The trial of pediatric surgeon and child sex offender XXX, convicted of 299 assaults between 1989 and 2014, profoundly shook the XXX medical community. As young doctors, we were deeply affected by the extent of these acts. As members of the same association, we decided to work collectively to identify solutions at our level to better prevent violence against patients. We became aware of initiatives led in 2022 by the XXX Order of Physiotherapists, including the creation of a deontometer and evolutions in the management of reports of sexual violence. Strengths: experience sharing between young GPs, mutual support, progressive methodological improvement. Weaknesses: initial lack of formal methodology, discussions initially limited to young GPs, mainly remote meetings.This collective developed through discussions and bibliographic work, resembling practice exchange groups. Research methods were progressively refined. Since June 2025, monthly videoconference meetings have brought together GPs from the same professional association, working in different areas. Complementary interviews with other stakeholders were also conducted.This group provided a space to share a challenging experience and fostered empowerment through collective work. Earlier methodological support would have improved structure and efficiency; however, this flexible organization enabled rapid mutual support and co-construction of solutions. This work aims to result in a deontometer to raise patient awareness, educate healthcare professionals, and collaborate with professional orders to improve patient protection.Discussing violence against patients is essential for GPs, both to improve patient care and support practitioners, because working conditions can be at risk of violence. The deontometer may facilitate dialogue with institutions. WONCA will offer an opportunity to exchange internationally on this topic.This collective reflection strengthened our confidence, improved our practices, and motivated us to pursue this work through a more structured research approach focused on creating a tool for prevention.

The 2019 Living Environment and Security survey estimated an average of 1,101,000 victims annually, of whom 46% identify as male. Most screening tools in primary care remain gendered. Experienced violence has significant health consequences, and individuals identifying as male often encounter barriers when seeking assistance.This aim of this study was to explore perceptions of violence among individuals identifying as male to inform strategies for addressing this issue in general practice consultations.A qualitative study was conducted using semi-structured interviews with adult participants self-identifying as male, between May 2023 and February 2025. Data analysis was guided by principles of grounded theory.Eleven interviews were conducted with men aged between 22 and 76 years. Violence was perceived as a universal experience with emotional, cognitive, and behavioral repercussions. Perceptions appeared shaped by societal norms and expectations of masculinity, which acted as barriers to recognizing victimhood and seeking external support.The experience of violence subsequently gives rise to strategies comparable to coping mechanisms. The principal strength of this study lies in the fact that it was conducted outside medical practices. However, young adults were underrepresented in our sample. To facilitate its integration into general practice consultations, we propose a model inspired by DiClemente and Prochaska’s stages of change.This study underscores the complexity of representations of experienced violence among individuals identifying as male. A motivational interviewing approach, combined with a critical examination of hegemonic gender norms, may open new avenues for support and intervention in primary care settings.

Child abuse is responsible for clinical signs that are often little known, leading to an underestimation of violence. One billion children worldwide are victims of violence according to UN agencies.The objective of this study is to identify the clinical signs of abused children consulting in primary care.A systematic review was conducted in the PubMed, Cochrane, PsycInfo, Embase, and Cinahl databases from 1996 to January 2024. The studies included focused on children aged 0 to 18 who were victims of abuse and consulting in primary care.Of the 3,811 articles found in the databases, 19 were included in the review. Signs of physical trauma included fractures, bruises, burns, genital and neurological injuries. Somatic symptoms in children may include abdominal pain, persistent non-specific symptoms, and atopic manifestations such as eczema or asthma. The psychological symptoms identified were depression, despair, and anxiety. Abuse is also associated with behavioral disorders (externalizing or internalizing behaviors) and developmental delays (language, learning, and social interaction disorders).Child abuse can appear in many different ways. That is why it is hard to identify in primary care. The studies included have limits: small and varied samples, different definitions of primary care. Many relied on self-reported data and some lacked complete information, which also reduced precision. Despite this, the results are consistent with previous publications showing links between abuse and physical injuries, psychological symptoms, somatic complaints, or developmental delays. Primary care remains a crucial place to detect these situations early, but practitioners may struggle with doubts, emotional discomfort, and unfamiliarity with reporting procedures. More training and support would help them feel better equipped to act.There are few articles studying the clinical signs of child victims of violence consulting in primary care. These children may present with various clinical signs (physical trauma, pain, atopy, psychological disorders, behavioral disorders, developmental delays) that highlight the importance of considering abuse.

Intimate partner violence (IPV) has major medical, social, and economic consequences. General practitioners, often the first point of contact for victims, frequently report insufficient training. In 2022, a dedicated IPV training program was implemented at the University of XXX for general practice residents. Based on Dr. XXX work, it comprised four modules: screening and identification of violence, support and follow-up of victims, emergency situations, and long-term management.To assess the impact of this training on the development of clinical competencies among general practice residents and to explore how these competencies are mobilized in simulated scenarios.This mixed-methods pilot study combined Objective Structured Clinical Examinations (OSCEs) and semi-structured interviews. Four OSCE stations specifically designed for the study and performed with trained actors assessed IPV-related clinical competencies. Standardized checklists enabled quantitative analysis using Student’s t-test. Semi-structured explicitation interviews, following an inductive phenomenological approach, were conducted immediately after the OSCEs to complement quantitative findings. Data collection occurred over a single day. Performance of 11 residents was compared according to participation in the training program.Trained residents achieved higher overall scores. Significant differences were observed in the “screening” and “emergency” stations, as well as in cognitive, reflective, and psycho-affective domains. Interviews highlighted improvements in understanding the mechanisms of IPV, managing complex care situations, use of available support networks, emotional regulation, and more structured clinical reasoning.This study suggests that the training reinforces residents’ competencies beyond theoretical knowledge. Although the small sample size is a limitation, the significant findings and the use of a mixed-methods design (OSCEs and interviews) strengthen the study. This approach appears relevant for evaluating educational impact. Areas for improvement include fostering empathy and integrating routine OSCE assessments.The training program appears to enhance practical and reflective competencies in simulated scenarios. Broader implementation and long-term evaluation seem warranted to improve care for IPV victims.

Doctors are often the first point of contact for victims of domestic violence. They play a key role in identifying and reporting cases. In France, the law of 30 July 2020 relaxed the conditions for lifting medical confidentiality in cases of immediate danger and abuse of power. In 2024, all practising doctors in XXXX department received a booklet on reporting domestic violence, followed by face-to-face training.This study aims to assess the effect of this training on the level of comfort of doctors in the XXXX department in dealing with these situations.A descriptive and comparative study was conducted using two online questionnaires mailed to all practising doctors in XXXX department before (T0) and four months after (T1) the training. The doctors self-assessed their comfort level on eight key dimensions (identification, reporting, support, legal aspects) using a scale of 1 to 4. The variables were analysed descriptively, then the mean scores were compared according to whether or not the doctors had participated in the training, using Student's t-tests.118 responses were collected at T0 and 84 at T1, including 29 trained doctors. The latter showed significantly greater ease (mean = 2.84) than non-participants (mean = 2.22; p < 0.001), particularly with regard to lifting medical confidentiality, assessing danger, writing and sending the report, and post-report support. No significant difference was observed in assessing control or engaging in dialogue. At T1, in a real reporting situation, no significant difference was found between those who had participated in the training and others.In addition to an information booklet, targeted training significantly improved doctors' reported comfort with the technical and legal aspects of domestic violence. Its widespread use, accompanied by simulation exercises to develop ‘action’ skills, could improve the management of these situations in the long term. Research on a larger sample size could provide a more robust assessment of the real-life impact of this type of training.The level of comfort in reporting domestic violence improves following specific training. A wider range of training methods is needed in order to achieve a real-life effect.

Sexual and gender-based victimization (SGBV) is a major public health issue in higher education and can have lasting effects on students' mental healthThis study aimed to identify victimization trajectories and assess how repeated exposure influences mental health and risk behaviors.A prospective e-cohort was launched in October 2024 at XXX, with follow-up every three months among 563 students aged 18–30 years. Students who completed the M0, M3, and M6 assessments were included. Sexual and gender-based victimisation was measured at each wave and used to classify participants into five trajectories: non-victim, one-timer ( a single incident reported at one timepoint), Multiple(more than one incident reported at a single timepoint), Chronic (a single incident reported at more than one timepoint) and chronic-multiple(victimisation reported at more than one timepoint, with multiple incidents at least once).Mental health and behavioural outcomes included depressive symptoms (CES-D8), anxiety symptoms (Hamilton scale), insomnia (Insomnia Severity Index), suicide attempts, disordered eating behaviours, and tobacco use. Victimisation prevalence was calculated at each timepoint, and outcomes were compared across the five trajectories using ANOVA or Chi-square tests, as appropriate.At M0, 51.7% of students reported at least one victimisation since the beginning of their studies, while 35.5% reported victimisation in the past 3 months at M3 and 31.6% at M6. Between M0 and M6, 7% were one-timer victims, 17% multiple victims, and 37% experienced chronic-multiple victimisation.Students with chronic-multiple victimisation displayed markedly worse mental health outcomes, including higher depressive symptoms (11.6 vs 5.0, p<0.001), anxiety symptoms (21 vs 7, p<0.001), and insomnia severity (13 vs 5, p<0.001).Risk behaviours also increased sharply with exposure severity, including disordered eating (68.6% vs 38.4%), suicide attempts (14.3% vs 3.6%), and tobacco use (28.5% vs 16.5%) (all p<0.001).Chronic and multiple victimization is associated with an increased risk of depression, anxiety, insomnia, and suicide. Primary care physicians should routinely consider sexual and gender-based violence when assessing young adults with symptoms of mental health disorders and provide early trauma-informed support.Addressing SGBV is essential to protecting student privacy, promoting equal access to mental health care, and strengthening community in higher education settings.

Female genital mutilation (FGM) involves the partial or total removal of the external female genitalia or other injury for non-medical reasons. Worldwide, more than 230 million women and girls have undergone FGM, with millions more at risk each year. In Europe, the number of women and girls affected or at risk is increasing due to migration from countries with high prevalence rates. In this multicultural context, general practitioners (GPs) play a key role in prevention, detection, and care, yet many report discomfort or hesitation in addressing the issue with patients.This study aimed to explore the barriers and facilitators experienced by GPs when discussing FGM in primary care and to identify practical, culturally sensitive communication strategies to improve prevention and holistic care.A qualitative study was conducted through two focus groups involving seven GPs with experience caring for patients affected by FGM. Discussions were recorded, transcribed, anonymised, and thematically analysed to identify key challenges, attitudes, and best practices.Participants highlighted the importance of contextualising the topic, maintaining a professional, empathetic and non-judgmental attitude, and adapting communication to the patient’s background. They reported limited training on FGM, uncertainty in identifying its types, and a lack of referral pathways. The need for clearer guidelines, visual aids, and structured communication tools was emphasised to support effective prevention and patient-centred care.FGM is perceived by GPs as a complex and culturally embedded issue requiring a holistic, person-centred approach. Open, respectful dialogue is essential to build trust and overcome taboos. Improved medical education, practical consultation tools, and multidisciplinary collaboration could enhance GPs’ confidence and competence in addressing FGM.Training, cultural sensitivity, and communication tools are crucial to empower GPs to engage effectively in FGM prevention and care. Strengthening awareness and integrating FGM-related content into professional curricula would contribute to safer, more inclusive, and patient-centred primary care. Keywords: General Practice, Female Genital Mutilation, Cultural Competency, Communication