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J Child Sex Abus. 2014;23(3):247-55. doi: 10.1080/10538712.2014.888120.

Educating physicians internationally in the diagnosis of child sexual abuse: evaluation of a brief educational intervention in Malawi.

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a Weill Cornell Medical College , New York , NY , USA.


We designed this pilot study to assess physician knowledge and comfort evaluating child sexual abuse in Malawi and to evaluate the feasibility of a brief educational intervention to improve physician knowledge. A survey was administered to 21 physicians before receiving training on child sexual abuse. The survey was administered again, 3 days later, to assess improvement. Prior to the training, 48% correctly identified the hymen in a photograph, and 24% correctly interpreted the photograph as normal. Of the 11 physicians available for the posttest 3 days later, significant improvement was found in their ability to correctly identify the hymen (6 of 11 pretraining and all 11 posttraining, p = 0.011) and to interpret the photograph correctly (1 of 11 correct pretraining, 9 of 11 posttraining, p = 0.001). This study demonstrates the feasibility of designing trainings on child sexual abuse in a low-income country.


child maltreatment; medical education; program development; sexual abuse

[Indexed for MEDLINE]

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