Early Recognition of Physical Abuse: Bridging the Gap between Knowledge and Practice

In 2009, approximately 200 child abuse pediatricians (CAPs) passed the first board certification examination. One major impetus for the new subspecialty was the high rate of missed child abuse cases and the dearth of high-quality research.1 In particular, a landmark 1999 study by Jenny et al demonstrated that in 32% of cases of abusive head trauma (AHT), there had been a previous missed opportunity to make a diagnosis.2

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