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Journal Article

Citation

Leung RS, Nwachuckwu C, Pervaiz A, Wallace C, Landes C, Offiah AC. Clin. Radiol. 2009; 64(7): 690-698.

Affiliation

Department of Radiology, Great Ormond Street Hospital for Children, London, UK.

Copyright

(Copyright © 2009, Royal College of Radiologists, Publisher Elsevier Publishing)

DOI

10.1016/j.crad.2009.02.012

PMID

19520213

Abstract

AIM: To determine current practice and perceptions of the adequacy of training and support received for the reporting of skeletal surveys in suspected physical child abuse. MATERIALS AND METHODS: A list of telephone numbers of UK hospitals with a radiology department was obtained from the Royal College of Radiologists. One hundred hospitals were then randomly selected for inclusion in the survey. An 18-item questionnaire was successfully administered to consultant radiologists from 84 departments. RESULTS: Sixty-one percent of departments had a named radiologist to report their skeletal surveys, 16% assigned surveys to a random radiologist, and 23% referred them elsewhere. Only 52% of departments had a dedicated paediatric radiologist, thus in a significant proportion of departments (25%) initial reports on skeletal surveys for physical abuse were provided by non-paediatric radiologists. Fifteen percent did not have ready access to a paediatric radiology opinion. Sixty-one percent thought that the service could be improved. Expert evidence was provided by 5% of respondents. Seventy-three percent would never consider providing expert evidence, even if given adequate radiology and/or legal training. CONCLUSION: The survey shows significant dissatisfaction amongst consultant radiologists with the current service, confirms a low number of paediatric radiologists taking on this work, and suggests the potential to increase numbers of radiology child abuse experts by 27% if given improved training and support. Appropriate service and education strategies should be implemented.


Language: en

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