| |
UK |
US |
| 1. |
Doctor led training. Exams |
Nurse led training. E-Learning |
| 2. |
Examination in SARC (Sexual Assault Referral Centre) |
Examination in hospital of community i.e. medical setting |
| 3. |
Police referral as the main route of referral |
Self referral or police referral |
| 4. |
Aftercare e.g. emergency contraception, HIV PEP, integrated within SARC |
Aftercare referred in most cases offsite for emergency contraception, HIV PEP |
| 5. |
Examination by doctors. Mostly male |
Examination by nurses. Mostly female |
| 6. |
Support in SARC by specially trained crisis workers |
Support by SANE (Sexual assault nurse examiners) |
| 7. |
Support after examination by ISVA (Independent sexual violence advisor) |
Support after examination by referral on to rape crisis organisation |
| 8. |
Evidence in court given by doctors |
Evidence in court given by nurses |
| 9. |
Children examined by doctor and paediatrician |
Children examined by specialist paediatric sexual assault nurse examiner |
Data from UK: A comparison of nurse and doctor examinations