Purpose
hysicians will, undeniably, encounter survivors of sexual assault (SA) during their careers. Despite this, a recent survey of U.S. medical schools revealed that while most schools offer some form of SA encounter training to their students, many educators found it to be inadequate. The purpose of this study is to conduct focus groups to determine key elements of encounter training and areas for improvement.

Methods
A series of 4 focus groups were held in person and virtually [group 1: medical students with clinical experience working with a survivor, group 2: sexual assault nurse examiners (SANE), social workers, and SA advocates, group 3: SANE trainers and SA advocate trainers, group 4: physicians in specialities with increased likelihood of patient disclosure including emergency medicine, pediatrics, family medicine, and obstetrics/gynecology]. Each session consisted of scripted, open-ended questions related to the participants own SA encounter training, or training they provide. Transcripts of each session were then coded and common themes and practices were identified.

Results
The amount of time dedicated to sexual assault encounter training was variable. Training most often happened in person, but some participants described online modules. Many participants found the most effective teaching modality to be simulated encounters. The philosophy of what role a physician plays in the encounter varied, but many participants voiced that medical students should be aware of a survivor’s medical needs immediately after an assault and of how to find resources for support in their area.

Conclusion
It is important for medical students to be exposed to SA encounter training. Medical student training should focus on the acute needs of survivors and knowing how to find local resources. Given the sensitive nature of the topic, care should be given to ensure a safe and comfortable learning environment for students.