I receive a lot of questions about determining the age of bruises. Although the research has shown that determining the age of bruising by clinicians based on color provides consistently inaccurate results, with poor interrater reliability, I still find that some are loathe to turn their backs on this highly unreliable assessment technique. So I […]
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Staying Current
I will probably spend more time talking about the importance of reading and staying current with research and programmatic and clinical developments tomorrow, but for now, let me just say that based on the emails I have been getting, there is still a lot of confusion about where to find articles, including peer-reviewed research. Allow […]
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10 Things: Gifts for Colleagues
Still have some shopping to do for trusted team members and other colleagues? Allow me to make some suggestions. A new 10 Things: Gifts for Colleagues after the jump…
Many of you may have seen the recently published article by the New England Journal of Medicine, Care of the Adult Patient After Sexual Assault (it’s available as a free full text article in PDF form). It was posted on the IAFN Community site (for those of you who are members), along with some comments by […]
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#DSK
With all the press surrounding the Dominique Strauss-Kahn case, it’s hard not to comment. But quite frankly, there’s plenty that’s already been said (and in some cases, said really well), so I’ll leave it at this: in my 16 years of taking care of sexual assault patients, I have yet to meet the victim that […]
The Adverse Childhood Experiences (ACE) Study, conducted by Dr. Vincent Felitti and his colleagues, is one of the most frequently cited bodies of research when it comes to discussing the healthcare impact of violence in its various forms. I talk about it frequently when I teach and consult, but I realized I didn’t actually have […]
Last spring, I published a piece examining alternate light sources as a tool for semen and other bodily fluid detection. I promised I would come back with a piece on using ALS to identify and photograph injury not obvious or visible to the naked eye. Coincidentally I’ve been asked for some predicate questions by a […]
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Trafficking in Persons
I don’t know how many of you read the Sunday NY Times, but this past weekend the Magazine ran a special series: Saving the World’s Women. There were a few articles that were particularly interesting, including The Women’s Crusade and an interview with Secretary of State Hillary Clinton. Not surprisingly, trafficking and gender-based violence were […]
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Prostitution, Pt. 1
Prostituted women and children present with some significant healthcare challenges for clinicians. Sexually transmitted infections and traumatic injuries are just a couple of the issues. At only a few of the conferences I attend does this subject come up; at healthcare-specific conferences, the topic is almost nonexistent. In a cursory search of past abstracts from […]
I seem to be on an article kick right now, because I have more for you today. I was actually looking for something else entirely and stumbled across the AMA‘s Journal of Ethics, Virtual Mentor, instead. Having never heard of it (not being an AMA member), I was fascinated that this online ethics publication had […]
The issue of Wood’s Lamps and other alternate light sources (ALS) in sexual assault medical forensic exams came up this week and it got me thinking about how often we do things because we were taught we should, and not because they’ve been shown to be particularly useful or effective. So I thought I’d take […]
The Child Trauma Academy in Houston, TX is now accepting registrations for their Spring Clinical Teaching Series. The series offers 10 online sessions on a variety of topics related to working with high-risk children using the Neurosequential Model of Therapeutics. All courses take place on Fridays from 11:30-1pm, Central Time.