How to Answer: After noticing bruises and burns on a patient, they disclose their spouse is physically abusing them. The patient begs you not to tell anyone. What do you do next?
16. After noticing bruises and burns on a patient, they disclose their spouse is physically abusing them. The patient begs you not to tell anyone. What do you do next?
How to Answer
Guidelines for physicians may vary, depending on your region; however, for much of the world, there are approaches in place for physicians who suspect their patients are victims of domestic violence. Physicians can play a significant role in identifying partner abuse. Talk to the panel about what you would do if you were in a situation where you became aware of domestic violence asked to keep it a secret. Be sure to show a professional understanding of your duties as a physician while still respecting patient confidentiality.
Answer Example
"Family violence is a grave issue and one that I do not take lightly. We should approach domestic violence as a medical problem because it creates not only physical injury but also emotional and psychological harm to those involved. If my patient disclosed that they were experiencing domestic violence, I would apply the SOS DOC method, which is an approach I recently learned. This acronym stands for Support, Safety, Options, Strengths, Document, Continuity. These are steps that a physician can take when approached by a patient regarding domestic violence. I may not be able to report the incident without admission or permission from the patient; however, I can provide empathy and a safe, non-judgemental environment. With my continued support, I would hope my patient would gain the strength to either report their spouse or leave the situation."