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Education and Training

Medical training in the area of child abuse and neglect is provided through one to four week clinical rotations for medical students, residents and fellows in Pediatrics, Family Medicine, Emergency Medicine and Psychiatry at Duke and UNC-Chapel Hill. Child abuse training is also provided through daily or weekly training sessions for DUMC and UNC nurses, SANE nurses, nurse clinicians, physician extenders, clinical social workers, and psychologists. On-going child abuse and neglect training is provided to community agency members from Department of Social Services Child Protective Services, Law Enforcement, and the Guardian ad Litem program. Physician and medical student training includes participation in inpatient/ER consults, precepted child abuse/neglect evaluations in the outpatient clinic setting, regularly scheduled didactics at DUMC, multidisciplinary clinical case reviews, community child abuse multi-agency review team meetings, and court cases of child abuse/neglect in both district and superior court.   

Additional training opportunities for local medical and mental health providers are provided through the North Carolina Centers Training Grant which provides up to three days of precepted training in child abuse/neglect assessments at the Duke Child Abuse and Neglect Medical Evaluation Clinic.

Medical Student Elective

Duke and UNC medical students can select a one or two week elective with the Child Abuse and Neglect Service. Students will participate in three to five half day clinics at the Duke Child Abuse/Neglect Medical Evaluation Clinic. They will observe caretaker and child interviews, participate in physical and colposcope examinations, and interact with community agency members (CPS and law enforcement). Medical students will accompany child abuse consultant physicians as they perform inpatient or emergency department consults. They will also accompany child abuse physicians who are scheduled to testify in court as expert witnesses. Medical students will participate in weekly multidisciplinary case review conferences and community child abuse multi-agency review team meetings. Medical students will meet one-on-one with child abuse physicians for review of child abuse articles, training CD ROMs and texts. Rotations during the third week of each month will include participation in the NC state child abuse medical examiner televideo conference. 

Residency Elective

Child Abuse and Neglect Rotation
General Pediatric Residency, Family Medicine Residency, Emergency Medicine Residency

DUMC Pediatric, Family Medicine, Emergency Medicine and Psychiatry Residents and Fellows can select a one week to four week elective with the Child Abuse and Neglect Service. The rotation can be scheduled in the second half of the PL1 year but is usually scheduled in the PL2 or PL3 year.

Fellowship Training Program

The goal of the Pediatric Child Abuse and Neglect Training Program is the consummate preparation of physicians as Child Abuse and Neglect Specialists. The Fellowship Training Program meets this goal by building on the established tradition of excellence while developing new ideas in the following areas: mentorship/professional development, fellowship balance, education, patient care, and research.

Child Abuse Pediatrics is currently recognized by the American Board of Pediatrics as an official subspecialty of pediatrics. Physicians who successfully complete a three year ACGME fellowship in Child Abuse are eligible to take the Child Abuse Boards. The Duke Department of Pediatrics has an ACGME-accredited fellowship in Child Abuse Pediatrics as of October 2013. 

The Child Abuse and Neglect fellowship includes direct clinical training in both inpatient and outpatient settings. The fellow works with the Inpatient/ER Child Abuse and Neglect Consult Service performing inpatient consults when there are concerns of abuse/neglect for children admitted to Duke University Hospital or seen in the Emergency Room. Training and supervision for the fellow during inpatient child abuse/neglect consult work is with one of the two Child Abuse and Neglect attending physicians, both of whom are board certified in Child Abuse Pediatrics. The fellow also rotates in the on-call schedule for the Inpatient/ER Child Abuse and Neglect Consult Service.