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Factors impacting injury documentation after sexual assault: role of examiner experience and gender.
Am J Obstet Gynecol. 2004 Jun; 190(6):1739-43; discussion 1744-6.AJ

Abstract

OBJECTIVE

This study was undertaken to determine whether physician gender or level of experience is associated with the prevalence of trauma documented in victims after sexual assault.

STUDY DESIGN

All female patients 15 years or older reporting to an urban hospital with a complaint of sexual assault between January 1997 and September 1999 underwent a standardized history and physical examination by a second- or third-year resident in obstetrics and gynecology. Data were abstracted and verified. A chi(2) or Fisher exact test was used for categoric analysis.

RESULTS

The overall prevalence of genital trauma was 21% in the 662 patients available for analysis. The prevalence of genital trauma documented by second- and third-year residents was 50 of 191 patients (26.2%) and 90 of 471 patients (19.1%), respectively (P=.04), despite similar assault characteristics between the 2 groups. The prevalence of genital trauma documented by male examiners (105/499 [21.0%]) and female examiners (35/160 [21.9%]) did not differ (P=.8). All examiners documented a similar prevalence of body trauma (52%).

CONCLUSION

This study supports the hypothesis that the examiner's experience level may influence the prevalence of genital trauma documented after a sexual assault. Genital trauma documented was not associated with examiner gender in this study.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Washington, Seattle, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15284786

Citation

Eckert, L O., et al. "Factors Impacting Injury Documentation After Sexual Assault: Role of Examiner Experience and Gender." American Journal of Obstetrics and Gynecology, vol. 190, no. 6, 2004, pp. 1739-43; discussion 1744-6.
Eckert LO, Sugar N, Fine D. Factors impacting injury documentation after sexual assault: role of examiner experience and gender. Am J Obstet Gynecol. 2004;190(6):1739-43; discussion 1744-6.
Eckert, L. O., Sugar, N., & Fine, D. (2004). Factors impacting injury documentation after sexual assault: role of examiner experience and gender. American Journal of Obstetrics and Gynecology, 190(6), 1739-43; discussion 1744-6.
Eckert LO, Sugar N, Fine D. Factors Impacting Injury Documentation After Sexual Assault: Role of Examiner Experience and Gender. Am J Obstet Gynecol. 2004;190(6):1739-43; discussion 1744-6. PubMed PMID: 15284786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors impacting injury documentation after sexual assault: role of examiner experience and gender. AU - Eckert,L O, AU - Sugar,N, AU - Fine,D, PY - 2004/7/31/pubmed PY - 2004/8/20/medline PY - 2004/7/31/entrez SP - 1739-43; discussion 1744-6 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 190 IS - 6 N2 - OBJECTIVE: This study was undertaken to determine whether physician gender or level of experience is associated with the prevalence of trauma documented in victims after sexual assault. STUDY DESIGN: All female patients 15 years or older reporting to an urban hospital with a complaint of sexual assault between January 1997 and September 1999 underwent a standardized history and physical examination by a second- or third-year resident in obstetrics and gynecology. Data were abstracted and verified. A chi(2) or Fisher exact test was used for categoric analysis. RESULTS: The overall prevalence of genital trauma was 21% in the 662 patients available for analysis. The prevalence of genital trauma documented by second- and third-year residents was 50 of 191 patients (26.2%) and 90 of 471 patients (19.1%), respectively (P=.04), despite similar assault characteristics between the 2 groups. The prevalence of genital trauma documented by male examiners (105/499 [21.0%]) and female examiners (35/160 [21.9%]) did not differ (P=.8). All examiners documented a similar prevalence of body trauma (52%). CONCLUSION: This study supports the hypothesis that the examiner's experience level may influence the prevalence of genital trauma documented after a sexual assault. Genital trauma documented was not associated with examiner gender in this study. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/15284786/Factors_impacting_injury_documentation_after_sexual_assault:_role_of_examiner_experience_and_gender_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S000293780400211X DB - PRIME DP - Unbound Medicine ER -