ABP Child Abuse Pediatrics study plan
ABP Child Abuse Pediatrics · Give each week a clear focus.
8 weeks · About 7 hours per week
Physical abuse, including abusive head trauma, cutaneous and skeletal injury
Build a bruising differential that maps lesion morphology, pattern, and location onto developmental mobility stages from non-cruising infant through ambulatory school-age child
Classify skeletal injuries into high, moderate, and low specificity for abuse, and state the biomechanical reasoning behind each designation
Apply a head-to-toe documentation routine that records measurement, border, color, and photographic standards for every cutaneous finding
Differentiate accidental from inflicted fracture patterns using location, age, and associated soft-tissue findings, and name the three findings that should trigger skeletal survey
Your checkpoint
A one-page injury-to-interpretation reference matrix plus a 40-question self-quiz scored at 85% or better, with every missed item rewritten as a teaching point
Physical abuse, including abusive head trauma, cutaneous and skeletal injury & Forensic and multidisciplinary practice: reporting, child protective services, legal proceedings, prevention and advocacy
Distinguish abusive head trauma from accidental and medical mimics by tracing the pathophysiology of each component of the classic triad and explaining why none is pathognomonic
Interpret retinal and neuroimaging findings in terms of biomechanical forces and timing of injury
Sequence the mandated reporting workflow from suspicion through CPS intake, including what must be documented and what must not be promised to a family
Write a CPS report narrative that separates observed facts, quoted statements, and clinical opinion
Your checkpoint
A simulated CPS report on a head-injury vignette, scored against a self-built checklist of 10 required narrative elements
Sexual abuse, sexual exploitation, and anogenital findings
Describe the anogenital examination sequence for prepubertal and pubertal patients, including positioning, traction technique, and the limits of what can be visualized
Sort anogenital findings into the standard diagnostic categories from normal variants through definitive evidence of trauma, and justify each assignment
Explain the diagnostic significance and legal implications of each sexually transmitted infection detected in a child at different ages
Analyze disclosure dynamics, including delayed, recanted, and gradual disclosure, and connect them to interview timing
Your checkpoint
A 25-item case-based question set on anogenital findings and STI interpretation, plus a written examination-sequence checklist scored for completeness
Sexual abuse, sexual exploitation, and anogenital findings & Forensic and multidisciplinary practice: reporting, child protective services, legal proceedings, prevention and advocacy
Differentiate sexual exploitation modalities, including image-based abuse, online solicitation, and trafficking, by their recognition features and reporting pathways
Apply the structure of a forensic interview to predict which questions are developmentally appropriate at each age
Evaluate the roles and information boundaries of each multidisciplinary team member during a sexual abuse investigation
Compare the clinician's documentation obligations when a child discloses during a medical visit versus during a forensic interview
Your checkpoint
A written forensic interview summary of a disclosure vignette, with an annotation of which team member receives each piece of information and why
Neglect, including physical, supervisory, medical neglect and growth faltering
Compute and interpret weight-for-age, length-for-age, and weight-for-length z-scores to distinguish growth faltering from constitutional small stature
Assemble a staged evaluation of growth faltering that orders laboratory, nutritional, and psychosocial assessments by yield and cost
Construct a decision framework that separates medical neglect from poverty, cultural preference, and caregiver incapacity
Evaluate supervisory neglect scenarios by applying a developmentally calibrated standard of adequate supervision
Your checkpoint
A growth-faltering case write-up with calculated z-scores, a ranked differential, and a documented neglect determination with supporting reasoning
Psychological maltreatment and factitious disorder imposed on another
Categorize psychological maltreatment into its recognized subtypes and match each to observable caregiver behaviors and child outcomes
Apply the diagnostic criteria for factitious disorder imposed on another to a case narrative, distinguishing it from anxiety-driven overmedicalization
Build a differential for repeated unexplained illness that includes genuine disease, caregiver-induced illness, and laboratory or history fabrication
Design a safety plan that addresses the child's removal from the source of harm while preserving engagement with the treating team
Your checkpoint
An annotated timeline of a fabricated-illness case, culminating in a diagnostic formulation and a written multidisciplinary safety plan
Forensic and multidisciplinary practice: reporting, child protective services, legal proceedings, prevention and advocacy
Structure expert testimony to present findings as probabilistic rather than conclusive, and rehearse responses to cross-examination challenges on differential diagnosis
Explain how consent, confidentiality, hearsay, and mandatory reporting statutes shape what a clinician may disclose and to whom
Map the roles of CPS, law enforcement, medical, and advocacy partners across the investigation timeline, identifying the handoff points where cases stall
Identify at least three evidence-supported prevention strategies and the population-level mechanism each relies on
Your checkpoint
A written mock direct-examination script with anticipated cross-examination questions and answers, plus a one-page multidisciplinary role map with a prevention section
Physical abuse, including abusive head trauma, cutaneous and skeletal injury & Sexual abuse, sexual exploitation, and anogenital findings & Neglect, including physical, supervisory, medical neglect and growth faltering & Psychological maltreatment and factitious disorder imposed on another & Forensic and multidisciplinary practice: reporting, child protective services, legal proceedings, prevention and advocacy
Integrate all five domains by resolving mixed-presentation vignettes that combine physical injury, neglect, and disclosure elements
Audit the error log from prior weeks and re-drill only the high-miss concepts to closure
Simulate a timed full-length examination under test-day conditions to calibrate pacing
Rehearse one high-yield summary per domain aloud to verify retrieval without notes
Your checkpoint
A timed 150-question cumulative mock scored at 80% or better, with a written remediation plan for any domain scoring below 70%
Milestones
Week 2: Score 85% or better on a 30-question cumulative set covering physical injury and reporting, and produce a CPS narrative that an independent reviewer rates as factually separated from opinion
Week 4: Complete 100 cumulative questions across domains 1, 2, and 5 at 80% or better, and correctly categorize 20 of 20 anogenital findings into diagnostic categories
Week 6: Complete 100 cumulative questions across domains 3 and 4 at 80% or better, and submit a growth-faltering calculation set with no arithmetic or chart-interpretation errors
Week 8: Achieve 80% or better on the timed 150-question cumulative mock with no domain below 70%, and confirm the remediation plan is written for every sub-threshold area