human rights, bringing pain and embarrassment to the victim, which can result in several complex and

often irreversible sequelae. The ancient concept of violence as biologically human by nature is no longer

accepted. Therefore, any act of violence is rational, intentional and represents a complex, dynamic,

biopsychosocial and multifactorial phenomenon (PARENT et al., 2022).

contribute to this invisibility, such as: the non -recognition of the child as a citizen, bearer of rights; the

understanding that abuse stems from the aggressor’s disease, motivating judicial decisions favorable

to the aggressor; and the victim’s blame, generating on the same eect of introspection, retraction,

embarrassment and psychic suering (Pfeier, 2022).

or witness sexual act, in person or virtual manner. Sexual violence includes sexual abuse, commercial

sexual exploitation, and tracking in persons; d) Institutional Violence: Action practiced by a civil

servant who undermines care to the child or adolescent victim or witness to violence; e) retention or

destruction of personal documents, goods and resources, including those necessary for basic needs

(BRAZIL, 2017)

13 of the Statute of the Child and Adolescent (ECA), abuse against children are the

object of mandatory notication, providing for professionals for professionals who fail to

communicate The cases of his knowledge, according to article 245 (Marin et al., 2015).

on the case (Júnior et al., 2017)

the abuser, psychiatric disorders, inadequate behaviors, use of substances, etc. Many victims children

self-coat, feel they contributed so that abuse could happen, and therefore do not always denounce the

a frequency in abuse, and generating a greater trauma in the child/adolescent (Florentino, 2015).

of Rio de Janeiro-RJ, regarding knowledge and conduct in the face of a suggestive picture of violence

against children and adolescents in the various scenarios of practical action. Thus, the objective of

the research is to analyze how the cases of violence against children and adolescents in the scenarios

established by the Ministry of Health is built against these events.

for indexed articles in the Scientic Electronic Library Online (Scielo), Pubmed and Latin American

and Caribbean Health Science Literature (Lilacs), published between 2015 and 2022 in Portuguese,

English and Spanish languages using the following descriptors: “child abuse”, “general clinicians”,

to students of the 5th and 6th grade of the Medicine Course (inmates) of a private university in the

municipality of Rio de Janeiro-RJ.

municipality of Rio de Janeiro-RJ who were in practical activities in the second half of 2023 and/or rst

half of 2024.

the method of content analysis, technique of research developed by Lawrence Bardin, who works with

the word, allowing to produce inference of the content of communication, categorizing words or phrases

that repeat themselves, inferring an expression that represent them (BARDIN, 2011).

the guidelines and regulatory standards of research involving human beings, being respected voluntary

participation. and anonymity of the study population. A free and claried consent (TCL) consent and the

condentiality of the collected information was prepared. The research was submitted to the Research

Ethics Committee (CEP) of the educational institution where the research took place and obtained its

themselves as whites, 20% as brown and 7.5% as yellow. Regarding the age group, most respondents,

corresponding to 77.5%, was in the range of 20 to 30 years. 15% were in the range between 30 and 34

years, while the remaining 7.5% were over 34 years old.

and most highlighted any form of physical, moral or psychological damage that directly or indirectly

aects the well-being of the child. Although 62.5% claimed to be aware of what is considered child

violence, more than a third of future doctors (37.5%) did not feel safe to answer such a question.

highlighted: identication of bruises, marks, behavioral changes such as melancholy, silence accompanied

by embarrassment of parents, anxiety, aggressiveness, loss of appetite, low school performance and

contact with suspected cases of child violence, and most of these cases involved sexual violence. In

addition, most participants (90%) could not describe how the procedures for care, notication and

About the knowledge of the protocols developed by the Ministry of Health (MS) to address violence

against children and adolescents, the vast majority of interviewees (95%) admitted not to be familiar

psychological integrity, freedom or the right to child growth and development (SILVA et al., 2021),

being recognized as a public health problem , since its consequences aect not only individual but also

to the development of serious physical health problems and characteristic psychological signs, such as

social isolation and learning diculties, and may even lead to death (Brazil , 2012; NUNES; SALES,

and mortality, being present in deaths from external causes-accidents and violence-among the 15 main

causes of death of children under 5 years, especially in the subgroup of children from 1 to 4 years,

becoming a major health problem for families and society (Brazil, 2021).

in the context of domestic violence and 2.9% of intentional violent deaths. Most of these practices

occur within the domestic environment and the aggressors are usually the family circle and intimate

coexistence of the victims, showing that children and adolescents remain hostage to their aggressors

chronicly (Brazil, 2021).

violence, identify suspicious cases in the community, take care of children in situations of violence and

vulnerability, seek to expand the care and social protection network for decision making, Perform the

actions and violence prevention (BRAZIL, 2012).

was evident, which can generate insecurity of these future health professionals in the management of

these situations. Most participants revealed ignorance about service and notication procedures, as

well as the MS protocols. There was therefore a consensus on the need for broader training during

graduation, with emphasis on theoretical classes, practices, simulations and specic lectures, aiming to

prepare future doctors to eectively deal with these situations in dierent health contexts.