Feature

Domestic violence in health care is real and underreported


 

“There is a concerted effort to close that gap,” says D’Andrea K. Joseph, MD, cochair of the task force and chief of trauma and acute care surgery at NYU Langone in New York. In the future, Dr. Joseph predicts, “making this a part of the curriculum, that it’s standardized for residents and trainees, that there is a safe place for victims ... and that we can band together and really recognize and assist our colleagues who are in trouble.”

Resources created by the ACS IPV task force, such as the toolkit and curriculum, provide a model for other health care leaders. But there have been few similar initiatives aimed at increasing IPV intervention within the medical system.

What you can do in your workplace

In her essay, Ms. Lee explains that a major turning point came when a physician friend explicitly asked if she was experiencing abuse. He then gently confirmed she was, and asked without judgment how he could support her, an approach that mirrors advice from the National Domestic Violence Hotline.

“Having a physician validate that this was, indeed, an abusive situation helped enormously ... I believe it may have saved my life,” she writes.

That validation can be crucial, and Dr. Abadilla urges other physicians to regularly check in with colleagues, especially those who seem particularly positive with a go-getter attitude and yet may not seem themselves. That was how she presented when she was struggling the most.

Supporting systemic changes within your organization and beyond is also important. The authors of the 2022 meta-analysis stress the need for domestic violence training, legislative changes, paid leave, and union support.

Finding strength in recovery

Over a decade after escaping her abuser, Whitney says she’s only just begun to share her experience, but what she’s learned has made her a better pharmacist. She says she’s more attuned to subtle signs something could be off with patients and coworkers. When someone makes comments about feeling anxious or that they can’t do anything right, it’s important to ask why, she says.

Recently, Kimberly has opened up to her mentor and other therapists, many of whom have shared that they’re also survivors.

“The last thing I said to [my abuser] is you think you’ve won and you’re hurting me, but what you’ve done to me – I’m going to utilize this and I’m going to help other people,” Kimberly says. “This pain that I have will go away, and I’m going to save the lives of others.”

A version of this article first appeared on Medscape.com.

Pages

Recommended Reading

Drug name confusion: More than 80 new drug pairs added to the list
MDedge Cardiology
The da Vincian cardiovascular system
MDedge Cardiology
What did you learn in med school that you disagree with now?
MDedge Cardiology
What can you do during a mass shooting? This MD found out
MDedge Cardiology
Low-dose oral minoxidil for female pattern hair loss: Benefits, impact on BP, heart rate evaluated
MDedge Cardiology
Acoramidis shows encouraging results in ATTR cardiomyopathy
MDedge Cardiology
ESC issues new guidelines on infective endocarditis
MDedge Cardiology
Cruel summer for medical students and Taylor Swift fans
MDedge Cardiology
FDA to step up oversight of cosmetics, assess ‘forever chemicals’
MDedge Cardiology
Resident creates AI alternative to U.S. News med school ranking
MDedge Cardiology