Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students
Introduction Physicians often care for patients who have experienced traumatic events including abuse, discrimination, and violence. Trauma-informed care (TIC) is a framework that recognizes the prevalence of trauma, promotes patient empowerment, and minimizes retraumatization. There are limited edu...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2023-07-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11327 |
| _version_ | 1827891238393610240 |
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| author | Caroline H. Lee Carlos Dos Santos Taylor Brown Henry Ashworth Jason J. Lewis |
| author_facet | Caroline H. Lee Carlos Dos Santos Taylor Brown Henry Ashworth Jason J. Lewis |
| author_sort | Caroline H. Lee |
| collection | DOAJ |
| description | Introduction Physicians often care for patients who have experienced traumatic events including abuse, discrimination, and violence. Trauma-informed care (TIC) is a framework that recognizes the prevalence of trauma, promotes patient empowerment, and minimizes retraumatization. There are limited education curricula on how to apply TIC to acute care settings, with simulation-based training presenting a novel educational tool for this aim. Methods Students participated in a didactic on TIC principles and its applications in acute care settings. Learners participated in three simulation cases where they performed physical exams and gathered history on patients with urgent medical needs related to intimate partner violence, transgender health, and health care discrimination. Debriefing followed each simulation. Results Seventeen medical students participated across four sessions. The sessions were evaluated with pre- and postparticipation surveys, including Likert scales and free-response questions. After participation, individuals' self-assessed confidence improved across multiple domains, including identifying situations for trauma screenings, inquiring about trauma, and responding as a bystander. Learners also felt more familiar with TIC-specific history taking and physical exam skills. Finally, simulation was perceived as a beneficial educational tool. All findings were statistically significant (p ≤ .01). Discussion Our simulation-based training enabled students to practice conversations and interventions related to trauma. This novel training represents a feasible and effective means for teaching TIC for acute care settings, including in the emergency department and in-patient settings. Development and evaluation were supported by the Society for Academic Emergency Medicine. |
| first_indexed | 2024-03-12T21:22:55Z |
| format | Article |
| id | doaj.art-9bddf7c3e4e34515b2ebd149918a7bc5 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-03-12T21:22:55Z |
| publishDate | 2023-07-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-9bddf7c3e4e34515b2ebd149918a7bc52023-07-28T13:50:08ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-07-011910.15766/mep_2374-8265.11327Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical StudentsCaroline H. Lee0Carlos Dos Santos1Taylor Brown2Henry Ashworth3Jason J. Lewis4Fourth-Year Medical Student, Harvard Medical SchoolFourth-Year Medical Student, Harvard Medical SchoolSecond-Year Resident, Department of Emergency Medicine, Beth Israel Deaconess Medical CenterFirst-Year Resident, Department of Emergency Medicine, Highland Hospital, Alameda Health SystemAssistant Professor, Department of Emergency Medicine, Beth Israel Deaconess Medical CenterIntroduction Physicians often care for patients who have experienced traumatic events including abuse, discrimination, and violence. Trauma-informed care (TIC) is a framework that recognizes the prevalence of trauma, promotes patient empowerment, and minimizes retraumatization. There are limited education curricula on how to apply TIC to acute care settings, with simulation-based training presenting a novel educational tool for this aim. Methods Students participated in a didactic on TIC principles and its applications in acute care settings. Learners participated in three simulation cases where they performed physical exams and gathered history on patients with urgent medical needs related to intimate partner violence, transgender health, and health care discrimination. Debriefing followed each simulation. Results Seventeen medical students participated across four sessions. The sessions were evaluated with pre- and postparticipation surveys, including Likert scales and free-response questions. After participation, individuals' self-assessed confidence improved across multiple domains, including identifying situations for trauma screenings, inquiring about trauma, and responding as a bystander. Learners also felt more familiar with TIC-specific history taking and physical exam skills. Finally, simulation was perceived as a beneficial educational tool. All findings were statistically significant (p ≤ .01). Discussion Our simulation-based training enabled students to practice conversations and interventions related to trauma. This novel training represents a feasible and effective means for teaching TIC for acute care settings, including in the emergency department and in-patient settings. Development and evaluation were supported by the Society for Academic Emergency Medicine.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11327Trauma-Informed CareCommunication SkillsEmergency MedicineGender Issues in MedicineIntimate Partner ViolencePediatric Emergency Medicine |
| spellingShingle | Caroline H. Lee Carlos Dos Santos Taylor Brown Henry Ashworth Jason J. Lewis Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students MedEdPORTAL Trauma-Informed Care Communication Skills Emergency Medicine Gender Issues in Medicine Intimate Partner Violence Pediatric Emergency Medicine |
| title | Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students |
| title_full | Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students |
| title_fullStr | Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students |
| title_full_unstemmed | Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students |
| title_short | Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students |
| title_sort | trauma informed care for acute care settings a novel simulation training for medical students |
| topic | Trauma-Informed Care Communication Skills Emergency Medicine Gender Issues in Medicine Intimate Partner Violence Pediatric Emergency Medicine |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11327 |
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