Objectives: Previous studies examined the prevalence and efficacy of intimate partner violence (IPV) education in medical school. We documented IPV content exposure shortage in medical school curriculum at a southern university health science center and measured personal IPV experience among medical students.
Methods: Responses were gathered from a 67-item survey adapted from the Physician Readiness to Manage Intimate Partner Violence Survey. Our survey measured IPV knowledge and attitudes, along with sufficiency of IPV education that students received before and during medical school. Three summary scales were created to examine students’ perceived preparedness to deal with IPV survivors and their perceived and actual knowledge about IPV.
Results: Across summary scales, differences were higher but not significant between medical students who received IPV education either before or during medical school and those with no IPV education. Of all of the medical students surveyed, 28.7% (n = 33) had experienced some type of domestic violence including IPV. Gaps in knowledge also were identified.
Conclusions: Student IPV experience (whether directly by way of personal exposure to IPV or indirectly through family members or acquaintances who were victims of IPV) can be applicable in classrooms, clinics, and students’ careers, but it may not necessarily increase perceived or actual IPV knowledge; however, our results show that any IPV education that students receive can be effective in increasing confidence and perceived preparedness to address IPV with patients. Comprehensive approaches to teaching IPV should be integrated fully into medical school curricula.
1. Gutmanis I, Beynon C, Tutty L, et al. Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses. BMC Public Health 2007; 7: 12.
3. Accreditation Manual for Hospitals. Oakbrook Terrace, IL, Joint Commission on the Accreditation of Healthcare Organizations, 1996.
6. Punukollu M. Domestic violence: screening made practical. J Fam Pract 2003; 52: 537–543.
7. Thompson RS, Rivara RP, Thompson DC, et al. Identification and management of domestic violence: a randomized trial. Am J Prev Med 2000; 19: 253–263.
8. Ernst AA, Houry D, Weiss SJ, et al. Domestic violence awareness in a medical school class: 2-year follow-up. South Med J 2000; 93: 772–776.
9. Hill JR. Teaching about family violence: a proposed model curriculum. Teach Learn Med 2005; 17: 169–178.
10. Freedy JR, Monnier J, Shaw DL. Putting a comprehensive violence curriculum on the fast track. Acad Med 2001; 76: 348–350.
11. Ambuel B, Butler DL, Hamberger K, et al. Female and male medical students’ exposure to violence: impact on well being and perceived capacity to help battered women. J Compar Fam Stud 2003; 34: 113–135.
12. Alpert EJ, Tonkin AE, Seeherman AM, et al. Family violence curricula in U.S. medical schools. Am J Prev Med 1998; 14: 273–282.
13. Alpert EJ. Making a place for teaching about family violence in medical school. Acad Med 1995; 70: 974–978.
14. deLahunta EA, Tulsky AA. Personal exposure of faculty and medical students to family violence. JAMA 1996; 275: 1903–1906.
15. Cullinane PM, Alpert EJ, Freund KM. First-year medical students’ knowledge of, attitudes toward, and personal histories of family violence. Acad Med 1997; 72: 48–50.
16. Short LM, Alpert E, Harris JM Jr, et al. PREMIS: a comprehensive and reliable tool for measuring physician readiness to manage IPV. Am J Prev Med 2006; 30: 173–180.
17. Connor PD, Nouer SS, Mackey SN, et al. Psychometric properties of an intimate partner violence tool for health care students. J Interpers Violence 2011; 26: 1012–1035.
18. Frank E, Elon L, Saltzman LE, et al. Clinical and personal intimate partner violence training experiences of U.S. medical students. J Womens Health 2006; 15: 1071–1079.
19. Williamson KJ, Coonrod DV, Bay RC, et al. Screening for domestic violence: practice patterns, knowledge, and attitudes of physicians in Arizona. South Med J 2004; 97: 1049–1054.
20. Weiss LB, Kripke EN, Coons HL, et al. Integrating a domestic violence education program into a medical school curriculum: challenges and strategies. Teach Learn Med 2000; 12: 133–140.
21. Hamberger LK. Preparing the next generation of physicians: medical school and residency-based intimate partner violence curriculum and evaluation. Trauma Violence Abuse 2007; 8: 214–225.