title: Unique sexual assault examiner program utilizing mid-level providers.
abstract: BACKGROUND
  We implemented a unique sexual assault examiner (SAE) program utilizing Emergency Department (ED)-based mid-level providers. Sexual assault forensic evidence collection processes and training are not uniform in all EDs, with varying models in place.
  
  
  METHODS
  Our study evaluated the quality of SAE evidentiary collection in standardized evidence kits (Kits), compared to Kits from other EDs without the SAE program. We prospectively studied Kits from November 2004-October 2005. All Kits were evaluated for quantity (numbers of slides, envelopes, swabs), and quality (compliance with forensic standards) of evidence.
  
  
  RESULTS
  Although SAE Kits had similar total numbers of pieces of evidence, they had higher quality as measured by a greater number of compliant envelopes (5.44 vs. 1.44, p < 0.001) and a greater number of compliant slides (6.4 vs. 4.5, p < 0.001). SAE Kits had two measures with higher quality forensic evidence than non-SAE Kits.
  
  
  CONCLUSIONS
  An integrated program of SAE-trained mid-level providers collect sexual assault Kits with a higher quality of forensic evidence than non-SAE providers.
authors.affiliation: Department of Emergency Medicine, University of Rochester, Strong Memorial Hospital, Rochester, New York 14642, USA.
authors.forename: Elliot C
authors.initials: EC
authors.lastname: Pennington
authors.forename: Frank L
authors.initials: FL
authors.lastname: Zwemer
authors.forename: Dolores A
authors.initials: DA
authors.lastname: Krebs
mesh_terms: D016022:Case-Control Studies; D004636:Emergency Service, Hospital; D005554:Forensic Medicine / Q000379:methods*; D053604:Forensic Nursing / Q000379:methods*; D006801:Humans; D009518:New York; D011446:Prospective Studies; D011787:Quality of Health Care; D011902:Rape / Q000175:diagnosis*; D012015:Reference Standards; D013048:Specimen Handling / Q000592:standards*