Feasibility and Impact of Trauma-Informed Care Training in Internal Medicine Residency: A Pilot Study

被引:3
|
作者
Ramadurai, Deepa [1 ,2 ]
Knoeckel, Julie [3 ]
Stace, Roger J. [4 ]
Stella, Sarah [3 ,5 ]
机构
[1] Hosp Univ Penn, Pulm & Crit Care Med, 3400 Spruce St, Philadelphia, PA 19104 USA
[2] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA
[3] Denver Hlth & Hosp, Hosp Med, Denver, CO USA
[4] Univ Colorado, Sch Business, Denver, CO USA
[5] Univ Colorado, Internal Med, Anschutz Med Campus, Denver, CO USA
关键词
interactive workshop; internal medicine residency; curriculum development and evaluation; trauma informed care; medical resident education; ADVERSE CHILDHOOD EXPERIENCES; HOUSEHOLD DYSFUNCTION; ABUSE; RISK;
D O I
10.7759/cureus.22368
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Mounting evidence indicates that early life trauma is highly prevalent and associated with adverse health outcomes later in life. However, primary care providers report lacking the training to effectively address trauma encountered in daily practice. There is a paucity of research describing the implementation and evaluation of trauma-informed care (TIC) curricula within Graduate Medical Education. Methods: We piloted a three-hour TIC workshop facilitated by a community-based psychologist expert to assess the feasibility and impact of TIC training on Internal Medicine (IM) residents' knowledge, attitudes and skills related to TIC. Participants were a subset of IM residents in a health-equity-focused curricular pathway in the University of Colorado IM Residency. Residents completed anonymous surveys one week before and after the workshop, and a final survey 10 weeks later. Residents who did not participate in the workshop completed a similar baseline survey (control group). Data were analyzed using matched pair T-tests. Results: Fourteen of 20 residents (70%) who participated in the pilot workshop completed the initial survey. Of these, 10 (71%) completed the first post-workshop survey, and seven (50%) completed the final survey. We observed significant improvements in residents' self-reported knowledge, attitudes and skills related to TIC. The majority of residents in the control group reported a desire for TIC training. Conclusions: TIC is an important curricular gap in IM training. A single, brief TIC workshop was feasible and was associated with improved self-reported knowledge, attitudes and skills among IM residents.
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页数:17
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