Child abuse - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 05-22-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 73
Threads: 7
Thanked 40 Times in 21 Posts
Reputation: 60
Medicolegal and Ethics Child abuse

A 5-year-old girl is brought to the emergency department by her parents because of abdominal pain. Physical examination shows multiple bruises on the abdomen and thorax in different stages of healing. A chest x-ray shows hairline fractures of two ribs. The parents say that they do not know how she developed the bruises or the fractures. Which of the following is the most appropriate next step?
A. Call the police immediately
B. Hospitalize the child for further studies
C. Notify Child Protective Services
D. Obtain a promise from the parents that they will not strike the child again
E. Take the child into protective custody
Reply With Quote Quick reply to this message



  #2  
Old 05-22-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 73
Threads: 7
Thanked 40 Times in 21 Posts
Reputation: 60
Default

It's easy question. BUT. US specific with child abuse is understandable, in general, but: How it's work in real life? They immediately coming to ER? They located in medical building? How long it takes?
A little more information from people who know this in details.
Thanks!
Reply With Quote Quick reply to this message
  #3  
Old 05-22-2010
ashishkabir's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 625
Threads: 19
Thanked 375 Times in 221 Posts
Reputation: 395
Default

Notify Child protective services... You have to do something to take the child away, but it is not the job of the police to handle these situations. Essentially you keep the child in your care until child protective services can come and take over.
Reply With Quote Quick reply to this message
 
  #4  
Old 05-22-2010
dr pinky's Avatar
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 38
Threads: 4
Thanked 10 Times in 9 Posts
Correct Answer E !

NEXT STEP : take the child into protective custody
Reply With Quote Quick reply to this message
The above post was thanked by:
amit chahar (07-05-2012)
  #5  
Old 05-22-2010
ashishkabir's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 625
Threads: 19
Thanked 375 Times in 221 Posts
Reputation: 395
Default

Hmm - The answer is C....

If you take the child into protective custody - you're not dealing with the fact that abuse has already occurred. The child is under your care now, so that's fine but the kind of follow up required involves Child protective services who can assess the situation further.

There is a mandatory reporting issue with child abuse and calling child protective services addresses that.

This question is from the Kaplan Qbank... I, for the record, got it wrong when I originally did the qbank, but I'm sure this time
Reply With Quote Quick reply to this message
  #6  
Old 05-22-2010
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 209
Threads: 34
Thanked 92 Times in 30 Posts
Reputation: 122
Default

child protective services
Reply With Quote Quick reply to this message
  #7  
Old 05-22-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 73
Threads: 7
Thanked 40 Times in 21 Posts
Reputation: 60
Default

Yes, correct answer is C.

But mine question is a little other. You reported and ... what? Wait for Child Protective Service, how long to wait?.

ashishkabir, yes it's question from qbank and I answered choice E, which is wrong. I thought that first removed kid from dangerous parents and after this mandatory part of notifying Child Protective Service.

That is why I'm asking older forum members for help in practical part of child abuse.
Reply With Quote Quick reply to this message
  #8  
Old 05-22-2010
ashishkabir's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 625
Threads: 19
Thanked 375 Times in 221 Posts
Reputation: 395
Default

Yup - its certainly a tougher ethics question... I'm glad we're discussing it. Hopefully someone older will offer some insight
Reply With Quote Quick reply to this message
  #9  
Old 05-23-2010
doctorF's Avatar
USMLE Forums Guru
 
Steps History: Not yet
Posts: 316
Threads: 68
Thanked 408 Times in 110 Posts
Reputation: 428
Default

although i m not an older....i shall answer

it is written in conrad fischer usmle medical ethics 100 cases book, the very first lines abt child abuse dat,

" physicians are mandatory reporters of child abuse. this means taht the physician has the duty to report child abuse even if they feel uncomfortable. there is no discretion whether or not to report abuse. in addition, even suspected child abuse shall be reported."

hope this helps....
__________________
Why does Good luck often carries more weightage than hard work in successes???
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
The above post was thanked by:
Seetal (05-25-2010)
  #10  
Old 05-25-2010
Seetal's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 919
Threads: 134
Thanked 1,324 Times in 364 Posts
Reputation: 1347
Send a message via MSN to Seetal
Default

Quote:
Originally Posted by doctorF View Post
although i m not an older....i shall answer

it is written in conrad fischer usmle medical ethics 100 cases book, the very first lines abt child abuse dat,

" physicians are mandatory reporters of child abuse. this means taht the physician has the duty to report child abuse even if they feel uncomfortable. there is no discretion whether or not to report abuse. in addition, even suspected child abuse shall be reported."

hope this helps....
thanks. now it makes more sense. i did think report it first, then i tot what if im wrong and the child has OGI-brittle bones? so ok report all suspicious cases and then after further hospitalization we'll know whats the ordeal.
Reply With Quote Quick reply to this message
  #11  
Old 05-25-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 73
Threads: 7
Thanked 40 Times in 21 Posts
Reputation: 60
Default

Thanks to all for replies and personally older doctorF

But ... I'll try to change a little my question

You family physician and you have such situation in your room. Of course, no X-ray, but bruises visible enough to suspect abuse. Yes, you mandatory notify child protective service. WHAT you do next ?

You are emergency room doctor and you have such situation. Yes, you notify, and WHAT ? Old bruises and hairline fracture of 2 ribs is not reason for hospitalization. Or now it will be mandatory?

May be it's not Step 1 situation, but who knows what to expect in near future.

Thanks.
Reply With Quote Quick reply to this message
  #12  
Old 05-25-2010
dr pinky's Avatar
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 38
Threads: 4
Thanked 10 Times in 9 Posts
Unhappy Kaplan video!!!!!

Quote:
Originally Posted by ashishkabir View Post
Hmm - The answer is C....

If you take the child into protective custody - you're not dealing with the fact that abuse has already occurred. The child is under your care now, so that's fine but the kind of follow up required involves Child protective services who can assess the situation further.

There is a mandatory reporting issue with child abuse and calling child protective services addresses that.

This question is from the Kaplan Qbank... I, for the record, got it wrong when I originally did the qbank, but I'm sure this time
Even in kaplan video Dr Daughtery STRESSES on "taking the child into your custody and then inform Child protection services & counselling the parents followed by proper medical treatment !!!!!!!
I don't get it , what to follow? Plz help :-(
Reply With Quote Quick reply to this message
  #13  
Old 05-25-2010
ashishkabir's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 625
Threads: 19
Thanked 375 Times in 221 Posts
Reputation: 395
Default

See thats what I thought originally too, Dr. Pinky... I took the course with Dr. Daugherty and he said the same thing in class. I wish I had seen this question then - but I'll email him and ask him to clarify, but according to the QBank the explanation is that well you have to deal with the mandatory reporting issue...

HOpefully he'll respond soon!
Reply With Quote Quick reply to this message
The above post was thanked by:
dr pinky (06-03-2010), Seetal (05-26-2010)
  #14  
Old 06-25-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 73
Threads: 7
Thanked 40 Times in 21 Posts
Reputation: 60
Default

I really confused with this concept. But funny thing is that Kaplan confused more than me.
New addition from Kaplan to the same question
Correct answer E. Taking child to custody first is recommended because to ensure the parents don't leave with the child before the authorities can be notified. First in custody, THEN report to Child Protective Services

Now it's logically
Reply With Quote Quick reply to this message
The above post was thanked by:
amit chahar (07-05-2012)
  #15  
Old 06-17-2012
curiousmind's Avatar
USMLE Forums Scout
 
Steps History: ---
Posts: 82
Threads: 5
Thanked 21 Times in 15 Posts
Reputation: 31
Default

gud question,
obviously chid has bruises on abdomen and thorax in different stages and
so called parents donno why???
and child has 2 rib fractures......

child should be taken into custody first, everything else like notifying CPServices follows later.

Obviously its the duty of the dr to protect the child from further harm...
Reply With Quote Quick reply to this message
The above post was thanked by:
amit chahar (07-05-2012)






Reply

Tags
Behavioral-Sciences-, MedicoLegal-Ethics, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Drugs of Abuse jackat1000 USMLE Step 1 Mnemonics 2 08-02-2011 12:35 PM
Substance Abuse Detection! wahaha007 USMLE Step 1 Forum 7 03-08-2011 12:10 AM
Drug Abuse anoop_1198 USMLE Step 1 Forum 3 05-01-2010 11:22 AM
Concerning Drugs of Abuse ! wahaha007 USMLE Step 1 Forum 1 04-02-2010 01:20 PM
asking for abuse during cs encounter accurate USMLE Step 2 CS Communication Skills 3 03-13-2010 11:57 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)