DISCLAIMER:The Peer Review aspect of the Institute is not to be utilized for "second opinions" or initial diagnoses. Rather, it is to be utilized for medical peer review of examination findings in sexual abuse cases, to further facilitate accurate diagnoses by medical providers examining children who have been sexually abused. DISCLAIMER: TeleHealth Institute for Child Maltreatment (THICM) is a service to make child sexual abuse expertise available to all Child Advocacy Center medical providers throughout the United States regardless of location. The service is designed to provide reviews by an expert for educational and quality improvement purposes and is not intended to be used for initial diagnostic or treatment purposes or to serve as a second opinion for a specific case. This service is not a replacement for a consultation or to address issues related to a specific patient.