As a pediatrician-turned-pastor, I believe reporting suspected child harm is our civic and Christian duty.

After entering the exam room to greet a 4-year-old patient, I couldn’t help but notice bruises on her arms. Black, blue, green, and yellow—each was in a different stage of healing. Injuries on the arms and legs are typical for young children as they run, grow, and play. But her bruising pattern resembled the imprint of a wire hanger.

While looking through her medical chart, I asked what had happened. The little girl sheepishly explained that she fell while playing hopscotch with her friends. Her stepfather nodded in approval, but red flags erupted in my mind. I continued with her well-child check as if not overly concerned. But as I examined her frail body, more bruising was evident on her torso, back, and thighs—where children do not typically get hurt.

“How did you get so…