Ramadurai Deepa, Knoeckel Julie, Stace Roger J, Stella Sarah
Pulmonary and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, USA.
Cureus. 2022 Feb 18;14(2):e22368. doi: 10.7759/cureus.22368. eCollection 2022 Feb.
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.
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.
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.
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.
越来越多的证据表明，早期生活创伤非常普遍，且与日后的不良健康后果相关。然而，初级保健提供者表示缺乏有效应对日常实践中所遇到创伤的培训。关于研究生医学教育中创伤知情护理（TIC）课程的实施与评估的研究很少。
我们开展了一个由社区心理学家专家主持的为期三小时的TIC工作坊，以评估TIC培训对内科住院医师与TIC相关的知识、态度和技能的可行性及影响。参与者是科罗拉多大学内科住院医师项目中一个以健康公平为重点的课程路径中的内科住院医师子集。住院医师在工作坊前后一周分别完成匿名调查，并在10周后完成最终调查。未参加工作坊的住院医师完成了类似的基线调查（对照组）。使用配对t检验分析数据。
参加试点工作坊的20名住院医师中有14名（70%）完成了初始调查。其中，10名（71%）完成了工作坊后的第一次调查，7名（50%）完成了最终调查。我们观察到住院医师在自我报告的与TIC相关的知识、态度和技能方面有显著改善。对照组的大多数住院医师表示希望接受TIC培训。
TIC是内科培训中的一个重要课程空白。一次简短的TIC工作坊是可行的，并且与内科住院医师自我报告的知识、态度和技能的改善相关。
