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Volume 23 (1)

Volume 23, Issue 1, Winter 2003 line
J Contin Educ Health Prof 2003; 23(1):54-63
ORIGINAL ARTICLE

Spouse/Partner Violence Education as a Predictor of Screening Practices among Physicians
Heather A. Sitterding, MPH
Tilahun Adera, MPH, PhD
Erima Shields-Fobbs, MPH

A b s t r a c t

Introduction: Spouse/partner violence is a major public health problem that affects 3 to 6 million women per year. Many studies show that the majority of health care practitioners do not detect or respond to cases of spouse/partner violence in their practice. Research suggests that there are potential barriers to reporting or detecting this problem. A barrier often cited is lack of proper education or training regarding spouse/partner violence. The objective of this study was to determine if physicians who received spouse/partner violence education at various stages of their careers were more likely to screen patients for spouse/partner violence.
Methods: A survey was developed and administered to family physicians and obstetricians/gynecologists in Virginia. The data were analyzed to determine screening practice and spouse/partner violence education among respondents. Four different educational opportunities were analyzed to determine potential determinants of screening.
Results: All respondents who had spouse/partner violence education were more likely to screen every patient than those who were lacking this education. Receiving lectures during residency training was found to be a significant predictor of screening every patient for spouse/partner violence among respondents.
Discussion: Screening every patient for exposure to spouse/partner violence is the ideal situation. This study indicates that education about spouse/partner violence has a significant impact on screening tendencies if provided during a physician's residency program.

Lessons for Practice
  • There is a need for the continuum of medical education to address spouse/partner violence.
  • Compared with selected other educational activities, spouse/partner violence education during residency training is effective for initiating universal screening practices.
  • Evaluation of existing curricula is important to ensure that educational programs generate desired results.
MeSH Terms: Clinical Competence; Education, Medical, Continuing; Family Practice; Gynecology; Obstetrics; Physician's Role; Physicians; Quality Assurance, Health Care; Questionnaires; Spouse Abuse
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