Objectives (Educational Content) :
1: Identify physical exam findings that signal a child’s increased risk of abuse and Compare histories that occur from accidental injury vs abusive injury. 2. Apply the TEN-4-FACESp bruising clinical decision rule correctly for identifying young children at increased risk of abuse. 3: Describe biological mechanism for long term impacts of child abuse.
Target Audience:
General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.
Identified Gap:
Early detection of abuse is necessary to protect our at-risk patients and development and implementation of a reliable screening tool is paramount for this endeavor.
Estimated Time to Complete the Educational Activity:
1 hour(s)
Expiration Date for CE/CME Credit:
10-17-2025
Method of Participation in the Learning Process:
The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.
Evaluation Methods:
All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.
Disclosure:
The following presenters have identified that they have no financial relationships with any ineligible companies. Mary Pierce, MD, FAAP
Accreditation Statement:
Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.
CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM. Physicians should only claim the credit commensurate with the extent of their participation in the activity.
Bibliography:
Everson TM, Kaczor K, Makoroff K, Meyers G, Rosado N, Charleston E, Bertocci G, Young A, Flores J, Lehnig K, Pierce MC. Epigenetic differences in stress response gene FKBP5 among children with abusive vs accidental injuries. Pediatr Res. 2023 Jul;94(1):193-199. doi: 10.1038/s41390-022-02441-w. Epub 2023 Jan 9. PMID: 36624283.
Pierce MC, Kaczor K, Acker D, Webb T, Brenzel A, Lorenz DJ, Young A, Thompson R. History, injury, and psychosocial risk factor commonalities among cases of fatal and near-fatal physical child abuse. Child Abuse Negl. 2017 Jul;69:263-277. doi: 10.1016/j.chiabu.2017.04.033. Epub 2017 May 10. PMID: 28500923.
Pierce MC, Kaczor K, Lorenz DJ, Bertocci G, Fingarson AK, Makoroff K, Berger RP, Bennett B, Magana J, Staley S, Ramaiah V, Fortin K, Currie M, Herman BE, Herr S, Hymel KP, Jenny C, Sheehan K, Zuckerbraun N, Hickey S, Meyers G, Leventhal JM. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA Netw Open. 2021 Apr 1;4(4):e215832. doi: 10.1001/jamanetworkopen.2021.5832. Erratum in: JAMA Netw Open. 2021 Sep 1;4(9):e2130136. doi: 10.1001/jamanetworkopen.2021.30136. PMID: 33852003; PMCID: PMC8047759.
