Abstract
CME Educational Objectives 1. Define Munchausen syndrome by proxy (MSP) and provide a more specific classification scheme that accurately reflects the spectrum of this disorder. 2. Determine the clinical characteristics of the specific subtypes of MSP. 3. Clarify the role played by the medical provider in MSP and challenges posed by our modern health care delivery system. Munchausen syndrome by proxy was described 35 years ago, 1 and yet it remains a complicated, controversial, and confusing condition. The term was initially limited to circumstances in which a caregiver surreptitiously injured the child or the child’s symptoms were fabricated, both leading to unnecessary or potentially harmful medical care.
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