Educational Objectives:

After completing this activity, the participant should be better able to:

· Review child sexual abuse prevalence and dynamics.

· Increase knowledge about accurate diagnosis during child sexual assault exams, and appropriate categorization of the findings within the 2018 Joyce Adams Interpretation publication.

· Gain tools for exam techniques that can help the examiner capture quality digital images.

Presenter(s):

Leanna S. Dugan, MSN, APRN, PNP-BC, Our Kids Center, Nurse Practitioner

Leanna Dugan has been a pediatric nurse practitioner for 10 years. She spent many years practicing in pediatric primary care before further specializing in the field of child sexual abuse. She joined Our Kids in 2017. Since that time, she has performed over 500 pediatric forensic medical examinations. She participates in a robust peer review process and provides expert testimony. As an adjunct professor with the Vanderbilt University School of Nursing, Leanna assists in training Vanderbilt University resident physicians and nurse practitioner students. She presents regularly about topics related to child sexual abuse, including at national and local conferences, to members of sexual abuse multidisciplinary teams, and at quarterly training for the Davidson County Grand Jury.

Leanna completed her B.A. in Psychology at Pepperdine University in 2006 and went on to complete her nursing training at Vanderbilt University. She received her M.S.N. as a pediatric nurse practitioner in 2009 and is certified as a PNP by the Pediatric Nursing Certification Board. She is a member of the American Professional Society on the Abuse of Children and is an IAFN certified Pediatric Sexual Assault Nurse Examiner.

Heidi Dennis, MSN, APRN, PNP-BC, Our Kids Center, Nurse Practitioner

Heidi Dennis has been a pediatric nurse practitioner for 9 years. She started her career as a PNP at a federally qualified health center practicing pediatric primary care. This experience was important for her eventual move to the field of child sexual abuse in 2014. In her time at Our Kids she has evaluated over 1,000 patients following allegations of child sexual abuse. She has testified as an expert witness many times. Training local community partners is an important aspect of her work at Our Kids. She recently presented at a national conference for forensic nursing and is committed to staying up to date on the most current research in this field.

Heidi received her Bachelor of Science in Nursing at Belmont University in Nashville, TN. She worked as a pediatric nurse while pursuing her Masters of Science in Nursing at Vanderbilt University. She is certified as a PNP by the Pediatric Nursing Certification Board. She is a member of the American Professional Society on the Abuse of Children and is an IAFN certified Pediatric Sexual Assault Nurse Examiner.

Physician Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and the International Association of Forensic Nurses. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Disclosure of Conflicts of Interest:

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or Presenter	Reported Financial Relationship
Leanna Dugan	Nothing to disclose
Heidi Dennis	Nothing to disclose

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN and Jan Schultz, MSN, RN, CHCP hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

The following International Association of Forensic Nurses planners and managers, Kim Day, RN, FNE A/P, SANE-A, SANE-P and Bonnie Barsa, BS hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months

Media:

Internet Activity

Disclosure of Unlabeled Use:

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer:

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.