Availability and perceived competence of pediatricians to serve as child protection team medical consultants: a survey of practicing pediatricians.
OBJECTIVE
The effectiveness of multidisciplinary child protection teams has been demonstrated. This study is an attempt to assess the level of this commitment and the perceived competence of primary care pediatricians to provide this service.


METHODS
A questionnaire survey was mailed to primary care pediatricians practicing in the state of Alabama.


RESULTS
Among respondents who did not consider themselves competent to conduct sexual abuse or physical abuse examinations, 27% and 19%, respectively, were called on to conduct such examinations. Approximately half of respondents expressed a willingness to serve as consultants under a time commitment obligation of less than 2 hours per week or 1 day per month, and under a reimbursement provision of $200 per examination or less. Respondents recognized a need for, and expressed a desire for, more training in this area.


CONCLUSIONS
Primary care pediatricians are willing to serve as multidisciplinary child protection team medical consultants if provided appropriate training and support.
Arnold
Donald H
DH
Division of Emergency Medicine, Department of Pediatrics and Southeast Child Safety Institute, The Children's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, AL, USA. don.arnold@vanderbilt.edu
Spiro
David M
DM
Nichols
Michele Holloway
MH
King
William D
WD
D000328:Adult; D000368:Aged; D000407:Alabama; D002648:Child; D002649:Child Abuse / Q000175:diagnosis*; D002650:Child Abuse, Sexual / Q000175:diagnosis*; D002983:Clinical Competence / Q000592:standards*; D003253:Consultants; D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000592:standards*; D010372:Pediatrics / Q000592:standards*; D010821:Physicians, Family / Q000592:standards; D011795:Surveys and Questionnaires