An Assessment of Residents' Abilities to Detect and Manage Domestic Violence

Nielufar Varjavand; Diane G Cohen; Dennis H Novack

doi:10.1046/j.1525-1497.2002.10404.x

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An Assessment of Residents' Abilities to Detect and Manage Domestic Violence

Journal article

Open access

Peer reviewed

An Assessment of Residents' Abilities to Detect and Manage Domestic Violence

Nielufar Varjavand, Diane G Cohen and Dennis H Novack

Journal of general internal medicine : JGIM, v 17(6), pp 465-468

01 Jun 2002

DOI: https://doi.org/10.1046/j.1525-1497.2002.10404.x

PMID: 12133162

Featured in Collection : UN Sustainable Development Goals @ Drexel

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Abstract

abuse

Brief Report

clinical competance

domestic violence

health care costs

medical education

residency training

Despite increased awareness of domestic violence (DV), little is known about residents' preparedness to diagnose and respond appropriately to abuse victims. We designed a pilot study to examine this. Seventy-one internal medicine residents participated in a 10-station standardized patient-based Clinical Skills Assessment. Forty (56%) were male and 31 (44%) were female; 46 (65%) were PGY I; 63 (89%) were trained internationally. One station presented a woman with headaches, whose underlying issue was DV. Forty (56%) residents correctly diagnosed DV. Thirty referred the patient for DV counseling. Eighteen addressed immediate safety concerns, and 23 asked about child abuse. Forty-eight (68%) made 1 or more incorrect recommendations. Thirty-six (51%) ordered unnecessary tests. Residents who did not diagnose DV spent nearly twice as much per patient on work-up (mean, $942.00), compared to those who diagnosed DV (mean, $421.00). Use of certain interviewing skills appeared to promote elicitation of DV. Assessment-driven educational interventions could help trainees improve their recognition of DV and make appropriate and cost-effective management choices.

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16 citations in Web of Science

20 citations in Scopus

Details

Title: An Assessment of Residents' Abilities to Detect and Manage Domestic Violence
Creators: Nielufar Varjavand - Hahnemann University Hospital
Diane G Cohen - Hahnemann University Hospital
Dennis H Novack - Hahnemann University Hospital
Publication Details: Journal of general internal medicine : JGIM, v 17(6), pp 465-468
Publisher: Blackwell Science Inc
Resource Type: Journal article
Language: English
Academic Unit: MD (Doctor of Medicine) Program
Web of Science ID: WOS:000176548900010
Scopus ID: 2-s2.0-0036373922
Other Identifier: 991019167915704721