Reasonable suspicion: a pilot study of pediatric residents

Child Abuse & Neglect
Benjamin H LeviChris Erb

Abstract

To identify pediatric residents' understanding and interpretation of reasonable suspicion, in the context of mandated reporting of suspected child abuse. A survey was administered to pediatrics and combined medicine/pediatrics residents. An open-ended question plus three operational frameworks for interpreting likelihood examined how residents conceived of reasonable suspicion. Responses were examined for evidence of a group standard, and also compared for internal consistency. Forty-two of 49 residents completed the survey (86% response rate). There were no significant differences in responses based on age, gender, year of residency, or anticipated practice type. Respondents exhibited wide variation in the thresholds they set for reasonable suspicion. On a Differential Diagnosis scale, 10% indicated that "abuse" would have to rank 1st or 2nd; 45% set the threshold at 3rd or 4th; while 45% stated that abuse could be as low as 5th to 10th and still qualify as reasonable suspicion. Using a Estimated Probability scale, 9.5% indicated that "abuse" would need to be >75% likely before reasonable suspicion existed; 28.5% stated that a 60-70% likelihood was needed; 38% identified the necessary likelihood as 40-50%; and 24% set the thre...Continue Reading

References

Jan 1, 1990·Child Abuse & Neglect·G L Zellman
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Apr 29, 1998·Archives of Pediatrics & Adolescent Medicine·G B HicksonW A Altemeier
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Jul 5, 2005·Pediatrics·Benjamin H Levi, Georgia Brown

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Citations

Jan 15, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kent P HymelUNKNOWN Pediatric Brain Injury Research Network (PediBIRN) Investigators
Sep 2, 2011·European Journal of Pediatrics·Arianne Hélène TeeuwRick R van Rijn
Sep 17, 2014·Child Abuse & Neglect·Howard DubowitzNancy D Kellogg
Oct 20, 2015·The Journal of Pediatrics·Kent P HymelUNKNOWN Pediatric Brain Injury Research Network PediBIRN Investigators
Feb 15, 2011·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Benjamin H Levi, Sharon G Portwood
Oct 3, 2015·Iranian Red Crescent Medical Journal·Leili Borimnejad, Fatemeh Khoshnavay Fomani
Apr 15, 2014·Child Abuse & Neglect·Jennifer MartindaleUNKNOWN ExSTRA Investigators
Dec 9, 2010·Clinical Pediatrics·Benjamin H Levi, Kathryn Crowell
Mar 15, 2016·British Journal of Nursing : BJN·Vijayalakshmi PoreddiSuresh Bada Math
Jul 22, 2009·Pediatrics·Daniel LindbergUNKNOWN ULTRA Investigators
Jul 5, 2005·Pediatrics·Benjamin H Levi, Georgia Brown
Apr 3, 2008·Pediatrics·Daniel Martin LindbergRobert Allan Shapiro
Nov 19, 2014·Pediatrics·Kent P HymelUNKNOWN Pediatric Brain Injury Research Network (PediBIRN) Investigators
Sep 15, 2018·Pediatrics·Larissa HinesJohn D Lantos

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