Improving Medical School Education on the Care of Sexual Assault Patients: A Quasi-Randomized Controlled Study
DOI:
https://doi.org/10.5195/ijms.2021.797Keywords:
Counseling, Rape, Survivors, Sex Offenses, Crime Victims, Comprehensive Health CareAbstract
Introduction: Comprehensive healthcare for survivors of sexual violence is essential to prevent the diverse sequelae associated with the assault. In partnership with a local rape crisis center, we designed an educational module with the goal of training medical students on the basic needs of sexual assault patients with the aim to see if there was a significant difference in preparedness to counsel such patients.
Methods: This quantitative quasi-randomized controlled study tested the effectiveness of an educational module on improving medical student preparedness for encounters with victims of sexual assault. A one-hour presentation, focusing on basic medical and legal knowledge regarding sexual abuse and compassionate patient-centered care, was provided to the intervention group during their compulsory Year 4 Emergency Medicine clerkship orientation. At the end of the month, students in the intervention and control groups were assessed using a standardized patient encounter simulating the presentation of a victim of sexual assault. Scores were determined by standardized patients, who utilized two checklists-one widely used for communication skills (KEECC-A) and the other focusing on sexual assault (WC-SAFE-specific).
Results: For the KEECC-A, there was no significant difference in scores between the control and intervention groups (p=0.9257, 95% Confidence Interval [95%CI] 14.42,15.58]). The WC-SAFE-specific checklists were significantly different between the intervention and control groups (p=0.0076, 95%CI 3.79,4.21).
Conclusion: Our sexual assault module increased preparedness of medical students for encounters with sexual assault victims and provide trauma-informed care.
Metrics
References
RAINN. Victims of Sexual Violence: Statistics. Available from: https://www.rainn.org/statistics/victims-sexual-violence. Last updated December 9, 2020. Cited June 2, 2020.
RAINN. The Criminal Justice System: Statistics. Available from: https://www.rainn.org/statistics/criminal-justice-system. Last updated December 9, 2020. Cited June 2, 2020.
The United States Department of Justice. Office on Violence Against Women. Available from: https://www.justice.gov/ovw/sexual-assault. Last updated May 18, 2021. Cited May 18, 2021
Peterson C, DeGue S, Florence C, Lokey C. Lifetime Economic Burden of Rape Among U.S. Adults. Am J Prev Med. 2017;52(6):691-701.
ACOG Committee Opinion No. 777: Sexual Assault. Obstet Gynecol. 2019 Apr;133(4)
Cushing, A., Evans, D., Hall, A. Medical students' attitudes and behaviour towards sexual health interviewing: short- and long-term evaluation of designated workshops. Med Teach. 2005 Aug 1;27(5):422-8.
Polite FG, Acholonu RG, Harrison N. A multispecialty perspective on physician responsibility to sexual assault survivors. Obstet Gynecol. 2019 Jul 1;134(1):58-62..
Patel A, Roston A, Tilmon S, Stern L, Roston A, Patel D, et al. Assessing the extent of provision of comprehensive medical care management for female sexual assault patients in US hospital emergency departments. Int J Gynecol Obstet. 2013;123(1):24-28.
Sande M, Broderick K, Moreira M, Bender B, Hopkins E, Buchanan J. Sexual Assault Training in Emergency Medicine Residencies: A Survey of Program Directors. West J Emerg Med. 2013;14(5):461-466.
7. Wayne County Sexual Assault Forensic Examiner’s Program. Available from: http://wcsafe.org/. Last updated: December 9, 2020. Cited:January 23, 2019.
8. Joyce BL, Steenbergh T, Scher E. Use of the Kalamazoo Essential Elements Communication Checklist (Adapted) in an Institutional Interpersonal and Communication Skills Curriculum. J Grad Med Educ. 2010;2(2):165-169.
Peterson, E., Calhoun, A. Rider, E. The reliability of a modified Kalamazoo Consensus Statement Checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment. Patient Educ Couns. 2014 Sep 1;96(3):411-8.
Association of American Medical Colleges. Most-included Topics in Medical School Clerkships. Available from: https://www.aamc.org/data-reports/curriculum-reports/interactive-data/most-included-topics-medical-school-clerkships. Last Modified December 9, 2020. Cited June 2, 2020.
deLahunta E, Tulsky A. Resistance to adding curricula about domestic violence. Acad Med. 1998;73(7):726-7
Cybulska B. Immediate medical care after sexual assault. Best Pract Res Clin Obstet Gynaecol. 2013;27(1):141-149.
Campbell, R. What really happened? A validation study of rape survivors’ help-seeking experiences with the legal and medical systems. Violence and Victims, 2005 Feb 1;20(1),55-68.
Campbell, R. Rape survivors’ experiences with the legal and medical systems: Do rape victim advocates make a difference? Violence against women. 2006 Jan;12(1):30-45.
Campbell, R. The psychological impact of rape victims. Am Psychol. 2008 Nov;63(8):702.
Downloads
Published
How to Cite
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org