Date & Time: 2/22/27 - 12:30 - 2:30pm

Content overview: Children frequently present to the Emergency Department as well as the general pediatric medicine floors with sexual abuse concerns.  This course offering will include didactic and hands-on instruction for the initial evaluation and treatment planning for children who have experienced acute sexual abuse or sexual assault.  The information presented will include (1) Obtaining a non-leading history from the child if verbal as well as history collection from caregivers/investigative sources (2) Examination techniques to improve anatomical landmark identification, visualization, and documentation of findings including collection of clinical photography, (3) Treatment recommendations based on type and timing of sexual contact and risk factors of the alleged offender, and (4) Follow-up considerations including notifying PFM for coordination with regional Children’s Advocacy Centers for additional services and other treatment providers. This course includes 4 hours of self-paced virtual learning modules and a subsequent in person 2 hour didactic and skills lab. Participants are expected to complete the 4-hour self-paced virtual modules prior to the date of the in person 2 hour course.

Target audience: UK HealthCare and UK Affiliate providers who care for pediatric patients

Objectives
Upon completion of the presentation, participants will be able to: 
1. Collect an appropriate history regarding presenting sexual abuse/assault concerns 
2. Notify investigators dependent upon mandatory reporting guidelines and/or collaborate with existing investigators regarding the current concerns (if already involved) 
3. Perform a full head to toe physical examination including detailed anogenital examination with photo documentation of exam findings 
4. Perform evidence collection (both physical and DFSA) dependent upon the history provided regarding the sexual abuse/assault in the context of the child’s age and last timing of sexual contact 
5. Provide a medical evaluation plan for the child to collaborating providers including type and source of STI testing, pregnancy testing, STI prophylaxis and/or treatment, and pregnancy prophylaxis 
6. Formulate an aftercare plan that includes follow up STI/pregnancy testing, additional medical evaluation at the appropriate location (CAC, PFM, PCP), STI/pregnancy prophylaxis and/or treatment course, and mental health follow up
7. Thoroughly and accurately document the information obtained through the evaluation using the SAFE kit forms as well as typical medical documentation notes in an approved format

Course Outline 
1. Complete the 4 hours of videos prior to the live session
2. Register and Attend  the Live session date 12:30 - 2:30 pm 
A - Hour 1: Didactic: Advanced female anogenital anatomy lecture
B - Hour 2: Skills lab: Female Genital Examination Techniques Using a Silicone Model / Use of Cortexflo to Capture Examination of Genital Model / Use of Manual Camera to Capture Examination of Genital Model / SAFE and DFSA Kit Demonstrations / Vocalization of Differences Between Pubertal and Prepubertal Female Child Exam SAFE in Kit Collection

Self-Paced Virtual Module Agenda: Total 4 hours 
• Overview of Sexual Abuse/Assault and Epidemiology [20 min]
• Medical History Taking [40 min]
• Photo Documentation [30 min]
• General Physical Examination [30 min]
• Evidence Collection [25 min]
• STI/Pregnancy Testing, Prophylaxis and Treatment [40 min]
• Discharge Planning [15 min]
• Medicolegal Documentation [15 min]
• Sexual Abuse/Assault Law and Medicolegal Procedures [25 min]

In Person Didactic and Skills Lab: Total 2 hours 
• Didactic: Advanced Female Genital Anatomy [60 min]
• Skills Lab: Female Genital Examination Techniques Using a Silicone Model / Use of Cortexflo to Capture Examination of Genital Model / Use of Manual Camera to Capture Examination of Genital Model / SAFE and DFSA Kit Demonstrations / Vocalization of Differences Between Pubertal and Prepubertal Female Child Exam SAFE in Kit Collection [60 min] 

An Equal Opportunity University