Medical Child Abuse

2008 ◽  
Author(s):  
Thomas A. Roesler ◽  
Carole Jenny

Powerful new detailed and comprehensive resource for diagnosing and treating medical child abuse. Thomas A. Roesler, MD and Carole Jenny, MD, MBA, FAAP make the case that the term Munchausen syndrome by proxy should be retired permanently and replaced with a commonsense appreciation that children can be abused by their parents in the medical environment. Physicians who find themselves providing unnecessary and harmful medical care can see the abuse for what it is, another way parents can harm children. The book offers the first detailed and comprehensive description of treatment for this form of child maltreatment. “At last. A clear, logical, and immensely practical book, showing that this is not a syndrome at all, but rather another important form of child abuse…and one which is completely preventable.” Kim Oates, Emeritus Professor of Pediatrics, The University of Sydney, Australia. “A fantastic book that will revolutionize, in a much needed way, the way we think about this disorder.” Alex V. Levin, MD, MHSc, FAAP, FAAO, FRCSC, Professor, Department of Paediatrics, Genetics, and Ophthalmology and Vision Sciences Director, Postgraduate Bioethics Education University of Toronto. “Drs. Roesler and Jenny have finally mapped the terrain of child abuse showing where medical child abuse stands in the overall landscape.” Thomas L. Dwyer, Director of Foster Care, Department of Children and Families, State of Connecticut.

2020 ◽  
Vol 6 (1) ◽  
pp. 36-44
Author(s):  
Barbara Fallon ◽  
Mark Kartusch ◽  
Joanne Filippelli ◽  
Nico Trocmé ◽  
Tara Black ◽  
...  

A university-child welfare agency partnership between the Factor-Inwentash Faculty of Social Work at the University of Toronto and Highland Shores Children’s Aid (Highland Shores), a child welfare agency in Ontario, allowed for the identification and examination of ten questions to which every child welfare organization should know the answers. Using data primarily from the Ontario Child Abuse and Neglect Data System (OCANDS), members of the partnership were able to answer these key questions about the children and families served by Highland Shores and the services provided to children and families. The Ontario child welfare sector has experienced challenges in utilizing existing data sources to inform practice and policy. The results of this partnership illustrate how administrative data can be used to answer relevant, field-driven questions. Ultimately, the answers to these questions are valuable to the broader child welfare sector and can help to enhance agency accountability and improve services provided to vulnerable children and their families.


Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
John de Almeida ◽  
Allan Vescan ◽  
Jolie Ringash ◽  
Patrick Gullane ◽  
Fred Gentili ◽  
...  

Author(s):  
Lori Stahlbrand

This paper traces the partnership between the University of Toronto and the non-profit Local Food Plus (LFP) to bring local sustainable food to its St. George campus. At its launch, the partnership represented the largest purchase of local sustainable food at a Canadian university, as well as LFP’s first foray into supporting institutional procurement of local sustainable food. LFP was founded in 2005 with a vision to foster sustainable local food economies. To this end, LFP developed a certification system and a marketing program that matched certified farmers and processors to buyers. LFP emphasized large-scale purchases by public institutions. Using information from in-depth semi-structured key informant interviews, this paper argues that the LFP project was a disruptive innovation that posed a challenge to many dimensions of the established food system. The LFP case study reveals structural obstacles to operationalizing a local and sustainable food system. These include a lack of mid-sized infrastructure serving local farmers, the domination of a rebate system of purchasing controlled by an oligopolistic foodservice sector, and embedded government support of export agriculture. This case study is an example of praxis, as the author was the founder of LFP, as well as an academic researcher and analyst.


2013 ◽  
Vol 42 (3) ◽  
pp. 37-42
Author(s):  
Ken Derry

Although none of the articles in this issue on the topic of religion and humor are explicitly about teaching, in many ways all of them in fact share this central focus. In the examples discussed by the four authors, humor is used to deconstruct the category of religion; to comment on the distance between orthodoxy and praxis; to censure religion; and to enrich traditions in ways that can be quite self-critical. My response to these articles addresses each of the above lessons in specific relation to experiences I have had in, and strategies I have developed for, teaching a first-year introductory religion course at the University of Toronto.


2007 ◽  
Vol 30 (4) ◽  
pp. 63 ◽  
Author(s):  
S. Edwards ◽  
S. Verma ◽  
R. Zulla

Prevalence of stress-related mental health problems in residents is equal to, or greater than, the general population. Medical training has been identified as the most significant negative influence on resident mental health. At the same time, residents possess inadequate stress management and general wellness skills and poor help-seeking behaviours. Unique barriers prevent residents from self-identifying and seeking assistance. Stress management programs in medical education have been shown to decrease subjective distress and increase wellness and coping skills. The University of Toronto operates the largest postgraduate medical training program in the country. The Director of Resident Wellness position was created in the Postgraduate Medical Education Office to develop a systemic approach to resident wellness that facilitates early detection and intervention of significant stress related problems and promote professionalism. Phase One of this new initiative has been to highlight its presence to residents and program directors by speaking to resident wellness issues at educational events. Resources on stress management, professional services, mental health, and financial management have been identified and posted on the postgraduate medical education website and circulated to program directors. Partnerships have been established with physician health professionals, the University of Toronto, and the Professional Association of Residents and Internes of Ontario. Research opportunities for determining prevalence and effective management strategies for stress related problems are being identified and ultimately programs/resources will be implemented to ensure that resident have readily accessible resources. The establishment of a Resident Wellness Strategy from its embryonic stags and the challenges faced are presented as a template for implementing similar programs at other medical schools. Earle L, Kelly L. Coping Strategies, Depression and Anxiety among Ontario Family Medicine Residents. Canadian Family Physician 2005; 51:242-3. Cohen J, Patten S. Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta. BMC Medical Education; 5(21). Levey RE. Sources of stress for residents and recommendations for programs to assist them. Academic Med 2001; 70(2):142-150.


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