Ingrid Walker-Descartes MD MPH Maimonides Medical Center
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Ingrid Walker-Descartes: So, the topic that I’m going to talk about today is child sexual abuse in the primary care setting. It’s the pleasure for me to not necessarily, not the subject itself but really talk about a topic where my two interests intersect and that’s child abuse and primary care. A lot of us might think that you really don’t see it much but my hope is to change your mind today after today’s presentation, that is actually there, present and visible if you are looking for it and sometimes when you are not looking for it. Okay, so I have some learning objectives for you today. So when you walk out of here these are the things that I’m confident that you will be able to do as a result of this talk. You going to be able to give a definition and describe the different forms of child sexual abuse, you are also going to become familiar with some of the dynamics. A lot of times, just like all pathological states, if you are unaware of some of the preconditions to a state, sometime it is very hard for you to diagnose it early. So we are going to think about child sexual abuse as a pathological state and we are going to talk about some of the dynamics around that. We are also going to detail the primary care pediatricians’ role in screening, identifying and documenting as well as reporting child sexual abuse. A lot of times I feel like the presentations you guys get are very filled, very much filled with the reporting the reporting part and that’s actually one of the things though our presentations are top-heavy with the reporting we still don’t do a really great job. So I’m going to try to cover all of that, okay. So let’s start off with some clarifications. In terms of the definition, the AAP Committee on Child Abuse and Neglect defines sexual abuse which I’m going to refer to in the course of this talk as CSA. As the engaging of a child in sexual activates that the child cannot comprehend for which the child is developed mentally unprepared and cannot give informed consent and or that violate the social and legal taboos of society.