This session will explore the complex and alarming issue of medical abuse of a child, more commonly referred to as Munchausen Syndrome by Proxy (MSBP). Through a detailed case study, we will review an investigation into this form of child abuse, highlighting how medical professionals can become unwitting accomplices. Attendees will also learn about a newly developed screening tool designed to help healthcare providers identify and respond to MSBP more effectively, potentially saving lives and preventing further harm.

By attending, participants will gain crucial insights into the subtle signs of medical abuse, the ethical challenges involved in these cases, and the importance of early intervention. This presentation is essential for healthcare providers, social workers, and anyone involved in child welfare, providing them with the knowledge to protect vulnerable children from this hidden form of abuse.

 Objectives:

• Identify the signs and symptoms of Munchausen Syndrome by Proxy in children.
• Evaluate the investigative process and challenges in cases of medical abuse.
• Apply how to use a newly developed screening tool to detect and address MSBP effectively.

PRESENTER(S) 

Sandra D. Shapiro is an Assistant Professor at the Brooks College of Health School of Nursing at the University of North Florida, a board-certified Clinical Nurse Leader (CNL) and a board-certified Family Nurse Practitioner. She has over a decade of experience working as an Advanced Practice Nurse Practitioner in pediatric forensics at the Child Protection Team assisting law enforcement and the Department of Children and Families with their investigations of child maltreatment. She provides forensic medical exams to child victims of abuse, neglect, and sexual assault/abuse, testifying in both criminal and family court as an expert witness. Dr. Shapiro's passion lies in advocating for vulnerable children and empowering future healthcare professionals to do the same. She continues to actively develop innovative pediatric forensic educational programs and welcomes opportunities to collaborate with others making a difference in children's lives.

Enduring Modules

This module originated on 05/14/2025 and will remain available for CE credit through 6/01/2027

Criteria for Successful Completion:

Live attendees must join the zoom link via the LMS site, be logged in for a minimum of 90% of the session, and successfully complete the attestation and evaluation. Upon completion, a CE certificate for 1.25 contact hours will be awarded. 

Recordings of the live session will be made available within one week of the live date. 

Asynchronous attendees must utilize the LMS to obtain resource information (if available), view 100% of recording(s), complete all modules, and successfully complete the attestation and evaluation. Upon completion, a CE certificate for 1.25 contact hours will be awarded.

No relevant financial relationships exist for any individuals in a position to control content of this educational activity.

NOTE:

The Academy of Forensic Nursing is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.