Advanced Issues in Child Maltreatment October 7
REGISTRATION
OPENING REMARKS
JULIE LAMOTHE
REPRESENTATION AND RECONCILIATION
DAVID ALEXANDER ROBERTSON
OBJECTIVES: 1. How outside influences in how they represented “truth”, most prevalent in popular culture, have impacted the way we have viewed ourselves, and each other, both historically and from a contemporary perspective.
ADVERSE CHILDHOOD EXPERIENCES (ACES): CURRENT STATE OF KNOWLEDGE AND CONTROVERSIES IN THE FIELD.
DR. TRACIE AFIFI
OBJECTIVES:
1. To review the history of ACEs.
2. To understand what is currently known about ACEs.
3. To identify the current controversies and limitations in the field.
4. To make recommendations for future directions for the field.
BREAK
AN OVERVIEW OF THE SPANKING RESEARCH: SPANKING IS AN ADVERSE CHILDHOOD EXPERIENCE (ACE)
DR. TRACIE AFIFI
OBJECTIVES:
1. To review the spanking research.
2. To understand why spanking is an ACE.
LUNCH
MOVING BEYOND PHYSICAL PUNISHMENT: THE ROLE OF PROFESSIONALS
DR. JOAN DURRANT
OBJECTIVES:
1. To be aware of the global shift toward defining corporal punishment as child maltreatment.
2. To understand an alternative conceptualization of discipline as non-violent, non-punitive problem solving.
3. To understand the critical roles of law reform and parent support in shifting individual beliefs and cultural norms to prevent violence against children.
MASS CASUALTY RESPONSE: LESSONS LEARNED
DR. STACEY BYNKOSKI & DR. LINDSEY CUNNINGTON
OBJECTIVES:
1. Review the Manitoba experience with mass casualty incidents.
2. Understand community response strategies, acknowledging local needs, culture, and respect for privacy.
BREAK
CHILD SEXUAL ABUSE – WHAT WE HAVE LEARNED AND WHERE DO WE GO FROM HERE
LINDSAY LOBB
OBJECTIVES:
1. Learn the scope of the problem of child sexual abuse.
2. Learn the unique impacts of child sexual abuse material.
3. Review the multi-sector responses – what you can do.
4. Discuss tangible resources that can be used in day-to-day practice.
Advanced Issues in Child Maltreatment October 8
REGISTRATION
PEDIATRIC SEXUAL ABUSE EXAMINATIONS: WHAT YOU NEED TO KNOW WORKING FROM THE SIDELINES TO THE FRONT LINES (Part 1)
ASHLEY SMITH
OBJECTIVES:
1. Demonstrate an understanding of the sexual assault examination and its purpose.
2. Identify situations in which sexual assault examinations may be urgent versus non-urgent.
3. Develop an evidence based understanding of the findings of an examination and how they may be interpreted.
BREAK
PEDIATRIC SEXUAL ABUSE EXAMINATIONS: WHAT YOU NEED TO KNOW WORKING FROM THE SIDELINES TO THE FRONT LINES (Part 2)
ASHLEY SMITH
OBJECTIVES:
1. Demonstrate an understanding of the sexual assault examination and its purpose.
2. Identify situations in which sexual assault examinations may be urgent versus non-urgent.
3. Develop an evidence based understanding of the findings of an examination and how they may be interpreted.
LUNCH
BEING AN EXPERT WITNESS: SURVIVAL TIPS
DEAN KROPP, BRUCE SYCHUK, & HON. JUDGE RAYMOND E. WYANT
OBJECTIVES:
1. It starts with a good report, the right credentials, and understanding your duty to the court.
2. Presenting your expert evidence (direct examination).
3. Withstanding the cross examination.
4. A view from the bench: what works and what does not.
BREAK
DEFENSE EXPERTS IN CHILD ABUSE LITIGATION: IT’S LIKE “WHACK-A-MOLE”
DR. LORI FRASIER
OBJECTIVES:
1. Recognize common “alternative” defense theories that are pre sented in court to refute child abuse injuries.
2. Understand the lack of literature and clinical evidence base for these “alternative” theories of child abuse injuries.
3. Describe how current literature, and staying firmly evidence based will assist in addressing alternative defense theories.
CLOSING REMARKS
JULIE LAMOTHE
CANADIAN MUSEUM OF HUMAN RIGHTS
ORGANIZED TOUR
Medical Evaluation of Suspected Abuse October 9
REGISTRATION
OPENING REMARKS
JULIE LAMOTHE
BRUISES AND OTHER SKIN INJURIES
DR. LOUISE MURRAY & DR. TORREY PARKER
OBJECTIVES:
1. Apply an evidence-based approach to the medical evaluation of bruising in cases of suspected physical abuse.
2. Identify common mimics of physical abuse.
3. Be aware of clinical decision "rules" helpful in the evaluation of bruising.
BURNS
DR. ETIENNE ARCHAMBAULT, DR. ROMY CHO, DR. JILLIAN POPEL, DR. JENNY SMITH, & DR. DAVID WARREN
OBJECTIVES:
1. Apply recent relevant literature to the assessment of burns in the context of suspected child maltreatment.
2. Consider key elements in the opinion formulation and documentation in cases of burns suspicious for child maltreatment.
BREAK
INTERESTING CASES / VISUAL DIAGNOSIS
DR. ERIN BOSCHEE, DR. BRITTANY ANNE HOWSON-JAN, DR. LAUREL CHAUVIN-KIMOFF, DR. TRICIA KUTNIKOFF, DR. KATHLEEN NOLAN, DR. SUZANNE ROBINSON, & DR. JULIET SOPER
OBJECTIVES:
1. Recognize unusual visual presentations of child abuse and its mimics.
LUNCH
FRACTURES
DR. LAUREL CHAUVIN-KIMOFF, DR. EMMA CORY, & DR. HINA RAZA
OBJECTIVES:
1. Identify important issues and areas of controversy in current literature and practice related to the assessment of fractures that raise concern for non-accidental injury.
2. Outline the key elements in articulating an opinion in cases of suspected non-accidental fractures.
BRIEF PRESENTATIONS
DR. ETIENNE ARCHAMBAULT, DR. LAUREL CHAUVIN-KIMOFF, DR. KATHLEEN NOLAN, & DR. TORREY PARKER
OBJECTIVES:
1. Utilize educational tools in teaching and practice.
2. Consider ideas for research projects and opportunities for collaboration.
3. Apply current research findings to practice.
BREAK
MADE IN CANADA ALTERNATE THEORIES IN SUSPECTED HEAD TRAUMA CASES: HYPOXIA-REPERFUSION, ZIPPER THEORY, AND DYSPHAGIC CHOKING
DR. LORI FRASIER
OBJECTIVES:
1. Utilize an evidence-based approach when questioned in court about hypotheses regarding causation or intracranial findings in suspected child physical abuse.
2. Understand and critique theories of hypoxia, reperfusion, and dysphagic choking.
SPEAKERS DINNER
SMITH RESTAURANT
Medical Evaluation of Suspected Abuse October 10
REGISTRATION / CPS SECTION ON CHILD AND YOUTH MALTREATMENT BUSINESS MEETING
DR. EMMA CORY, CHAIR
HEAD, NECK, AND SPINE INJURIES
DR. EMMA CORY, DR. KATHLEEN NOLAN, & DR. MICHELLE SHOULDICE
OBJECTIVES:
1. Apply an understanding of current medical literature and it's limitations to the formulation of opinion in cases of suspected inflicted head trauma.
2. Address alternative medical expert opinions in suspected head injury cases using and evidence-based approach.
CHILD MALTREATMENT PEDIATRICS DIPLOMA (AFC) CERTIFICATION
DR. LAUREL CHAUVIN-KIMOFF & DR MICHELLE SHOULDICE
OBJECTIVES:
1. Apply successfully for Royal College AFC accreditation/certification in Child Maltreatment Pediatrics through the training or practice eligibility route.
BREAK
INFLICTED VISCERAL AND ENT TRAUMA
DR. BURKE BAIRD, DR. LAUREL CHAUVIN-KIMOFF, DR. BRITTANY ANNE HOWSON-JAN, DR. LOUISE MURRAY, & DR. JILLIAN POPEL
OBJECTIVES:
1. Apply the currently recommended approach to identifying inflicted visceral and ENT trauma during child maltreatment evaluations.
2. Utilize information from the current research literature and case-based discussions to develop a rational, evidence-based approach to suspecting and identifying incidences of inflicted visceral and ENT trauma.
LUNCH
SEXUAL ABUSE/ASSAULT: LITERATURE UPDATE 2019
DR. ETIENNE ARCHAMBAULT & DR. WILL WEILER
OBJECTIVES:
1. Apply current literature to the assessment and management of children and youth with sexual abuse/assault concerns.
SEXUAL ABUSE/ASSAULT CASE DISCUSSIONS
DR. BURKE BAIRD, DR. ROMY CHO, & DR. JENNY SMITH
OBJECTIVES:
1. Apply an evidence-based, expert consensus approach to the interpretation of genital examination findings in suspected sexual abuse/assault cases.
2. Apply an understanding of the current literature and guidelines to the assessment and management of children and youth with concerns of sexual abuse/assault.
BREAK
FROM MEDICAL NEGLECT TO CAREGIVER FABRICATED ILLNESS:
1. EFFECTIVE STRATEGIES FOR MOVING CHALLENGING CASES FORWARD
2. COMMUNICATING OPINION
DR. ROMY CHO, DR. MICHELLE CLARKE, DR. EMMA CORY, DR. PAUL KADAR, DR. KARINE PEPIN, DR. JILLIAN POPEL, & DR. JENNY SMITH
OBJECTIVES:
1. Apply a systemic approach to cases of suspected medical neglect and CFI.
2. Employ strategies to move complex cases forward.
3. Clearly and effectively articulate opinions in medical neglect and CFI cases to child protection workers and in the courts.
CLOSING REMARKS
DR. EMMA CORY AND JULIE LAMOTHE