Child Protection

• Elective and Site Director: Dr. Tim Kutz (timothy.kutz@health.slu.edu; 314-616-4783)

• Faculty: Dr. Tim Kutz and Dr. Erin Wade

• Nurse Practitioner: Cara Christanell, PNP

• Social Workers: Sara Krause (sara.krause@ssmhealth.com) and Jan Leal Defusco (jan.a.leal.defusco@ssmhealth.com)

• Learners. Up to 1 learner per week

  • Pediatric resident or M4 student on child protection elective (2-4w)

  • Clerkship or Pediatric CE student on child protection “mini-elective” (1-2w)

  • Ambulatory Pediatrics and clerkship students scheduled got individual Fostering Healthy Children Clinics

    • Students have the opportunity to request Fostering Healthy Children Clinic We do our best to accommodate requests during weeks no other learners are scheduled for Child Protection elective.

• Identify common signs and symptoms of child abuse and neglect

• Actively observe interviews and physical exams of suspected victims of child abuse and neglect in order to apply interview strategies in future clinical encounters

• Review medical documentation with focus on appropriate documentation of history and physical exam findings that may have resulted from abuse and/or neglect

• Outline the process through which child abuse and neglect cases are investigated and prosecuted

• Describe the role of child abuse experts

• Contact Dr. Kutz (timothy.kutz@health.slu.edu) to discuss rotation at least 3d prior to the start of the elective and/or being scheduled in Fostering Healthy Children Clinic to set up a time to meet share your cell phone number so that Dr. Kutz can contact you on the day of the appointment to go over necessary information prior to the visit.

• Review EPIC

  • • CG FOSTER HLTHY CHLDRN

      • • Review patient schedule noting whether appointments are in person or via telehealth.

        • Review patient information

        • Recheck the schedule the day before and/or morning of clinic for any changes. Last minute schedule changes (appointment additions, cancellations, changing from real in person to telehealth) tend to be more frequent in this clinic. Social workers confirm appointments with the families the day before.

• Individual Study

  • • Child abuse prevention

    • Challenges to Care of Children in Foster Care, Ped Annals . Please read prior to working in foster care clinic

• Dress code: white coats OPTIONAL

• In Utero Substance Exposure

• Neglect

• Physical abuse

• Sexual abuse

• Psychological trauma

In-person

• North Tower near Danis Auditorium: instead of turning right to Danis, turn left and you’ll find the office.

Telehealth (see linked document with EPIC screenshots)

• • Job: “AFF SLU AMB IP MEDICATL STUDENT”

  • Department: “CG FOSTER HLTHY CHLDRN”

  • Go to Schedule tab by clicking the calendar icon or schedule tab

  • You should have access to Fostering Healthy Children Clinic Schedule if your department is CG FOSTER HLTHY CHLDRN, otherwise you can search for the Dept

  • Go into patient’s chart that will have the virtual visit and select the “Video” tab (will likely not be available until the patient is checked in by the nurse

  • When you are ready to join the video visit, click the “Start Video Visit” button in the Video tab and you will be taken to Zoom (it is easier if you have the app downloaded)

• Document required clerkship encounters (OASIS)

  • Well child care of various ages

  • HEADSS Assessment

  • +/- Vaccine consent and administration

  • Problem based complaints