EDITORIAL It’s Time for Standardized Training, Referral Centers, and Routine Peer Review HE ARTICLE by Bowen and Aldous in this others. Two new atlas- month’s ARCHIVES is a welcome addition to textbooks will soon be the literature on medical assessment of sus- available on CD-ROM for pected child sexual abuse. Once again, the clinicians interested in us- T history given by the child is revealed as the ing an interactive format, most important factor in assessing possible abuse, and the one by David Muram, MD, results of physical examination are shown to be normal and another by John or nonspecific in 83.5% to 94.4% of the cases. Of patients McCann, MD. An excel- referred by physicians for suspicious physical findings with- lent and affordable text by out any history, only 14.3% of patients actually had sus- Heger and Emans will also picious genital or anal findings on examination. soon be published in a sec- Physicians who rarely perform careful genital or anal ond edition by Oxford examinations on their patients will often become alarmed University Press. How- by the appearance of the vaginal opening in a prepuber- Joyce A. Adams, MD ever, the busy clinician in tal girl or
JAMA Pediatrics – American Medical Association
Published: Nov 1, 1999
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