Sexual Assault and Confidentiality in Adolescent Minors Tanuja Sharma MD, Janice Benson MD, Pooja Saigal MD University of Chicago Northshore Family Medicine Residency Program ABSTRACT RESULTS RESULTS (CONT.) Sexual assault in minors is a serious and underestimated issue in our nation that can present in various clinical settings beyond just the ED. Resident and attending physicians do not routinely receive formal training on caring for sexually assaulted minors and their families. In addition documentation of the findings in the evidence rape kit, and the legal aspect of confidentiality laws in minors are skills that are not familiar to most trainees. In fact, most primary care providers indicate that they would prefer to have subspecialist assistance them with the management of such cases. This is unfortunate because primary care providers likely have the closest relationship with patients and would be the most appropriate providers in these types of situations. In February 2015 a one-hour didactic small group interactive session was held for the University of Chicago (Northshore) Family Medicine residents and attending physicians. “Awesome. We need more of this” “Great topic” “We need more time in small group sessions and for questions” DISCUSSION A dedicated one-hour didactic small group interactive session has made a positive impact on our residents and attending physicians Our quantitative and qualitative data shows a significant improvement in the specific categories of: Knowledge of the IL laws Comfort of interviewing and performing PE Self assessed competency of interviewing and performing PE Awareness of the available resources PURPOSE A targeted needs assessment on the University of Chicago (Northshore) Family Medicine residents and attending physician’s reveal that out of 22 responses, >62% of our residents and attendings are not comfortable with their skills in interviewing and examining a sexually assaulted minor confirming the importance of dedicated teaching on this topic. Qualitative data and quantitative data was gathered from pre and post questionnaires. Results separated into two groups of residents and attending Number of residents = 11, Number of attendings = 4 Attending Themes: Higher overall scores More familiarity of adult cases Less dramatic improvement of scores of IL laws and resources Lowest scores in PE skills and comfort Resident Themes: Lower overall scores More time desired for small group case discussion Lowest scores in PE skills and comfort Future: increase more time spent on small group case discussion, incorporate hands on model/OSCE to evaluate competency of PE skills METHODS PRE-INTERVENTION: Pretest questionnaire at the beginning of the session SESSION: Didactic presentation Evidence rape kit Facilitated small group discussions Handouts of Illinois confidentiality laws Pocket cards of sexual assault guidelines and resources POST-INTERVENTION: Posttest questionnaire at the end of the session CONCLUSIONS There is a significant lack of training in caring for a sexually assaulted minor and their families. A 1 hour didactic and interactive session has made a positive impact in the degree of competency and comfort in caring for the residents and attendings of this residency program. CONTACT Dr Tanuja Sharma, tsharma@northshore.org University of Chicago Northshore Family Medicine Residency Program Glenbrook Family Care Center. 2050 Pfingsten Road #200 Glenview IL 60026. Partially supported by DHHS grant #D55HP20647 Qualitative data and quantitative data was gathered from pre and post questionnaires. Results separated into two groups of residents and attending Number of residents = 11, Number of attendings = 4