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Picturing Wellness: From Adversity to ResilienceWekerle C, Obeda M, Zeraatkar D
Gargoyles, Michael Parkes
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Overview
• Child maltreatment is a global health and social problem• Mandatory reporting of suspected cases of child maltreatment by clinicians is:• A) A professional duty mandated by the Child and Family Services Act; and • B) An opportunity for early help to children and families and violence prevention.
• Problem: Insufficient evidence-based training! • 55.5% of students reported receiving no training in child abuse/neglect (Needs
Assessment Survey, McMaster University)
• Child Assessment and Advocacy Program + McMaster Museum of Art -> arts- and case-based curriculum on identifying and managing cases of child maltreatment for medical undergraduates
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Agenda
•Principles of Art Observation and Interpretation• Importance of Child Maltreatment Education•Course Concept•Participant’s Perspective•Closing Remarks •Q&A
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Dr. Christine Wekerle
• Associate Professor, Department of Pediatrics, McMaster University• Child Assessment and Advocacy Program
(CAAP)• Developed course concept and facilitated
case-based child maltreatment teaching
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Dr. Michael Obeda
• First-year Family Medicine resident at Queen’s University• Honors specialization in genetics and
biochemistry from The University of Western Ontario• Medical Degree at McMaster University• Course participant
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Child Maltreatment and Art:A participant’s take-away
Dr. Michael ObedaPGY1 Queen’s University department of Family Medicine
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Child Maltreatment in the medical curriculum
• MF1 - 13 weeks.• 18 month old boy with a swollen and tender knee (hemophilia)
Youth with a history suspicious for narcotic overdose
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Child Maltreatment in the medical curriculum
• MF2 - 9 weeks.• One year old girl with a socially vulnerable mother who has
nutrition concerns• Obese 12 year old
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Child Maltreatment in the medical curriculum
• MF3 - 9 weeks.• 15 year old girl who drinks, smokes, is sexually active.
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Child Maltreatment in the medical curriculum• MF4 - 9 weeks.
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Child Maltreatment in the medical curriculum
• MF5 - 12 weeks.• 8 year old boy with violent behaviours at school
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Child Maltreatment in the medical curriculum• Clerkship• 1.25 hours - Lecture in Pediatrics rotation• 3 hours - tutorial with some emphasis on maltreatment
reporting
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Content of the course
• Readings
• Discrepancies between frequency of abuse and reporting of abuse
• Signs of abuse
• Interview techniques
• Mandatory reporting
• Maintaining a relationship with patients
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Content of the course
• Art Appreciation• Readings - basic approach• Homework• In-person instruction and group discussion
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Content of the course
• Interpretation of images• Using the art appreciation techniques learned• Clue seeking• Maintaining “What else could it be” mindframe
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The impact on me
• Mandatory reporting - increased confidence• Improved interview skills• More likely to consider maltreatment in the differential
diagnosis
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Other benefits
• Observational skills in clinic• Improved appreciation of art• Improved personal wellness
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QUESTIONS?
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Ms. Nicole Knibb
•Art Educator •McMaster Museum of Art• Facilitated arts-based teaching
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What is art?“Art…Is a world that runs constant and parallel to ours where we imagine different
futures – millions of them – and try them on for size.”Caitlin Moran
• Art is, basically, a visual means of communication.• Art is a necessary way for humans to understand themselves and
the universe.• Art captures the significance of both the individual and the cultural.• Humans have a vital and persistent need to create art and is an
ever-present part of human experience.• Our imaginations function as a survival mechanism.
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The Elements and Principles of Art
The Elements
ColourShape/Form
LineSpace
Texture
The Principles
BalanceEmphasisMovement
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