ABP Child Abuse Pediatrics study materials
ABP Child Abuse Pediatrics study resources

ABP Child Abuse Pediatrics study plan

ABP Child Abuse Pediatrics · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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