OPEN ACCESSMay 15, 2007Domestic Violence Simulated Patient Case Susan Glick, MD Susan Glick, MD University of Chicago Division of the Biological Sciences The Pritzker School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.624 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: Learning to care for vulnerable populations, including survivors of domestic violence, is an essential part of undergraduate and graduate medical education. While classroom instruction may increase learners' knowledge, it may not teach the skills required to successfully screen and respond to survivors of violence in the office. Formal office-based teaching about domestic violence is hampered by difficulty predicting when and where survivors of violence will be seen. As a result, learners' experiences with domestic violence are fragmented and inconsistent. Simulated patients can fill this void, reliably enabling learners to apply their knowledge to the clinical environment. This simulated patient case aims to enable learners to recognize and respond to victims of domestic violence. Methods: The patient presents with a complaint (headache) commonly encountered in the primary care setting. Triggers to encourage learners to ask about domestic violence (e.g. chronic unexplained pain, miscarriages, and possible family history of violence) are embedded within the case. Results: Twelve primary care internal medicine residents participated in this case. Four had participated in an 8-week seminar series in domestic violence 18 months prior to the simulated patient program that included 24 hours of classroom and community-based instruction on this topic. Eight residents had received only a 1-hour conference on domestic violence. Of the four residents with extensive instruction in domestic violence, only three screened the simulated patient for domestic violence. All three of these residents responded appropriately to the survivor, including validating her experience, assessing her safety, and referring her for appropriate advocacy, counseling, and legal services. Of the eight residents with minimal prior instruction in domestic violence, five screened the simulated patient for domestic violence. All five of these residents referred the patient for appropriate services, yet only three of the five validated the patient's experience and four out of five assessed her safety. Of the 12 residents who participated in this case, 10 found the case highly educational and two found it very educational. Eight residents found the case highly realistic, three found it very realistic, and one found it somewhat realistic. Residents felt the best components of the simulated patient program were the opportunity to obtain feedback about their communication skills, the postclinic conference, learning about vulnerable populations, and the overall quality of the program. Eleven of the residents recommended that the residency program offer another simulated patient program in the future; one resident did not wish to participate in another simulated patient program. Discussion: The postencounter discussion and videotape review provide opportunities to reinforce and further strengthen learners' knowledge and skills. Educational Objectives By the end of this resource, learners will be able to: Recognize risk factors for domestic violence.Recognize chronic unexplained pain as a common presenting symptom in survivors of domestic violence.Demonstrate screening for domestic violence.Respond appropriately to survivors of violence. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Domestic Violence Simulated Patient Case.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Cited ByRagavan M, Karpel H, Bogetz A, Lucha S and Bruce J (2016) Health Education for Women and Children: A Community-Engaged Mutual Learning Curriculum for Health Trainees, MedEdPORTAL, 12, Online publication date: 1-Jan-2016.Clithero A, Albright D, Bissell E, Campos G, Armitage K, Solan B and Crandall C (2016) Addressing Interpersonal Violence as a Health Policy Question Using Interprofessional Community Educators, MedEdPORTAL, 12, Online publication date: 1-Jan-2016. Copyright & Permissions© 2007 Glick. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial license.KeywordsAbuseVulnerable PopulationsHeadacheMiscarriagesChronic Unexplained Pain Disclosures None to report. Funding/Support None to report. Prior Presentations Glick SB, Lemon M. Beyond “Call Social Work”: a simulated patient program to improve residents' ability to care for vulnerable populations [Society of General Internal Medicine National Meeting, Poster, Vancouver, British Columbia, Canada]. J Gen Intern Med. 2003;18(Suppl 1):109. Glick S, Abrams R, Buchanan D, Cohen M, Francis L, Lemon M, McAuley J, Riordan K, Rohr L, Smith J, Whitaker E. Teaching and learning about vulnerable populations. Half-day presession at: Society of General Internal Medicine National Meeting; 2002; Atlanta, GA. Loading ...
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