Fellows participate in the medical diagnosis, consultation and treatment of children who are admitted to The Children's Hospital for serious injuries resulting from suspected physical abuse or neglect and sexual assault. The team also consults on factitious illness, non-organic failure to thrive and sexual abuse cases. Weekly clinic evaluates cases of child sexual abuse in an interdisciplinary team approach. Fellows learn how to obtain a detailed child abuse history, how to recognize and diagnose abusive injuries, how to analyze the mechanics of inflicted injury, how to interview families and children in the hospital setting and how to use diagnostic tests to document abuse. Fellows will attend and participate in forensic autopsies of children who die from child abuse or other injuries and can participate in local child fatality review teams.
Clinical call is shared with attending faculty.
Integral to medical evaluation is learning how to work with social service and law enforcement agencies to protect children at risk for abuse, death or serious disability from abuse and neglect. Fellows learn about the legal systems involved in child protection and child abuse prosecution through didactic lectures, weekly child protection team interdisciplinary review and direct court experience. The fellows learn state child abuse laws, learn how to be an effective witness and how to document and present cases for the legal system. Court testimony by fellows is an expected part of training. Fellows will interact with staff psychologist and the Kempe Therapeutic Preschool for exposure to the mental health outcomes of child abuse and neglect.