Implementation of a Trauma-Informed Care Elective in Medical Education
DOI:
https://doi.org/10.47265/cjim.v2i1.2656Keywords:
Medical Education, Trauma-Informed Care, InnovationAbstract
Background: Education about the harm trauma does to one’s health is lacking in traditional medical school curricula. The goal of our elective extracurricular course on trauma-informed care (TIC) was to provide students with experience, knowledge, and resources to care for future patients who may have lived through traumatic experiences. Methods: We created a semester-long elective TIC course for first year medical students at a large, public medical school. We developed one - and one retrospective /post-course survey for studentsusing a mix of sliding scale and free text responses to capture student evaluations of the course. ANOVA was used for statistical analysis. Results: Of the 11 students who completed the retrospective - and post- surveys, there was a significant increase in student’s rating of their knowledge regarding impact of trauma on health by the end of the course (retro : 45.55+24.73, post: 81.64+11.79). Importantly, the group felt significantly more comfortable screening for intimate partner violence (retro : 34.09+31.05, post: 77.00+23.81), performing a physical exam for patient’s experiencing intimate partner violence (retro : 17.55+22.17, post: 67.27+18.35), accessing resources for patients experiencing addiction and recovery (retro : 35.00+32.25, post: 76.82+17.79), and caring for patients who have had adverse childhood experiences (retro : 28.27+32.18, post: 66.36+21.46). Discussion: This study is limited in a small sample size and the biases that accompany survey-based qualitative studies. It can only be interpreted in the context of a large public medical school in the southern United States. Conclusion: An elective course on TIC can be a way to make medical students feel more comfortable providing trauma-informed care. Additional research is needed to evaluate the long-term influence of a TIC course on medical students’ patient interactions.References
Substance Abuse and Mental Health Services Administration. SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach. Substance Abuse and Mental Health Services Administration. 2014; HHS publication (SMA): 14-4884.
Felitti V, Anda R, Nordenberg D, Williamson D, Spitz A, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May;14(4):245-58.
Bonomi AE, Anderson ML, Rivara FP, Thompson RS. Health outcomes in women with physical and sexual intimate partner violence exposure. J Womens Health (Larchmt). 2007;16(7):987-997. doi:10.1089/jwh.2006.0239
Brown T, Berman S, McDaniel K, Radford C, Mehta P, Potter J, et al. Trauma-Informed Medical Education (TIME): Advancing Curricular Content and Educational Context. Acad Med. 2020.
Elisseou S, Puranam S, Nandi M. A Novel, trauma-informed physical examination curriculum for first-year medical students. Med Ed PORTAL. 2019 Jan;15:10799.
Ambuel B, Trent K, Lenahan P, Cronholm P, Downing D, Jelley M, et al. Competencies needed by health professionals for addressing exposure to violence and abuse in patient care. Academy on Violence and Abuse. Eden Prairie, MN, April 2011.
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Copyright (c) 2022 Emily Hollis, Anthony Paterno, Gary Beck Dallaghan, Sue Tolleson-Rinehart, John Thorp
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