Advanced Issues in Child Maltreatment October 7

7:30am - 8:20am

REGISTRATION

8:20am - 8:30am

OPENING REMARKS

JULIE LAMOTHE

8:30am - 9:30am

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.

9:30am - 10:30am

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.

10:30am -10:45am

BREAK

10:45am - 11:45am

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.

11:45am - 12:45pm

LUNCH

12:45pm - 1:45pm

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.

1:45pm - 2:45pm

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.

2:45pm - 3:00pm

BREAK

3:00pm - 5:00pm

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

7:30am - 8:30am

REGISTRATION

8:30am - 10:30am

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.

10:30am - 10:45am

BREAK

10:45am - 11:45am

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.

11:45am - 12:45pm

LUNCH

12:45pm - 2:45pm

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.

2:45pm - 3:00pm

BREAK

3:00pm - 5:00pm

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.

5:00pm - 5:15pm

CLOSING REMARKS

JULIE LAMOTHE

6:30pm - 9:30pm

CANADIAN MUSEUM OF HUMAN RIGHTS

ORGANIZED TOUR

Medical Evaluation of Suspected Abuse October 9

7:30am - 8:20am

REGISTRATION

8:20am - 8:30am

OPENING REMARKS

JULIE LAMOTHE

8:30am - 9:30am

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.

9:30am - 10:30am

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.

10:30am - 10:45am

BREAK

10:45am - 11:45am

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.

11:45pm - 12:45pm

LUNCH

12:45pm - 2:00pm

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.

2:00pm - 2:45pm

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.

2:45pm - 3:00pm

BREAK

3:00pm - 4:30pm

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.

6:30pm - 9:30pm

SPEAKERS DINNER

SMITH RESTAURANT

Medical Evaluation of Suspected Abuse October 10

7:30am - 8:30am

REGISTRATION / CPS SECTION ON CHILD AND YOUTH MALTREATMENT BUSINESS MEETING

DR. EMMA CORY, CHAIR

8:30am - 10:00am

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.

10:00am - 10:30am

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.

10:30am - 10:45am

BREAK

10:45am - 11:45am

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.

11:45pm - 12:45pm

LUNCH

12:45pm - 1:45pm

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.

1:45pm - 2:45pm

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.

2:45pm - 3:00pm

BREAK

3:00pm - 4:30pm

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.

4:30pm - 4:45pm

CLOSING REMARKS

DR. EMMA CORY AND JULIE LAMOTHE