In regard to suspected child abuse what must a physician do?

• A. Perform examination without the consent of parents or minor (unless 16+)
• B. Obtain consent first
• C. Delay exam until guardian arrives
• D. Refer to social services without exam

Answer: (A)

When there is a suspicion of child abuse, the physician’s responsibility is to act quickly to protect the child and to document any injuries or evidence. This means a medical examination should be conducted promptly, even if the parents or the minor do not consent. The safety and well-being of the child take precedence, and state mandatory reporting laws require the physician to report the suspicion to the appropriate authorities (such as child protective services) as soon as possible. Waiting to obtain consent or delaying the exam would risk missing injuries and delaying protection. After the evaluation, the physician can proceed with reporting and involve social services as needed.