward 32-credit graduation requirement
Credit: 8
Pre-requisites: Completion of the Pediatrics Core rotation
Visiting Student Elective: Yes
Open to International Students: Yes
Grading: Pass/Fail Only
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 9a-5p Inpatient Ward:
Night Call: Inpatient consultations: 50
Number on-call nights: Outpatient clinics: 50
Weekends: Surgery:
Statement of Goals:
Child abuse has been described as a "silent epidemic". It is difficule to conceive of a family member or caretaker mistreating a child in any form, whether through physical abuse, sexual abuse or neglectful care. It is necessary for pediatricians to understand that child maltreatment is happening throughout our country, regardless of socioeconomic status, approaching nearly one million cases of investigated abuse across the nation annually. Inevitably those children will cross the path of a pediatric practitioner. This elective will help student learners to (a) recognize key features discovered in the history and physical exam that can be related to abuse or neglect, (b) articulate their reasoning when including consideration of abuse or neglect in their differntial diagnoses, and (c) contribute to the safety and protection of their pediatric patient through responsible communication with community partners in law enforcement, social work and the judical system.
Learning Activities
After completion of this elective, student will be able to (a) Describe the approach to history-taking in the evaluation of both physical and sexual abuse, (b) Outline risk factors for abuse present in medical and soical history, (c) Appropriately document findings of abuse, (d) Competently perform an anogential exam on prepubertal and pubertal children, and (e) Outline the appropriate medical evaluation to determine nutritional or medical care neglect. The student will be assess on his/her ability to obtain a pertinent H&P and to perform and document a physical exam of an abused child, as observed by a CAP attending. Specific attention will be paid to the learner's technique for anogential examination. Student will obtain the knowledge to recognize, diagnose, and treat Physical Abuse, Sexual Abuse, Medical Child Abuse and Neglect through problem-based learning and interpersonal and communication skills.
Evaluation Methods
The student's performace on this elective will be assessed by the gading system of H, HP, P, MP, F.
When and Where to report on first day of service:
Call Liza Zolayvar at 832-824-5507 prior to the first day of rotation.
For additional information regarding this elective contact:
Contact Name: Liza Zolayvar
Contact Phone: 832-824-5507
Contact Fax: 832-825-5424
Contact Location: 6621 Fannin Street, Suite 2210; Houston TX 77030
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