Article Text


Improving clinical practice and service delivery
P165 GUM/HIV trainees' experience and training needs in the management of patients disclosing sexual violence
  1. R Sacks1,
  2. K Coyne2,
  3. B Cybulska3,
  4. R Dhairyawan4,
  5. G Forster4,
  6. C Emerson5,
  7. A Mears6,
  8. A Mears6,
  9. R Shah7,
  10. W Spice8
  1. 1Jefferiss Wing, Imperial College Healthcare NHS Trust, London, UK
  2. 2Homerton University Hospital NHS Foundation, London, UK
  3. 3Bristol University Hospital NHS Foundation Trust, Bristol, UK
  4. 4Barts and the London NHS Trust, London, UK
  5. 5Belfast Health and Social Care Trust, Belfast, UK
  6. 6Imperial College Healthcare NHS Trust, London, UK
  7. 7Barnet and Chase Farm Hospitals NHS Trust, Barnet, UK
  8. 8Worcestershire Primary Care Trust, Worcestershire, UK


Background Patients attending GUM clinics may disclose sexual violence. Are GUM/HIV trainees equipped to manage these cases?

Aim To assess the experience and training needs of GUM/HIV trainees in managing patients disclosing sexual violence (SV patients).

Method An e-survey was open to GUM/HIV trainees for 12 weeks from February 2011. Data were analysed in Excel.

Results Of the 158 current GUM/HIV trainees, 44 (28%) completed surveys. All respondents managed SV patients and 59% managed ≥ 1 SV case/month. Of these, 98% had seen females, 66% males, 73% 16–17 years/olds, 34% 13–15 years/olds, 5% under-13s. All respondents routinely asking about SV saw ≥ 1 case/month vs 50% of those who rarely/never asked. Confidence increased with frequency of seeing patients: 96% (25/26) seeing ≥ 1 SV patient/month felt confident vs 67% (12/18) seeing <1/month. Confidence in managing female, male and under-18 SV patients was reported in 86%, 79% and 58% respectively. In the six units with a dedicated SV clinic two trainees had worked in one, overall, 92% would have liked to. Similarly, 14% had worked in a Sexual Assault Referral Centre, 81% would have liked to. Respondents had trained in safeguarding children, adult SV, chain of evidence, vulnerable adults and domestic violence in 92%, 82%, 76%, 64%, 32% respectively. Abstract P165 Table 1 details respondents' reported competencies and training availability in 2010 curriculum skills.

Abstract P165 Table 1

Conclusions Wide variation exists in reported SV experience, training received and training availability, in the 28% of trainees responding. Regular accessible training is needed in identifying and managing patients disclosing SV.

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