Completed Tasks

Educational Webcasts

There were six CHAMP webcasts this grant year:

1. October 12, 2022, How to Help Medical Professionals Talk to Parents about Healthy Sexual Development, Janet F. Rosenzweig, PhD, MPA. *Co-sponsored with APSAC-NY, Prevent Child Abuse New York, New York Society on the Prevention of Cruelty to Children, New York Foundling, St. John’s University Child HELP program, and the New York State Children’s Alliance.
2. November 16, 2022, I Can Tell You Because You’re a Trusted Medical Professional: Primary Prevention of Child Sexual Abuse, Martin A. Finkel, DO. *Co-sponsored with APSAC-NY, Prevent Child Abuse New York, New York Society on the Prevention of Cruelty to Children, New York Foundling, St. John’s University Child HELP program, and the New York State Children’s Alliance.
3. December 7, 2022, Mandated Child Abuse Reporting: Best Practices and Pros and Cons about What to Say and How to Engage Families after the Report, Vincent J. Palusci, MD, MS, FAAP, and Mary L. Pulido, MSW, PhD. *Co-sponsored with APSAC-NY and NY Foundling.
4. January 11, 2023, Features of Pediatric Burns and Co-existing Injuries Caused by Neglect, Intentional, and Unintentional Trauma, Heather Ross, MD, PGY6.
5. February 15, 2023, Interventions from a hospital system-wide patient safety monitoring system for child maltreatment, Jennifer B. Hansen, MD.
6. March 8, 2023, Child Sex Trafficking Training for Pediatricians, Dana Kaplan, MD, Lori Legano, MD, Nina Agrawal, MD.

Drs. Rosenzweig, Finkel and Hansen are nationally renowned experts in child health policy and child abuse pediatrics, respectively. Drs. Palusci, Kaplan, and Legano are current CHAMP Faculty and nationally recognized American Board of Pediatrics certified child abuse pediatricians. Dr. Ross is a current PGY6 Child Abuse Pediatrics fellow at SUNY Upstate Medical University. All webcasts bring research-based information to the child abuse professionals of NYS and provide an opportunity for attendees to get answers from an expert.

Webcast attendees identified themselves as being physicians, nurse practitioners, physician assistants and registered nurses working in pediatrics, emergency medicine and family medicine, many with SANE/SART/SAFE designation, and social workers and non-medical members of multidisciplinary teams. There was a total of 1721 registrants for the webcasts. Of those who registered, 424 applied for Continuing Medical Education (CME) credit. Both the webcasts and CME credits (one credit per webcast) are free to participants.

Webcast attendees identified themselves as being physicians, nurse practitioners, physician assistants and registered nurses working in pediatrics, emergency medicine and family medicine, many with SANE/SART/SAFE designation, and social workers and non-medical members of multidisciplinary teams. There was a total of 1721 registrants for the webcasts. Of those who registered, 424 applied for Continuing Medical Education (CME) credit. Both the webcasts and CME credits (one credit per webcast) are free to participants.

• Replacing language such as STI/STD with more open and less stigmatized phrasing
• How to interview a child victim of trafficking to encourage trust
• Teach others of the value of focusing on trauma-informed care
• To implement system wide monitoring of missed child abuse
• Increase education to ED and inpatient
• Better recognition of burn injuries in conjunction with histories
• Injury prevention and age-appropriate safety discussions with parents
• Request scene investigations early in the process
• I can support the patient without reporting and with reporting
• Better management in notifying parent/guardian of reporting and why
• Reassuring and engaging with family about reporting
• Awareness of discussion needed for sexual norms and development
• Change in education about "good touch/bad touch” and privacy vs secrecy

The Evaluating Child Sexual Abuse Course

The online course Evaluating Child Sexual Abuse (ECSA) continues to be an effective educational tool for pediatricians, emergency department physicians, physician assistants, nurse practitioners and SANEs. This grant year 191 professionals registered for the course. By June 30, 92 had passed the 100-question test. Of those who passed the test, 14 applied for and received CME credit. Although the course is free, there is nominal charge for the 12 CME credits.

The ECSA course was originally created to be the first step for New York State medical professionals to become CHAMP Network Members. Its use has expanded to being part of child abuse training for medical residents and fellows and self-preparation for certification examinations. Nineteen trainees from St. Joseph’s Hospital Health Center and SUNY Upstate Medical University, Syracuse, NY, including family medicine residents, pediatric residents and pediatric emergency medicine fellows completed ECSA as a part of their rotation in child abuse with the CARE clinic this year.

From the launch of the course in September 2011 through June 2023, there have been 2011 registrants. Of those, 984 have passed the test and 356 have applied for and received CME credit.

Other CHAMP Website Resources

This grant year the CHAMPprogram.com website drew over 319,000 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 37,000 downloads. That total includes over 3,800 Practice Recommendations related to Triage, Skeletal Survey, Photographic Documentation and Writing an Impact Statement; and over 1,700 Guidelines related to Evaluation of Physical Abuse, Evaluation of Sexual Abuse and Trauma- Informed Care. The 24 questions and answers of Test Your Knowledge were visited 51,000 times and the individual questions and answers of What Would You Do? regarding nine child trafficking cases were visited nearly 3,000 times.

Statistics for the ChildAbuseMD.com website that posts the searchable webbook Child Abuse Evaluation & Treatment for Medical Providers had a total of almost 56,000 visitors.

Since ChildAbuseMD.com was launched in mid-2005 and CHAMPprogram.com was launched in mid-2007, there have been nearly six million visitors to the websites.

CHAMP Mentors, Faculty and Network Members

This year CHAMP adopted new terminology to increase inclusivity, consistency, and reduce role confusion. CHAMP Mentors are now called Faculty and those who had been called CHAMP Faculty are now called Associate Faculty. This new terminology more closely mirrors academic medicine and better describes the collaborative relationship between CHAMP Faculty and Associate Faculty to provide educational experiences for medical students, residents, fellows and medical professionals. CHAMP Faculty are Child Abuse Pediatricians. Associate Faculty are physicians, advanced practice nurses or physician assistants who have training and experience in providing child abuse evaluations and work with CHAMP Faculty as part of a child abuse team.

A new CHAMP Faculty Child Abuse Pediatrician joined this year: Jennifer Clarke, MD, located at Elmhurst Hospital Center, Queens, NY. She is a solo practitioner and has greatly appreciated the support provided within CHAMP.

This year CHAMP added two Associate Faculty: Jackie Collard, RN, BSN, MS, C-PNP, at the Niagara County Child Advocacy Center, Oishei Children’s Hospital, Buffalo, and Kelly Smith, DNP, CPNP, SANE-P, at the Erie County Child Advocacy Center, Oishei Children’s Hospital, Buffalo. They both work with CHAMP Faculty member Iram Ashraf, MD.

To remain on the Active Network Member roster, members must attend at least three CHAMP educational webcasts annually. There were 21 Active Network Members at the start of the year, July 1, 2022. Of those, no one joined nor left, and 21 CHAMP Active Network Members remain as of June 30, 2023.

There are 22 New York counties that have one or more CHAMP Network Members. These counties are Albany, Broome, Cayuga, Dutchess, Erie, Fulton, Jefferson, Madison, Oneida, Orange, Otsego, Putnam, Rockland, Saratoga, St. Lawrence, Schenectady, Schuyler, Sullivan, Ulster, Warren, Washington and Westchester.

Other Educational Opportunities and Scholarly Activity

CHAMP education is an integral part of SUNY Upstate Medical University and the Maimonides Medical Center Child Abuse Pediatrics Fellowship programs. The educational webcasts, ECSA online course and weekly case conferences are part of the fellowship curriculum.

The CARE (Child Abuse Referral and Evaluation) Program, at Upstate Medical University, Syracuse, provided scheduled learning experiences and rotations for 41 Pediatric (one visiting from an Illinois program) and Family Medicine residents, two Pediatric Emergency Medicine fellows and three Child Psychiatry fellows. In addition, eight CHAMP Faculty and their Associate Faculty provided educational experiences for residents at their sites.

Recommendation

Collaborative Education

Collaborations greatly add to the success of CHAMP. For the sixth year, CHAMP collaborated with the American Professional Society on the Abuse of Children-New York (APSAC-NY) to present three webcasts. For two of the webcasts, this year’s collaboration also included the NYS Initiative to Prevent Child Sexual Abuse, and the NY Foundling, who sponsored and awarded 37 CEU credits to social workers. This collaboration supports increasing CME costs and expands the availability of speakers and the number of attendees.

Collaborations also enhance the educational process. CHAMP has continued involvement in planning discussions with the NY OCFS, who awarded funding to SUNY Upstate Medical University to expand CHAMP, including creation of an updated sustainable database for CHAMP, expanding CHAMP educational offerings, and completion of a statewide inventory questionnaire for child abuse pediatric medical provider teams.