When Parents Hit: Providing Education to Physician Trainees About Corporal Punishment Through a Pilot Simulation and Debriefing.

Pediatric Emergency Care
Brett A SlingsbyLinda L Brown

Abstract

No studies have evaluated how training physicians intervene when corporal punishment (CP) is observed in a simulated hospital setting. The pilot study examined physician trainee performance in a simulation where hitting is observed between caregiver and child during a medical visit and to assess physician self-reported experiences, opinions, and comfort when observing CP in a simulation. We ran 7 simulations where one pediatric resident, emergency medicine resident, or pediatric emergency medicine fellow participated in the simulation while a group of similar trainees observed. All participants were given a postsurvey, followed by a semistructured debriefing led by a child abuse pediatrician. Thirty-seven physician trainees participated; 7 engaged in the simulation while 30 observed. The majority (6/7) did not de-escalate the increasingly aggravated parent prior to hitting, 4 of 7 did not recommend that the caregiver refrain from CP, and most (5/7) did not provide education to the parent about more appropriate discipline. The majority (91.4%) believe that a physician should intervene when a parent hits or spanks his/her child in the hospital setting, highlighting the incongruity between this belief and their performance in/know...Continue Reading

References

Nov 3, 2010·Journal of Psychiatric Research·Andrew C LeonHelena C Kraemer
Sep 17, 2013·Child Development Perspectives·Elizabeth T Gershoff
Mar 10, 2015·Academic Pediatrics·Joseph O Lopreiato, Taylor Sawyer
May 21, 2019·Children and Youth Services Review·Elizabeth T GershoffRebecca H Foster

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