on all forms of family violence. The time allocated for training about family violence appears to vary greatly from program to program, and content appears to focus on identification and treatment. The methods include primarily lectures and case discussions.
Pediatric residency programs report a mean of 8 hours of training on child maltreatment during the first and third years of training and a mean of seven hours during the second year (Dubowitz, 1988). The standardized experiences for pediatric emergency fellowship training include a curriculum developed by the American Board of Pediatrics, the American Academy of Pediatrics, and the American College of Emergency Physicians. Despite this program, fellowship directors in emergency medicine reported a need for an increase in training on child abuse (Biehler et al., 1996; Wright et al., 1999).
A number of residency and fellowship programs report intimate partner violence content. In a study of primary care internal medicine residency program directors on women’s health issues, 40 percent stated they include structured teaching on intimate partner violence in their training programs, and 20 percent believed their residents had mastered the subject (Staropoli et al., 1997). In a similar study of family practice residencies, 80 percent reported that intimate partner violence was included in their curricula (Rovi and Mouton, 1999). Teaching methodology consisted predominantly of lectures and case vignettes. Compared with a previous study, the inclusion of intimate partner violence content in family medicine residency curricula has increased (Hendrick-Matthews, 1991; Rovi and Mouton, 1999). Among psychiatry residents, 28 percent reported receiving any training about intimate partner violence during any phase of their medical education (Currier et al., 1996). Emergency medicine programs report increased attention to intimate partner violence and a focus on identifying potential victims and preventing further abuse (Abbott et al., 1995; Dearwater et al., 1998; Goldberg, 1984; McLeer and Anwar, 1989).
Elder maltreatment training varies from program to program but is less frequently included in training programs. Information on residency program training about elder abuse is minimal. Emergency medicine and geriatrics programs appear most often to include content on elder maltreatment. However, in a survey of practicing emergency medicine physicians, only 25 percent could recall any education on elder abuse during residency (Jones et al., 1997).
Little information is available about the level and amount of continuing medical education on family violence, beyond what the legal requirements dictate (discussed in Chapter 4). A number of lectures appear to be offered around the country each year and web-based programs exist, for which credit is available. The effects of continuing medical education on physician practice are discussed in depth in Chapter 6.