About the Child Abuse Medical Preceptorship


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The goal of the Midwest Regional CAC's Child Abuse Medical Preceptorship program is to increase access to quality medical care for victims of child abuse by providing practitioners with hands-on technical skills training and mentorship. 

Bridging the Gap
More than half of the nation’s CACs are located in rural areas. In many of these communities it can be challenging to find a practitioner willing and able to provide evaluations for victims of abuse. Once a practitioner makes the decision to take on these evaluations, the next challenge is to find high quality hands-on training that will provide them with the skills they need to be proficient and competent in child abuse medical evaluations.

The Experience
The Child Abuse Medical Preceptorship program builds upon our foundational medical education programs by connecting providers with highly qualified centers of practice in their region to receive hands-on technical skills and education. The preceptorship is a two part process:

  1. Participation in a 4 day intensive clinical experience that includes a combination of observation, hands-on simulation and technical training.
  2. On-going Mentorship to ensure application of skills to practice

The Child Abuse Medical Preceptorship is rooted in a curriculum that was developed over the course of a year in collaboration with multidisciplinary professionals nationwide. We acknowledge the contributions and hard work of the following individuals and organizations in helping us to craft a curriculum with the ultimate goal to increase access to high quality exams for kids across the nation:

  • Suzanne Starling, MD - Children's Hospital of the King's Daughters
  • Karen Farst, MD - Arkansas Children's Hospital
  • Lori Frasier, MD - University of Pennsylvania - Hershey
  • Nancy Harper, MD - University of Minnesota
  • Dawn Scaff, MS, RN - Children's Hospital of the King's Daughters
  • Jan Dunn - National Children's Alliance (NCA)
  • Jennifer Pierce Weeks, RN, SANE-A, SANE-P - International Association of Forensic Nurses (IAFN)
  • Diane Faugno, MSN, RN, CPN, SANE-A, SANE-P, FAAFS, DF-IAFN
  • Teresa Smith, PhD - Northeast Regional CAC (NRCAC)
  • Maureen Fitzgerald - Western Regional CAC (WRCAC)
  • Cym Doggett - Southern Regional CAC (SRCAC)
  • Caitlin Smith - West Virginia Children's Advocacy Network
  • Debbie Hall - Children's Advocacy Centers of Texas
  • Catherine Bass - Children's Advocacy Centers of Texas

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Preceptorship opportunities are available at the following sites:

  • Southern Region: Children's Advocacy Center of the Coastal Bend, Corpus Christi, TX and Children's Advocacy Center of Hamilton County, Chatanooga, TN
  • Western Region: Chadwick Center for Children and Families, San Diego, CA and CARES Northwest, Portland, OR
  • Midwest Region: Midwest Children's Resource Center, St. Paul, MN
  • Northeast Region: Children's Hospital of Pittsburgh, Pittsburgh, PA


The Midwest Regional CAC believes in offering high-quality, cost-effective programming. Participation in this program is a minimal investment for improving the care for kids in communities across the nation.

Child Abuse Medical Preceptorship: $1,329

The program cost includes the following:

  • 4 Day Clinical Experience
  • On-Going Mentorship for 3 Months post-preceptorhips (up to 3 hours/month)
  • Access to supplemental online educational materials and resources
  • Travel and lodging is NOT including in the cost of the program.

Need Financial Assistance?
The Regional Children’s Advocacy Centers have set aside a limited number of scholarships to cover both the program cost as well as travel and lodging assistance. There is room for you to indicate your financial assistance needs on the application.


We highly encourage all preceptees to participate in the mentorship program for the three months following their clinical experience. The mentorship program will connect preceptees with their preceptor via Webex, a HIPAA compliant web conferencing platform, for up to 3 hours per month.

The goal of the mentorship program is to providing ongoing assistance to the student once you are back at your place of employment to answer questions and review cases for teaching and feedback. The mentorship program is not a medical consultation or second opinion, but is solely for quality improvement. If you already have an expert with which you plan to receive mentorship and consultation from upon your return, please let us know and we can discount your program cost accordingly.


Prerequisites: Minimum requirement includes successful completion of the online Medical Training Academy (20 hours) and/or IAFN approved Pediatric SANE program (40 hours) or other agreed upon didactic curriculum by the medical committee (minimum 16 hours) that meets the required skills checklist.

Student will be required to read the required literature for this course prior to arrival at preceptorship site. Students will be required to take a pre-test scoring 75% or higher.

In addition, students should have the knowledge and be able to:

Model mandated reporting law in the state where medical professional practices

Demonstrate ability to obtain comprehensive health history, including:

  • Review of systems
  • Health history
  • Obtain history from multiple sources, if available, including patient, parent/caregiver, law enforcement and/or child protection
  • Immunization status
  • History of the event

Demonstrate head-to-toe assessment

Differentiate normal anogenital anatomy from normal variants and abnormal findings

Describe forensic evidence collection and identify best procedure for collection:

  • Outline chain of evidence
  • Describe external vs. internal evidence collection to reflect age considerations in pre-pubertal population

Explain STI symptomatology and treatment (prophylaxis v actual treatment)

Describe examination techniques:

  • Foley catheter in post-pubertal girls
  • Use of cotton swab applicators in post-pubertal girls
  • Speculum in post-pubertal girls with menses
  • Labial separation/traction
  • Knee chest vs. supine frog leg
  • Sterile water to float the hymen

Use photo and written documentation to record oral and anogenital examination

Demonstrate knowledge of and ability to perform psychosocial assessment to know when to refer for crisis intervention, suicide intervention, mental health assessment/counseling and other appropriate referrals

Apply culturally sensitive approach throughout assessment and evaluation


All medical providers will be required to take a pre-test to assess their baseline knowledge. Medical providers will be required to receive a score of 75% or higher to pass. Once the pre-test is completed and the medical provider has scored at least 75% on the pre-test , the medical provider will be enrolled in the preceptorship program.

If this sounds like something you would be interested in participating in, please complete the application below.