A medical student's perspective on education about domestic violence

Abstract

Medical students, as physicians of the future, are well aware of the impact of violence and abuse on the health of patients and the well-being of society and are eager to learn all they can about family and intimate violence while in medical school. Yet, most academic and practicing physicians-the "experts" who teach students the art and science of medical practice-have received little or no education themselves in this area. In order for medical students to enter practice feeling more comfortable with their important roles in the prevention of and intervention in family and intimate violence, they need to receive comprehensive, integrated education during all four years of medical school. This article outlines the rationale for such education from the student's perspective, describes the impact of such efforts on medical students, and suggest specific strategies for implementing curricular reforms designed to fully train medical students in the knowledge, skills, and attitudes necessary to practice effectively in this area.

PIP: Comprehensive, integrated education on domestic violence during all 4 years of medical school is essential if physicians are to play a role in the prevention and detection of intimate partner violence. However, it is not uncommon for women to present to US hospitals multiple times over a period of years with injuries such as broken bones and stab wounds and not be questioned about the possibility of partner violence. Questions about partner violence should be included in every patient history. Unfortunately, physicians have not been taught what questions to ask and how to ask them with sensitivity. The use of survivors of domestic violence in small group seminars is especially effective for offering medical students the opportunity to overcome biases and practice interviewing skills. Finally, it is essential that residents and attending physicians who work with medical students model a commitment to domestic violence prevention and intervention.