title: Implementation of a program to teach pediatric residents and faculty about domestic violence.
abstract: OBJECTIVE
  To obtain information about pediatric resident and staff knowledge, attitudes, and screening practices related to domestic violence (DV), to implement a domestic violence education program, and to evaluate whether the program resulted in changes in these 3 domains.
  
  
  METHODS
  Interventional with before and after survey evaluation.
  
  
  METHODS
  A hospital-based, pediatric residency continuity clinic that serves families in Pittsburgh, Pa.
  
  
  METHODS
  Pediatric residents (n = 51), medicine-pediatric residents (n = 6), continuity clinic faculty (n = 22), and certified-registered nurse practitioners (n = 5).
  
  
  RESULTS
  Prior to implementation of the DV education program, respondents correctly answered questions about the prevalence of DV (74 participants [90%]), the racial distribution of DV victims (66 participants [80%]), and the significant overlap between child abuse and DV (75 participants [91%]). Seventy-nine participants (96%) believed that screening for the presence of DV was part of their role as pediatric health care providers. At baseline, 17 (21%) of the 82 participants reported that they were routinely screening for signs of DV during well-child care visits compared with 39 (46%) after attending the education program (P =.005). Among participants who attended both educational session 25% (9/36) were routinely screening for the presence of DV prior to the intervention, compared with 46% (16/35) after the intervention (P =.008). At baseline, 33 (40%) of the 82 participants had identified at least 1 case of DV in the prior 6 months compared with 45 (53%) after training. Prior to training, 18 participants (22%) were aware of resources for DV victims compared with 45 (53%) after training (P<.001).
  
  
  CONCLUSIONS
  To our knowledge, this is one of the first pediatric studies to demonstrate that using a short, multifaceted educational module, it is possible to change DV screening practices and to increase identification of DV victims among pediatric residents, continuity clinic faculty, and certified-registered nurse practitioners at a pediatric teaching hospital.
authors.affiliation: Department of Pediatrics, Pittsburgh Child Advocacy Center, Children's Hospital of Pittsburgh, PA 15213, USA. rberger@pitt.edu
authors.forename: Rachel P
authors.initials: RP
authors.lastname: Berger
authors.forename: Debra
authors.initials: D
authors.lastname: Bogen
authors.forename: Tina
authors.initials: T
authors.lastname: Dulani
authors.forename: Elsie
authors.initials: E
authors.lastname: Broussard
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D002983:Clinical Competence; D017579:Domestic Violence / Q000517:prevention & control*; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D004509:Education, Nursing, Continuing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006776:Hospitals, Pediatric; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008403:Mass Screening; D009722:Nurse Practitioners; D010372:Pediatrics / Q000193:education*; D018709:Statistics, Nonparametric