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Trauma-Informed Care in Pediatric and Adolescent Gynecology

      The older I get, the more I reflect on how much has changed since I was a medical student. When I was in medical school, wife abuse (now characterized more broadly as interpersonal violence or domestic violence), child abuse or neglect, rape, and sexual assault were all occurring in our society and against individuals worldwide. Physicians had some awareness of these traumas—particularly if they had occurred in their own lives or in their own families, or if they had asked the right questions of individual patients. However, this was not taught in our classrooms. It often wasn't recognized, and the burdens of these traumas were borne by individuals. We didn't read much about how frequently they occurred. I did learn about child abuse in medical school. The “father of pediatric radiology,” Frederic N. Silverman, one of my medical school professors, had been a pioneer in describing child abuse (the battered child syndrome) based on radiographic evidence of fractures.
      • Kempe CH
      • Silverman FN
      • Steele BF
      • et al.
      The battered-child syndrome.
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