Rаul Aspeytia is appealing from his judgment of conviction and sentence entered after a jury found him guilty of lewd conduct with a minor child under sixteen in violation of I.C. § 18-1508. After considering Aspey-tia’s claims of error, we affirm.
I.
FACTS
The events leading to Aspeytia’s prosecution began in 1993 when his six-year-old stepdaughter, J.M., disclosed that Aspeytia had touched her in a sexual manner. J.M. testified at trial that while she was at home alone with Aspeytia, he removed her clothing and touched her with his penis in her mouth, between her legs and in her buttocks. J.M. also reported that Aspeytia showed her a sexually explicit movie. Later that same evening, J.M. disclosed these events to her *14 brothers, and one of the brothers informed J.M.’s mother the next day.
The day after the alleged molestation J.M. was examined by Dr. Kevin Kraal, an emergency room physician. The following day an examination was also conducted by Dr. Barton Adrian, a pediatrician. Both physicians testified at trial that, based upon their physical examinations and interviews of J.M., they were of the opinion that she had been sexually molested.
On appeal, Aspeytia asserts that the conviction should be vacated because the evidence against Mm is insufficient to support the jury’s verdict, because there were errors in the admission of testimony of physicians who examined the victim and errors in the sentencing proceeding, and because he received ineffective assistance of counsel.
II.
ANALYSIS
A. Physicians’ Testimony
Aspeytia first contends that the trial court erred in allowing the testimony of Dr. Kraal and Dr. Adrian that, in their opinions, J.M. had been sexually molested. Aspeytia contends that Dr. Kraal was unqualified to make such an assessment and that, as to both physicians, their opimons were nоt based upon physical evidence and therefore amounted to nothing more than an impermissible vouching for the credibility of the victim.
Aspeytia’s counsel did not object to tMs testimony at trial. The State therefore argues that the absence of any objection to the evidence in the trial court precludes consideration of tMs issue on appeal. However, Aspeytia contends that tMs Court may review admission of the testimony for “fundamental error” as the Court did under similar circumstances in
State v. Johnson,
It must be acknowledged that there is a lack of clarity in the case law of this state as to whether the admission of evidence without objection at trial may ever be reviewed for fundamental error on appeal.
Compare State v. Walters,
Aspeytia argues that his attorney’s failure to object to this testimony during trial constitutes ineffective assistance of counsel and requires that Aspeytia be afforded a new trial. We generally decline to consider claims of ineffective assistance of counsel on a direct appeal because they are more appropriately brought through a post-conviction relief action where an evidentiary record pеrtinent to the claims can be developed.
See State v. Mitchell,
To prevail on a claim of ineffective assistance of counsel the appellant must show that counsel’s representation was deficient and that the deficiency was prejudicial.
Strickland v. Washington,
Effective legal representation does not require that an attorney object to admissible evidence.
Higgins,
1. Dr. Kraal Was Qualified as an Expert Witness
Aspeytia asserts that Dr. Kraal lacked the requisite expertise to present his observations of J.M.’s physical condition and was not qualified to render an opinion as to the significance and meaning of the physical findings. According to Aspeytia, his attorney’s failure to object to Dr. Kraal’s qualifications as an expert prevented Aspeytia from receiving a fair trial.
The admissibility of Dr. Kraal’s testimony is governed by I.R.E. 702, which provides in relevant part:
If scientific, technical, or other specialized knowledge will assist the trier of fact to understand the evidence or to determine a fact in issue, a witness qualified as an expert by knowledge, skill, experience, *16 training, or education, may testify thereto in the form of an opinion or otherwise.
Foundational testimony regarding Dr. Kraal’s training and experience demonstrates that he met the criteria of this rule to provide expert medical testimony. Dr. Kraal is a family practitioner and emergency room physician who first examined J.M. following her report of having been sexually abused. Dr. Kraal was not shown to have specialized training or expertise in the area of child sexual abuse. However, in laying a foundation to qualify Dr. Kraal as an expert witness, the prosecutor established that Dr. Kraal had been licensed tо practice medicine for twelve years, had practiced family medicine for five years and for a period of four and one-half years preceding the trial had been an emergency room physician. In the course of his emergency room practice, Dr. Kraal had come into contact with ten to twelve children alleging sexual abuse and had also encountered an unspecified number of cases of child sexual abuse in his practice of family medicine.
Dr. Kraal testified that during the vaginal examination of J.M. he observed small teаrs of the mucosa that were evidence “of an attempted penetration by some object.” He stated that “not really much else that can do that.” Dr. Kraal also observed other irritations and injuries to the genital and anal areas that could be caused by either sexual abuse or other conditions common to children of J.M.’s age. Dr. Kraal’s medical training and experience as an emergency room physician and family practitioner qualified him to report his visual observations of J.M.’s physical condition and the possible causes of obsеrved injuries. An objection to Dr. Kraal’s qualification as an expert in this case would have been properly overruled. It follows that the absence of such an objection by Aspeytia’s attorney was neither a deficiency in performance nor a cause of prejudice to Aspeytia.
2. Dr. Kraal and Dr. Adrian Did Not Impermissibly Vouch for the Complaining Witness’ Credibility
Aspeytia next complains that his lawyer should have objected to Dr. Kraal’s and Dr. Adrian’s testimony that in their opinion the victim had been sexually abused. Aspey-tia argues that no sufficient medical basis for these opinions was shown and that the physicians therefore were merely assuming the veracity of the victim’s report and vouching for her credibility.
Aspeytia’s argument rests upon the premise that the physical findings from the physicians’ medical examinations of the victim were “neutral,” i.e., that J.M.’s observed injuries were consistent with common childhood conditions as well as sexual abuse. The record does not support this premise. Although Dr. Adrian testified that some of his findings of redness and irritation could be caused by common irritants such as bubble bath or poor hygiene, and that the observed anal tears could be caused by constipation, both doctors reported physical findings that, in their opinion, could be attributed only to sexual molestation. Dr. Kraal testified to his observation of red, swollen and irritated labia minora, small tears of the mucosa and a reddened vaginal vault. With respect to his findings on the vaginal examination, he stated, there was “not much” except a penetration by some object that could cause such conditions. Dr. Adrian examined J.M., using a colpo-scope. He observed an internal abrasion by the anal sphincter. Dr. Adriаn testified that this abrasion was “like a rug burn” and was attributable to “something being rubbed there and denuding the upper layers of the mucous membrane.” Dr. Adrian attributed this internal abrasion to a penetration with a penis.
These physical findings, which the physicians deemed to be attributable only to sexual molestation, readily distinguish this case from those upon which Aspeytia relies,
Johnson, supra,
and
State v. Allen,
Circumstances similar to those in Johnson and Allen are not present here. Drs. Kraal and Adrian reported physical findings, some of which were, in their opinions, consistent only with sexual abuse. There was an adequate factual basis upon which Dr. Kraal and Dr. Adrian could reach the conclusion that J.M.’s injuries were, in all likelihood, a result of molestation, and the interpretation of their physical findings was beyond the experience or knowledge of the average juror.
If Aspeytia’s trial counsel had objected to the admission of the physicians’ opinions that J.M. had been sexually molested, that objection correctly would have been overruled. Consequently, counsel’s failure to object did not constitute ineffective assistance of counsel.
3. Dr. Adrian’s Testimony About the Incidence of False Allegations of Sexual Abuse Was Not Prejudicial
We turn nеxt to Aspeytia’s contention that Dr. Adrian improperly testified regarding statistical percentages of false allegations of child sexual abuse and that defense counsel’s failure to object to the admission of this testimony requires the reversal of Aspeytia’s conviction.
The record indicates that during cross-examination, defense counsel questioned Dr. Adrian about the incidence of false allegations of sexual abuse as follows:
Q. Do you accept that there are false allegations made?
A. Could you put that—
Q. False allegations of sexual abuse are made by children?
A. Are you asking are they ever made?
Q. Yes.
A. I accept that, yes.
On re-direct examination the prosecutor further questioned Dr. Adrian regarding false allegations:
Q. Doctor, have you hаd any cases directly dealing with false allegations out of the 800 you have dealt with?
A. We have one that we have considered it in strongly, yes.
Q. Or were there any injuries observed?
A. There were no injuries in that particular case.
Aspeytia, on recross-examination, again questioned Dr. Adrian regarding his personal experience with false allegations:
Q. So, out of somewhere between eight and nine hundred children you have seen to date there was one child who in your opinion had not been abused?
A. No. The question was out of the 800 how many were we suspicious of false allegations. And I said there was one particular case where false allegations were a big part of that case and thеre was no injury in that particular ease.
Q. So, then out of the 800, have you seen any since that 800[sie] case, have you seen any that you suspected were false allegations?
A. No.
Q. Okay. So, then out of 900, there was one false allegation?
A. Well, I see a lot of children who haven’t made allegations, but parents may *18 have suspicions, for instance. So, I am not saying out of all 800 Mds that I have examined that we have concluded that they have all been sexually molested, not by any means.
Aspeytia characterizes Dr. Adrian’s testimony regarding his experience with false allegations of sexual abuse as scientific evidence in the form of the statistical probability of false allegations of sexual abuse and contends that an inadequate foundation was laid for the admission of this testimony in violation of I.R.E. 702.
We agree with Aspeytia’s assertion that the prosecutor’s questions regarding the incidence of false accusations in Dr. Adrian’s experience were objectionable. This Court has recently held that evidence regarding the incidence of false sexual abuse accusations must be based upon more than anеcdotal information.
State v. Parkinson,
This opinion on the statistical incidence of false accusations of sexual abuse was based only on anecdotal information derived from [the expert’s] personal experience as a therapist.... Any potential inference of scientific reliability is belied by the very narrow information base and the lack of any scientific methodology underlying this estimate....
... The record is conspicuously lacking any explication of disciplined inquiry and methodology that would support [the expert’s] testimony on the incidence of false accusations of sexual abuse. The trial court correctly excluded this evidence for lack of adequate foundation under I.R.E. 702.
Id.
at 36,
In Aspeytia’s case, no objection to the testimony was made. A timely objection to the prosecutor’s questions during redirect examination not only would have allowed exclusion of that testimony but would have avoided the need for defense counsel to return to the subject on recross-examination. Since the evidence was not only inadmissible but also tended to be adverse to the defense, we conclude that trial counsel’s failure to object to the prosecutor’s questions was deficient professional conduct.
We must next determine whether this mistake by counsel prejudiced Aspeytia. As noted above, one claiming ineffective assistance of counsel must “show that there is a reasonable probability that, but for counsel’s unprofessional errors, the result of the proceeding would have been different.”
Strickland v. Washington,
B. Sufficiency of the Evidence to Support the Verdict
Aspeytia asserts that the State did not meet its burden of proving beyond a reasonable doubt that he committed lewd conduct with J.M., a minor under sixteen.
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A jury is entitled to d^^^fcsonable inferences from the evidence JUMted.
State v. Babb,
Here, the jury heard the testimony of the victim, her two brothers, and two physicians. This evidence is described above and need not be repeated here. It is sufficient to say that the State presented substantial evidence upon which the jury could reasonably find Aspeytia guilty of the offense of lewd conduct with a minor.
C. Sentencing
At the sentencing hearing Aspeytia’s sister testified that the presentence investigator had made comments to her indicating that the investigator believed persons of Mexican descent to be predisposed to sex crimes. The presentence investigator was not called to testify in response to these allegations. Aspeytia contends that this evidence shows that the presentence investigation report (PSI) relied upon by the trial court was the product of a racially biased investigator. As-peytia also contends that the report was incomplete in that it did not include all of the information required by I.C.R. 32. Aspeytia argues that because of these deficiencies, he is entitled to be resentenced following the preparation of a new presentenee report.
The State responds that Aspeytia is barred from raising the issue of the sufficiency of his PSI because he did not object to the report at the sentencing hearing and therefore failed to preserve the issue for appeal. However, because Aspeytia also argues that his attorney was deficient in failing to object to the report, we will address Aspeytia’s contention that the PSI was incomplete.
We find that the content of the report does not substantiate Aspeytia’s claim that the report is insufficient under I.C.R. 32. First, Aspeytia’s argument that the report does not include a discussion of the defendant’s values and outlook on life (I.C.R.32(b)(9)), is plainly without merit. A section of the report captioned “Values and Outlook on Life” presents four paragraphs relating Aspeytia’s own statements regarding his values, beliefs and hopes. Second, Aspeytia’s assertion that a PSI must contain the investigator’s assessment of the defendant’s suitability for probation and the reasons for such conclusion is not borne out by the applicable rule. Idaho Criminal Rule 32(c) states that “[t]he presentence report may comment generally on the probability of the defendant’s successfully completing the term of probation ...,” but does not mandate the inclusion of a comment on this issue. Here, the investigator chose not to provide additional comments or analysis about Aspeytia’s potential success in rehabilitation because Aspeytia mаintained that he was innocent of the charge. The investigator did comment that “none of the available rehabilitative alternatives appear to be appropriate in this case.” It is apparent from the context of that statement that the conclusion was based upon Aspeytia’s denial of culpability and upon the widely-held view that sex offenders must first admit the offense in order to benefit from treatment. 3 Finding no substantial flaw in the presentence report, we hold that the absence of an objection to the *20 report by Aspeytia’s attornеy does not indicate ineffective assistance of counsel.
With respect to Aspeytia’s allegation of racial bias on the part of the presentence investigator, the record establishes that, assuming the truth of the allegation, Aspeytia was not prejudiced thereby. First, the PSI is almost entirely factual. It simply presents information derived from other persons, with very little comment or recommendations from the investigator. Second, Aspeytia has pointed out no information in the report that was inaccurate. Finally, the district court made clear thаt the alleged racial bias of the investigator, if true, would have no affect on the court’s sentencing decision. The court stated:
At this time the court is going to indicate a couple of things before pronouncing sentence. One is, of course, that any allegations made that people of Mexican culture have more of a tendency to have these acts ingrained in their culture, in my opinion, is completely unsubstantiated.
The court has always considered himself racially blind in this regard. If in fact the presentence investigator made that statement, that was clearly out of line.
And as the prosecutor said, [the presen-tence investigator] is not here to say whether he did so, but I think it is inexcusable if any racist connotations occurred in the presentence report. The court totally disavows any alleged racial statements that may have been made by the presen-tence investigator and certainly have not been condoned by the court.
... The conclusions of the presentence investigator at this time will be completely ignored based on these allegations. I do not feel those cоnclusions in fact add anything to the presentence report because it is completely factual.
We find no error in the district court’s response to the allegation of racial bias on the part of the investigator.
Aspeytia’s final contention is that the sentence imposed by the trial court, a ten-year determinate term of incarceration followed by a ten-year indeterminate term, is unduly harsh^^HKnounts to an abuse of discretion. SfUKally, Aspeytia argues that the sentence exceeds that necessary to protect society and that the cоurt did not adequately consider probation as an alternative to incarceration.
We review a sentence on appeal for an abuse of the sentencing court’s discretion, taking into account the objectives of sentencing and well-established standards for evaluating the reasonableness of a sentence.
State v. Brown,
Aspeytia’s argument that the district court did not consider probation as an alternative is not supported by the record. The court expressly considered the criteria for probation or imprisonment outlined in I.C. § 19-2521. The court noted that Aspeytia had led a law-abiding life prior to the present offense. The court also observed, however, thаt because of Aspeytia’s continuing denial of guilt, there was not available to the court a reliable psychological evaluation of the risk of reoffense. The court stated that in the absence of such evidence it must guard against the danger that the defendant would offend again if he were placed on probation. In addition, the court concluded that a lesser sentence would depreciate the seriousness of the crime.
In reviewing a sentence, the question before this Court is not whether the sentence imposed is one that this Court would hаve chosen. Rather, if reasonable minds might
*21
differ as to the appropriateness of the sentence, the discretion vested in the district court will be respected.
Brown, supra; State v. Admyers,
The judgment of conviction and sentence are affirmed.
Notes
. Idaho Rule of Evidence 103(d) provides in pertinent part:
(a) Effect of erroneous ruling. Error may not be predicated upon a ruling which admits or excludes evidence unless a substantial right of the party is affected, and
(1) Objection. In case the ruling is one admitting evidence, a timely objection or motion to strikе appears of record, stating the specific ground of objection, if the specific ground was not apparent from the context; or
(d) Errors affecting substantial rights. Nothing in this rule precludes taking notice of plain errors affecting substantial rights although they were not brought to the attention of the court.
. In Walters, the Supreme Court issued an initial decision in which only two Supreme Court justices and one justice pro tern participated. The Court then granted rehearing and issued new opinions. Following the rehearing Justice Bist-line authored a new "opinion of the Court” in which only Judge Bаil, pro tem, joined. Judge Boyle's "concurring opinion” was joined by Justice Bistline and Justice Johnson. Hence, this “concurrence” was actually the majority opinion in Walters following rehearing.
. Aspeytia attached to his appellant's brief affidavits of two psychologists indicating that therapy may enable sex offenders who have been in denial to admit their guilt and that treatment is available for sex abusers without a threshold admission of guilt. We have disregarded these affidavits because they are not part of the record in the district court. Matters not presented to the trial court and made a part of the record are not to be considered on appeal.
Hansen v. Devaney,
