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Suggested Citation:"Appendix A Accreditation Requirements." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Page 193
Suggested Citation:"Appendix A Accreditation Requirements." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Page 194
Suggested Citation:"Appendix A Accreditation Requirements." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Page 195
Suggested Citation:"Appendix A Accreditation Requirements." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Page 196

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Appendix A Accreditation Requirements 193

Requirements 194 Health Care Accreditation Related to Discipline Institutions Family Violence Description Medical Schools Liaison Commission on S “The curriculum should prepare students for their role in addressing Medical Education (LCME) the medical consequences of common societal problems, for example, providing instructions in the diagnosis, prevention, appropriate reporting and treatment of violence and abuse.” Standards can be found on the LCME web site at www.lcme.org. Accreditation Council for X The institutional requirements of the ACGME are very practical in Graduate Medical Education nature and do not outline any single curriculum requirements (ACGME) including any dealing with family violence. American Osteopathic NS Institutions are required to include within the spectrum of Healthcare Association “Emergency Procedures” some instruction regarding “abuse and (AOHA) neglect” of children. While these standards are not a requirement onto themselves, they do seem to be somewhat quantifiable. Physician Residencies Residency Review Committees S The residency review committees of the ACGME, which accredit (RRC) of the ACGME programs rather than institutions, do have provisions for family violence in certain fields. Though the genetics area does not mention family violence, the areas of family practice and obstetrics indicate how to identify signs of family violence and the steps to take. Dental Schools American Dental Association, NS There is no specific mention of family violence in the accreditation Commission on Dental commission’s standards. Such training is believed to fall under the Accreditation (ADA) purview of a provision for “ethical reasoning” and “professional responsibility.”

Nursing Schools Commission on Collegiate X CCNE guidelines are very generic and do not provide for any Nursing Education particular curriculum requirements. The guidelines allow schools to Accreditation (CCNE) choose their own direction and philosophy and subsequently measures them against the standard they have chosen. Nurse Practitioners National League for Nursing NS “NLNAC does not include specific curriculum content areas within Accrediting Commission its standards and criteria. When specific curriculum content is (NLNAC) designated it is usually from the State Boards of Nursing since NLNAC is voluntary.” Standards can be accessed on the website at www.nlnac.org. National Association of NS NAPNAP recognizes that there is “substantial scientific evidence that Pediatric Nurse Associates children who are abused physically, sexually, emotionally or who are & Practitioners, Inc. neglected, are prevented from optimal development.” NAPNAP has in (NAPNAP) place a thorough position statement on child abuse/neglect. Psychology Programs Committee on Accreditation of X There is no mention of family violence in the APA accreditation AND Internship Sites the American Psychological guidelines. They take a broad stance on evaluating the goals that Association: accredits both institutions set for themselves. schools and internship sites (APA) continued on next page 195

Requirements 196 Health Care Accreditation Related to Discipline Institutions Family Violence Description Social Work Programs Council on Social Work NS CSWE has no specific requirements mandating that the issue of Education (CSWE) family violence be discussed on any level. There is an expectation that a program dealing with social work must at some point address the problem. Should an institution not do this, it would probably be cited. Physician Assistant Commission on Accreditation of X There is no reference to family violence made in the CAAHEP Allied Health Education standards or guidelines. Curriculum is the responsibility of the (CAAHEP) Programs sponsoring institution with the exception of a few general study education requirements. Effective January 1, 2001, CAAHEP no longer will be the accreditor of physician assistant education programs. All current accreditations are being transferred from CAAHEP to the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA). http://www.CAAHEP.org/caahep_pa.htm Note: S = specific existing requirements; NS = nonspecific requirements; X= no identifiable requirements.

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As many as 20 to 25 percent of American adults—or one in every four people—have been victimized by, witnesses of, or perpetrators of family violence in their lifetimes. Family violence affects more people than cancer, yet it's an issue that receives far less attention. Surprisingly, many assume that health professionals are deliberately turning a blind eye to this traumatic social problem.

The fact is, very little is being done to educate health professionals about family violence. Health professionals are often the first to encounter victims of abuse and neglect, and therefore they play a critical role in ensuring that victims—as well as perpetrators—get the help they need. Yet, despite their critical role, studies continue to describe a lack of education for health professionals about how to identify and treat family violence. And those that have been trained often say that, despite their education, they feel ill-equipped or lack support from by their employers to deal with a family violence victim, sometimes resulting in a failure to screen for abuse during a clinical encounter.

Equally problematic, the few curricula in existence often lack systematic and rigorous evaluation. This makes it difficult to say whether or not the existing curricula even works.

Confronting Chronic Neglect offers recommendations, such as creating education and research centers, that would help raise awareness of the problem on all levels. In addition, it recommends ways to involve health care professionals in taking some responsibility for responding to this difficult and devastating issue.

Perhaps even more importantly, Confronting Chronic Neglect encourages society as a whole to share responsibility. Health professionals alone cannot solve this complex problem. Responding to victims of family violence and ultimately preventing its occurrence is a societal responsibility

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