The joint paediatric–forensic examination in child abuse

The investigation of alleged child abuse should be multi-professional and coordinated to minimize distress to the child and family. Much attention has focused on the joint interview process, with less prominence being given to the medical component of the initial investigation. No standard practice exists in the United Kingdom regarding the conduct of the medical examination or in the training requirements of the doctors who perform the examination. We present a model of practice which has evolved in Edinburgh and the Lothians, drawing on the combined expertise and experience of paediatricians and police surgeons, which has operated for over 2 years; and propose a formal accreditation process for doctors who wish to specialize in the field of child abuse. © 1998 John Wiley & Sons, Ltd.