During an appointment, a 5-year-old patient lifts their shirt to show you a bruise. While examining it, the parent punches the child. What is the most appropriate immediate action?

When a dentist witnesses actual physical abuse of a child in the operatory, immediate action is required. The appropriate response is to remain with the child to ensure their safety while directing another team member to call CPS (and law enforcement if necessary) immediately. Dentists are mandatory reporters and must report suspected and witnessed child abuse without delay. Waiting, doing nothing, or confronting the abusive parent alone could further endanger the child.