Kari Sampsel

Medical Director, Sexual Assault and Partner Abuse Care Program, Attending Staff Emergency Physician The Ottawa Hospital, Department of Emergency Medicine & University of Ottawa

  • Ottawa ON

Emergency Medicine, Sexual Assault and Partner Abuse Clinician, Educator and Advocate

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Biography

Dr. Kari Sampsel is a staff Emergency Physician and the Medical Director of the Sexual Assault and Partner Abuse Care Program at the Ottawa Hospital and an Assistant Professor at the University of Ottawa.
She completed medical school and her Royal College of Physicians and Surgeons of Canada specialty training in Emergency Medicine at Queen’s University. She undertook fellowship training in Clinical Forensic Medicine at the Victorian Institute of Forensic Medicine in Melbourne, Australia, and is currently the only Canadian physician to hold this designation. She has been active in the fields of forensic medicine and medical education, with multiple international conference presentations, publications and committee work. Dr. Sampsel has been instrumental in working with community groups and launching a number of community initiatives, including bystander intervention training for preventing sexual assault. She has been honoured with a number of national awards in recognition of her commitment to education and awareness.

Industry Expertise

Education/Learning
Health and Wellness
Health Care - Providers
Health Care - Services
Medical/Dental Practice
Safety
Women

Areas of Expertise

Emergency Medicine
Sexual Assault
Domestic Violence
Intimate Partner Violence
Sexual Assault Awareness
Women's Health and Wellness
Injury Mechanisms
Injury Prevention
Advocacy for Maginalized Populations
Sexual Assault and Violence
Medical Education

Accomplishments

University of Ottawa Department of Emergency Medicine Mentorship Award

2016-06-16

The University of Ottawa Department of Emergency Medicine Mentorship Award is given annually to the staff physician who shows leadership and compassion to the resident physicians. This was the inaugural year for this award.

Canadian Association of Emergency Physicians Dr. Al Drummond Advocacy Award

2016-06-06

The Dr. Alan Drummond Advocacy Award will be presented to a CAEP member who has demonstrated exemplary leadership, commitment and dedication to the cause of advancing the discipline at the regional, national or international level through advocacy efforts.

Education

University of Calgary

BSc Honours

Cellular, Molecular and Microbial Biology

1997

University of Calgary

MSc

Cancer Biology

2002

Queen's University

MD

Medicine

2003

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Affiliations

  • Assistant Program Director - Royal College Emergency Medicine Program - University of Ottawa 2010 - 2016
  • Unintentional Overdose/Harm Reduction Task Force - City of Ottawa
  • College of Physicians and Surgeons of Ontario - Peer Assesor
  • Vice-Chair - Canadian Association of Emergency Physicians Trauma and Injury Prevention Committee
  • Department of Emergency Medicine Emergency Physician Association Executive Committee Member
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Languages

  • English

Media Appearances

Ottawa Hospital sees dramatic jump in reports of sexual assault

CBC  print

2015-10-30

The Ottawa Hospital says it's seen a dramatic increase in the number of people reporting sexual assaults this year compared to 2014, and while the numbers are alarming, the hospital hopes it's the result of outreach and awareness campaigns encouraging people to come forward.

In September there were 53 reports of sexual assaults made at the hospital's three campuses: Civic, General and Riverside. One year earlier there were 23, according to Dr. Kari Sampsel, medical director for the sexual assault and partner abuse program at The Ottawa Hospital.

In October this year there were 46 reports, about double the number reported in October 2014.

More than 98-per-cent of people reporting sexual assaults are women, mainly between the ages of 18 and 25, Sampsel said.

"We are, of course, sad and distraught by the numbers we're seeing. We don't like to know or to think that there's this prevalence of sexual assault that's going on in our community," Sampsel said.

"But the silver lining of it is that people are coming and people are getting the help that they need, and not having to go [through] this alone. ... There's been a lot of discussion in the media about sexual assault, there's been a lot of really high-profile-type cases in the last little while, so I think it's becoming less shameful for people to report this happening to them."

Still, Sampsel estimates only between 10 and 30 per cent of sexual assaults are ever reported.

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Doctor Calls for Screening of Potential Domestic Abuse

CBC The Current  radio

2016-12-12

National discussion of screening for potential victims of domestic violence in the wake of the murder of a talented family physician by her neurosurgeon husband.

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Changes at Ottawa Hospital Sexual Assault Care Program

CTV News  tv

2013-09-05

Dr. Kari Sampsel is the medical director in charge of the Sexual Assault and Partner Abuse Care Program. "The biggest change patients could notice is rapid access,” says Dr. Sampsel. “In the ER department, we're here 24/7 and our nurses are here and ready to care for them when they come to our doorstep.”
The hospital sees about 300 victims of sexual or partner abuse every year. Each initial visit involves about a three hour assessment and consultation. There are thirty-four hospital-based sexual assault programs in Ontario, funded by the government to provide specialized medical and emotional care. The Ottawa Hospital is the first to change how it’s going to run the program.”
“We are very disappointed,” says Muonde.
The Sexual Assault Support Centre worries the changes will impact whether women will even come forward for help. The hospital disputes that.
“I feel this is providing better and holistic care for patients,” says Dr. Sampsel.

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Event Appearances

Sexual Assault and Mass Gatherings

Society for Academic Emergency Medicine Conference  San Diego

2015-05-13

Sexual Assault and Mass Gatherings

Canadian Association of Emergency Physicians Conference  Edmonton

2015-06-03

Sexual Assault and Mass Gatherings on Campus

Ryley Group Summit on Sexual Violence on Campus Prevention and Response  Toronto

2015-09-24

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Research Grants

Increasing the Offer, Shifting the Offer: Adapting, Evaluating and Recommending Strategies to Engage with Persons Unaware of their Positive HIV Status

CIHR

2016-03-17

We propose to implement and comprehensively evaluate, from the perspectives of
both personnel and differentially socially-located women and men, a model for the integration of routine,
provider-initiated non-targeted HIV counseling and point-of-care testing into a Hospital Emergency Department, a
community primary health services programme, and a population-based community organization. HIV counseling
and testing would be routinely offered without providers needing to assess the probability of engagement, or
individuals needing to acknowledge, a specific HIV-related risk behavior or practice. This strategy has the potential
to reduce the experienced stigma associated with client-initiated HIV testing documented to be a significant barrier
in accessing timely uptake of HIV testing; minimizes lost opportunities of raising HIV counseling and testing due to
providers’ inaccurate assessment of individual risk, normalizes HIV counseling and testing as part of regular care,
and facilitates linkages into medical care for people testing positive. We propose that offering these services in
venues that extend beyond medical institutions and that are easily accessed by our target populations will remove
many of the experienced and perceived structural barriers to accessing testing.

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Characteristics Associated with Sexual Assault at Mass Gatherings

Women's Xchange $9600

2015-04-01

Sexual assault is an important public health concern affecting approximately 50% of women. The Ottawa Hospital Sexual Assault Partner Abuse Care Program (SAPACP) aims to explore the incidence of sexual assault during public events, also known as mass gatherings. Mass gatherings are defined as an organized event occurring within a defined space attended by a large number of people. Anecdotally, the number of sexual assault victims seen after these gatherings increases but no studies have quantified this or examined the associated risk factors. This topic has not previously been reported on, and the goal is to specifically assess the sexual assault risk to women participating in mass gatherings. A health records review from January 1, 2013 to December 31, 2013 will be performed. This time frame will capture all mass gatherings occurring in Ottawa without duplication. Collecting data to produce knowledge surrounding themes of patient population characteristics, mass gathering attendance, disclosure of alcohol/drug consumption, timing of presentation to the SAPACP, and nature of sexual assault will be conducted by the team. By quantifying and characterizing these assaults, better event planning and prevention strategies can be deployed to enhance the health of women. - See more at: http://womensxchange.womensresearch.ca/15k/funded-projects/#sthash.vKTJivlj.dpuf

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Articles

The Impact of a Sexual Assault/Domestic Violence Program on ED Care

Journal of Emergency Nursing

2009-07-01

Introduction
Examination and management of the sexually assaulted patient comprise a complex task. On-call nurses with advanced training are used in some hospitals, but their impact on patient care and appropriate forensic examination is largely unknown. We evaluated the impact of the introduction of a sexual assault/domestic violence program (SADVP) on ED flow, comprehensive patient care, and collection of forensic evidence.

Methods
Patients presenting to the 2 emergency departments in the Kingston area (Ontario, Canada) (population, 250,000) after sexual assault were compared during 2 time periods: (1) before SADVP implementation (January 2001 through August 2004) and (2) after SADVP implementation (September 2004 to August 2006). ED, hospital discharge, SADVP, and police records were reviewed. Data abstraction included patient demographics, assault characteristics, forensic examination results, and treatment protocols.

Results
The incidence of patients presenting with a complaint of sexual assault doubled (61 cases before SADVP implementation and 92 cases after SADVP implementation). Median times to initial clinical evaluation were lower in the post-SADVP group (20 minutes vs 33 minutes, P = .04). Patients in the post-SADVP group reported less vaginal/anal penetration (77% vs 98%, P < .001) and had fewer genital injuries (13% vs 39%, P = .007); other sexual assault characteristics were similar between the 2 study periods. Forensic kits were completed more often in the post-SADVP group (77% vs 66%, P = .18). Pregnancy and sexually transmitted disease prophylaxis was offered more consistently after SADVP implementation (98% vs 85%, P = .007), as was counseling (100% vs 95%, P = .06).

Discussion
The profile of patients observed after SADVP implementation changed to include less stereotypical sexual assaults. Introduction of the SADVP decreased wait times for sexually assaulted patients, despite the need for the on-call nurses to attend the emergency department. This program also showed higher completion on a number of important indicators of quality of care: forensic kits, counseling, and pregnancy and sexually transmitted disease prophylaxis.

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Characteristics Associated with Sexual Assaults at Mass Gatherings

Emergency Medicine Journal

2015-08-27

What is already known on this subject?
Sexual assault occurs most often to women between the ages of 18 and 30 years, usually occurs in the victim's home and the assailant is known to the victim between 60% and 85% of the time.

Little is known about the incidence and circumstances of sexual assault associated with mass gatherings.

What might this study add?
In this review of sexual assault cases reported to the only referral centre in Ottawa in 2013, 26% occurred at mass gatherings.

Assaults at mass gatherings occurred more often at holidays and university frosh week.

Victims of sexual assault at mass gatherings were younger, more likely to have consumed alcohol/drugs, to suspect they had been drugged and only knew their assailant 30% of the time.

The distinct nature of sexual assaults at mass gatherings requires a unique approach to prevention, education and policy.

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