review and improvement, and significant institutional resources OVERVIEW OF APPROACH Team Composition SART is a multidisciplinary team of specially trained professionals devoted to the care of pediatric victims of sexual assault Team composition includes, but is not limited to, members of the ED, general pediatrics, child abuse and HIV subspecialists, trauma surgery, social work, pharmacists, and child life specialists Collaboration between all team members is best accomplished by designating a team coordinator and a lead support person from each clinical area The multidisciplinary nature of the team allows for sharing of best practice and current evidence, provides a common mental model for patient care, organizes communication, supports important processes such as inhouse 24/7 coverage for victims of sexual assault, and provides a forum for continued quality improvement In settings where a dedicated SART is not available, a multidisciplinary team approach, based on available resources, is ideal Training Recruitment and initial and ongoing training of all team members (social work, child life specialists, nursing, medical) are critical steps in building an effective SART Identifying team members who have a passion for serving the special needs of this unique patient population adds to the success of the program Specialized training and simulation sessions prepare practitioners to respond to the acute sexual assault pediatric victim and include educational hours spent in didactics and mentored clinical experience In settings without a SART, attention to specific training, with ongoing review of cases and skills, remains essential Assessing and Maintaining Competency Ongoing updates, refresher workshops with simulation, and real-time feedback are critical to continued SART training Throughout the year, realtime chart reviews including photo documentation of each case allow for timely feedback and targeted education Debriefing immediately following an examination can promote communication and feedback within the team