Family Violence Quality Assessment Tool for Primary Care Offices

Dr. Zink will discuss the Family Violence Quality Assessment Tool for Primary Care Offices, a modified version of Dr. Coben\u27s Delphi Instrument. The tool may be used to assess family violence efforts in primary care at the beginning and intermittently. It is meant to be a tool for identifying deficiencies so they can be remedied and the care to patients living with violence and abuse can be improved

Becoming a Doctor: Reflections by Minnesota Medical Students

Caring for patients is a privilege. Learning how to assist and watch patients as they grapple with the challenges and joys life dishes out is a process. If we are paying attention, we gain insights into our own struggles. Medical students from across Minnesota reflect on their experiences in the anatomy lab and the library, on the hospital wards and in clinic exam rooms. Their musings represent the universal experience of learning to negotiate the path of becoming a physician. Discussion questions are included.https://corescholar.libraries.wright.edu/books/1053/thumbnail.jp

Should Children Be in the Room When the Mother Is Screened for Partner Violence?

BACKGROUND: The goal of our study was to understand the important issues to consider when screening women for intimate partner violence in front of their children. METHODS: Interviews and focus groups were conducted with experienced family physicians and pediatricians and family violence experts (child psychologists, social workers, and domestic violence agency directors). Session transcripts were coded and categorized. RESULTS: Experts disagreed on the appropriateness of general screening for intimate partner violence in front of children older than 2 to 3 years. The majority thought that general questions were appropriate, if the in-depth questioning of the abused parent was done in private. Screening for child abuse when domestic violence is identified (and for domestic violence when child abuse is discovered) was recommended. Documentation about intimate partner violence in the child’s medical chart raises questions about confidentiality, since the person committing the abuse may have access, if he or she is a legal guardian. Physicians need more education on the symptoms of children who are exposed to violence between adults. CONCLUSIONS: More research is needed to understand appropriate questions and methods of screening for intimate partner violence in front of children. The tension is between practical recommendations for routine screening and preserving the safety of the parent and the children. Intimate partner violence screening by physicians is important. Interrupting the cycle of violence may give a child a better chance at maturing into a healthy adul

Family Violence Quality Assessment Tool for Primary Care Offices

Dr. Zink will discuss the Family Violence Quality Assessment Tool for Primary Care Offices, a modified version of Dr. Coben\u27s Delphi Instrument. The tool may be used to assess family violence efforts in primary care at the beginning and intermittently. It is meant to be a tool for identifying deficiencies so they can be remedied and the care to patients living with violence and abuse can be improved

Confessions of a Sin Eater: A Doctor\u27s Reflections

Dr. Therese Zink, teacher, clinician and researcher, explores the burden, mystery and privilege of doctoring. As a family physician, the act of listening and holding stories is a vital part of healing for both the patients and the healer. In this collection, Dr. Zink shares stories she gathered while caring for patients in a domestic violence shelter, on the Navajo reservation, in Nazran, Ingushetia (Russia), on mission trips in Latin America and in her clinic in rural Minnesota. Confessions of a Sin Eater lays bare the human heart of the author and reveals the best and worst of our journeys as humans. Discussion questions are included

The Accuracy of Five Domestic Violence Questions with Non-graphic Language For Use in Front of Children

To assess the accuracy of 5 domestic violence screening questions designed with less graphic language that they may be appropriate when children are present, mother (n = 400) were recruited from primary care waiting rooms. Sensitivities, specificities, and predictive values were calculated using the revised Conflict Tactic Scale. How do you and your partner work out arguments? was the best individual question (area under the receiver operating characteristics curve 0.82, sensitivity 25%, specificity 97.7%). The 3-question combination with the domains of argument, safety, and manner of treating you and the children had the best results (area under the receiver operating characteristics curve 0.86, sensitivity 45.5%, and specificity 94.6%). The high specificity suggests a less graphic and potentially more acceptable group of questions for introductory discussions about domestic violence