Sexual violence screening practices among Obstetricians and Gynecologists
ACOG ePoster. Baer S. 04/27/18; 211450; 21F
Samantha Baer
Samantha Baer
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Abstract
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Introduction: In the United States, almost 1 in 5 women are affected by sexual assault and may face particular challenges when it comes to obstetric and gynecologic care. This study examines providers' knowledge, comfort level, and barriers to screening patients for a history of sexual violence.

Methods: We conducted an anonymous computer-based survey which was sent to all physicians (n=46) in an Obstetrics and Gynecology department at a tertiary academic medical center.

Results: Our sample included 18 faculty members and 18 resident physicians for a response rate of 78%. The majority agree that it is important (97%) and that it is part of their role (81%) to screen patients for a history of sexual violence. While the majority agree that they feel comfortable screening patients for a history of sexual violence (69%), only 44% screen at least half of the time. The majority report feeling comfortable modifying their physical exam techniques to meet the needs of a patient with a history of sexual violence (61%), but do not know how to connect patients with timely, accurate resources (75%) and have not received formal training in screening patients (67%), responding to a disclosure of violence (67%), or modifying physical exam techniques (75%).

Conclusion/Implications: Most providers agree that screening for a history of sexual violence is important and is part of their role as obstetricians or gynecologists. However, less than half screen patients regularly. Additional training and education could improve this discrepancy and improve care for patients with a history of sexual violence.
Introduction: In the United States, almost 1 in 5 women are affected by sexual assault and may face particular challenges when it comes to obstetric and gynecologic care. This study examines providers' knowledge, comfort level, and barriers to screening patients for a history of sexual violence.

Methods: We conducted an anonymous computer-based survey which was sent to all physicians (n=46) in an Obstetrics and Gynecology department at a tertiary academic medical center.

Results: Our sample included 18 faculty members and 18 resident physicians for a response rate of 78%. The majority agree that it is important (97%) and that it is part of their role (81%) to screen patients for a history of sexual violence. While the majority agree that they feel comfortable screening patients for a history of sexual violence (69%), only 44% screen at least half of the time. The majority report feeling comfortable modifying their physical exam techniques to meet the needs of a patient with a history of sexual violence (61%), but do not know how to connect patients with timely, accurate resources (75%) and have not received formal training in screening patients (67%), responding to a disclosure of violence (67%), or modifying physical exam techniques (75%).

Conclusion/Implications: Most providers agree that screening for a history of sexual violence is important and is part of their role as obstetricians or gynecologists. However, less than half screen patients regularly. Additional training and education could improve this discrepancy and improve care for patients with a history of sexual violence.
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