2016-2017 CHAMP Program Annual Summary

Annual Summary PDF (printer friendly version)

CHAMP continues to be seen as a source for quality professional education regarding child abuse. The webcasts, online coursework, website features like Test Your Knowledge, and downloadable practice recommendations and other clinical resources draw a large number of visitors. Comments include:

• Will educate staff and increase educational outreach for a greater understanding of the impact of ACEs and why we need to prevent child maltreatment.

• Key points will be shared as reinforcement to multidisciplinary members and residents.

• This resource will be sent to CACs in our network.

• This information will be added to materials used in teaching providers.

• Webcast was very informative and appreciate the dialogue among experts at the end.

• Excellent on point presentation by each discussant with a wealth of pertinent information.

• Thank you so much for organizing and providing such high quality lectures.

• Outstanding course!

• CHAMP is a great continuing education resource. Thank you.

Completed Tasks

Educational Webcasts

There were six CHAMP webcasts this grant year:

1. October 5, 2016 — Updated Guidelines for Post-Assault Testing and Treatment by Ann Botash, MD
2. November 8, 2016 — When It’s Not Child Abuse by Ann S. Botash, MD, Linda Cahill, MD, Jennifer Canter, MD, Ann Lenane, MD, Jamie Hoffman-Rosenfeld, MD, and Yorgo Zahlanie, MD
3. December 14, 2016 — Orthopedic Aspects of Child Maltreatment by Jamie Hoffman-Rosenfeld, MD
4. January 18, 2017 — Strategies for Medical Evaluation of Child Abuse in Children with Developmental Delays by Ann S. Botash, MD, Linda Cahill, MD, Vince Palusci, MD, and Alicia Pekarsky, MD
5. February 22, 2017 — Anticipatory Guidance for Unanticipated Behaviors in Children: Child Sexual Behaviors and the General Pediatrician by Ingrid Walker-Descartes, MD
6. March 22, 2017 — The Adverse Childhood Experiences Study: Effects of Child Maltreatment Now and Later by Alicia Pekarsky, MD

Webcast attendees identified themselves as being physicians, nurse practitioners, physician's assistants, and registered nurses working in pediatrics, emergency medicine and family medicine, many with SANE/SART/SAFE designation, and also social workers and non-medical members of multidisciplinary teams. There was a total of 925 registrants for the webcasts. Of those who registered, 532 applied for Continuing Medical Education (CME) credit. Both the webcasts and CME credits (one credit per webcast) are free to participants.

Attendees evaluated all webcast presenters as excellent and the content as being clear and helpful. From the responses to the surveys at the end of the webcasts, attendees planned to make significant changes in their practice, including:

• I will be better able to educate parents and caregivers.
• Six protective factors: will use this information when assessing patient's social support and when educating care givers.
• Our team is working on a STI algorithm and will use this information to guide us.
• Will make changes to our testing and treatment protocols.
• Importance of follow-up and communication with initial examiners.
• Go to literature to see what other case studies might be beneficial to the particular case.
• Encourage investigators to obtain further information, such as re-enactments and video surveillance.
• Markedly increased awareness of difficulties addressing child abuse in children with developmental delays of varying types and degree of impairment.
• Evaluate communication ability, mobility, family and school factors which may impact care for child.

The Evaluating Child Sexual Abuse Course

The online course Evaluating Child Sexual Abuse continues to be an effective educational tool for pediatricians, emergency department physicians, physician’s assistants, nurse practitioners, and SANEs. This grant year 137 professionals registered for the course. By June 30, 61 had passed the 100-question test. Of those who passed the test, 24 applied for and received CME credit and 8 applied for and received American Board of Pediatrics Maintenance of Certification Part 2 (MOC) credit. Although the course is free, there is nominal charge for the 12 CME credits and 20 ABP MOC points.

The ECSA course was originally created to be the first step for New York State medical professionals to become CHAMP Members. Its use has expanded to being part of child abuse training for medical residents and self-preparation for certification examinations.

From the launch of the course in September 2011 through June 2017, there have been 1081 registrants. Of those, 530 have passed the test and 289 have applied for and received CME credit.

Other CHAMP Website Resources

This grant year the CHAMPprogram.com website drew nearly 193,000 visitors. In addition to viewing web pages, visitors downloaded a significant number of resources. Tracking the number of downloads from the top 150 resources offered on the website, there were over 26,000 downloads. That total includes over 3,000 Practice Recommendations relating to Triage, Testing and Treatment, Skeletal Survey, and Photographic Documentation.

In addition, the 24 questions and answers of Test Your Knowledge were visited over 48,000 times.

Statistics for the ChildAbuseMD.com website that posts the searchable webbook Child Abuse Evaluation & Treatment for Medical Providers had a total of over 244,000 visitors.

Since ChildAbuseMD.com was launched in mid-2005 and CHAMPprogram.com was launched in mid-2007, there have been over three and a half million visitors to the websites.

CHAMP Network Members

This grant year three medical professionals became new CHAMP Network Members by successfully passing the Evaluating Child Sexual Abuse course and a completing a clinical observership at the CHAMP Center of Excellence in Syracuse, NY. Patricia Babcock, NPP, Chemung County, Maureen McRae, MD, Ontario County, and Kelly Wilmarth, NP, Broome County, were added to the roster of CHAMP Active Network Members. This expands the geographic area that CHAMP Members service, as Ontario County now has a CHAMP Active Network Member provider.

To remain on the Active Network Member roster, Members must attend at least three CHAMP educational webcasts annually. Of the 29 Active Members that started this grant year, 28 maintained Active status. One became inactive by failing to meet the education requirement and three new medical professionals became Active Network Members. As a result, there were 31 CHAMP Active Network Members as of June 30, 2017.

In addition, Linda Cahill, MD, at the J.E. and Z.B. Butler Child Advocacy Center of the Children’s Hospital at Montefiore provided 24 residents with an opportunity to complete the CHAMP Residency Training Program. Residents who complete this program can become CHAMP Members when they are licensed to practice in NYS by submitting three of their recent child sexual abuse cases for review by a CHAMP expert.

Recommendations

Educational Opportunities

CHAMP has received an increased number of requests to allow access to archived webcast recordings. Medical providers who have registered for a webcast are sometimes unable to attend because of other professional demands. In addition, providers have wanted to share a webcast with multidisciplinary team members at their child advocacy center who did not attend the scheduled webcast. This would add flexibility and expand the audience CHAMP reaches with educational programming if a secure archive of webcast videos was created.

The National Children’s Alliance (NCA) 2017 standards for accredited member child advocacy centers now include a portion of case peer expert reviews for abnormal sexual abuse findings. However, the continuous quality improvement process does not include guidelines for education, therefore losing an important opportunity to improve medical practice. CHAMP could help address this lost opportunity by conducting de-identified case reviews as one of its scheduled webcasts.