Connecticut Convergence Institute for Translation in Regenerative Engineering, UConn Health, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Raymond and Beverly Sackler Center for Biological, Physical and Engineering Sciences, UConn Health, Farmington, CT, 06030, USA.
J Racial Ethn Health Disparities. 2020 Dec;7(6):1046-1052. doi: 10.1007/s40615-020-00881-w. Epub 2020 Oct 1.
Numerous organizations implement a trauma-informed approach. This model assists institutions in providing care and education that delivers support to members who have undergone traumatic experiences, and many institutions apply the principles as a universal precaution. Student and trainee experiences in medical education reveal a hidden curriculum that may deliver conflicting messages about the values of an institution, in which equity is promoted, but biased and discriminatory practices are commonplace. Implicit racial bias has been identified in the patient-provider interaction and may also extend its impact on the learner experience. Bias and discrimination inflict trauma on its targets via emotional injury. Applying the principles of the trauma-informed approach, we advocate for trauma-informed medical education (TIME). TIME fosters awareness that students and trainees can experience trauma from a biased system and culture and advocates for the establishment of policies and practices that support learners to prevent further re-traumatization. TIME will serve as a means to deliver just and equitable education.
许多组织实施了创伤知情方法。这种模式有助于机构提供关怀和教育，为经历过创伤的成员提供支持，许多机构将这些原则作为普遍预防措施加以应用。医学教育中学生和受训者的经历揭示了一个隐藏的课程，该课程可能传递关于一个机构的价值观的相互矛盾的信息，在这个机构中，公平得到促进，但偏见和歧视做法却很普遍。在医患互动中已经确定存在隐性种族偏见，其影响也可能延伸到学习者的体验。偏见和歧视通过情感伤害给其目标带来创伤。我们应用创伤知情方法的原则，倡导创伤知情医学教育（TIME）。TIME 提高了认识，即学生和受训者可能会因有偏见的系统和文化而经历创伤，并倡导制定支持学习者的政策和做法，以防止进一步的再创伤。TIME 将成为提供公正和平等教育的手段。
