Topics Covered
         I.       Need for Medical Forensic Sexual Assault 
                  Examinations; SANE Program History and 
                  Training
         II.      Medical Forensic Sexual Assault 
                  Examinations and Evidence Collection Kits
         III.     Suspect Examinations
         IV.      Telemedicine
         V.       SANEs in the Courtroom
         VI.      Recommendations for Judges
         VII.     Case Study and Decision Making Exercises
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       Centers for Disease Control 2010 
    National Intimate Partner and Sexual 
                    Violence Survey*
     •  1 in 5 U.S. women has been raped at some 
        point in her life. 
     •  1 in 10 U.S. women has been raped by an 
        intimate partner.
     •  1 in 71 U.S. men has been raped at some point 
        in his life.
     •  1.2 million U.S. women were raped during the 
        12 months preceding the survey.
                         *Michele C.Black et al., The National Intimate Partner and Sexual Violence Survey 
                         (NISVS): 2010 SUMMARY REPORT, NATIONAL CENTER FOR INJURY 
                         PREVENTION AND CONTROL, CENTERS FOR DISEASE CONTROL AND 
                         PREVENTION (Nov. 2011),  
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                         http://www.cdc.gov/ViolencePrevention/pdf/NISVS_Report2010-a.pdf.
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    Medical Evidence in Rape Trials
    • Inaccurate assumptions about 
      medical evidence in adult victim 
      sexual assault trials undermine 
      fairness in the justice system. 
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        What is a Medical Forensic 
       Sexual Assault Examination?
       A medical examination that integrates 
        the collection of forensic evidence so that 
        if a patient decides to report, the 
        evidence is correctly preserved
       Guided by the National Protocol for 
        Sexual Assault Medical Forensic 
        Examinations, Adults/Adolescents (2d ed. 
        2013) or local protocol
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    Purposes of the Medical Forensic 
        Sexual Assault Examination
     • Focuses on patient’s immediate, short 
       term, and long term health and safety 
       needs, as part of the healing process
        
     • Saves patient from being subjected to a 
       second examination for forensic 
       purposes
      
     • Preserves and documents evidence 
       should patient decide to report at the 
       time of the exam or in the future
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