Kelly Kiersten, Gibson Matthew, Chambers Ronald
Mercy Family Health Center, Dignity Health, Sacramento, CA, USA.
J Med Educ Curric Dev. 2023 Jun 26;10:23821205231184013. doi: 10.1177/23821205231184013. eCollection 2023 Jan-Dec.
Human trafficking is a widespread public health problem across the United States. In recognition of the incredible need among victims and survivors of human trafficking for longitudinal, trauma-informed care, the Medical Safe Haven (MSH) was developed in 2016 through the Dignity Health Family Medicine Residency Program in Sacramento, California, and subsequently expanded to 2 other Dignity Health residency program sites. The MSH program included 3 sessions of trafficking-specific curriculum for resident physicians to prepare them to provide care for MSH patients. The current study aimed to evaluate resident physician learner confidence after participating in the MSH curriculum along with perceptions of the MSH program as a whole upon their graduation.
The study was a retrospective, preassessment/postassessment design. Resident physicians completed surveys that assessed learner confidence after each of the 3 training sessions, utilizing Likert scale items. Third-year resident physicians also completed a survey that included scaled and open-ended questions. Paired -tests were used to evaluate the data in addition to content analysis for the open-ended questions.
There were significant increases in learner confidence after the training sessions on all items measured, including identifying and caring for victims and survivors of trafficking. Third-year residents responded that the MSH program helped them to more effectively communicate and care for victims and survivors and many planned to take the trauma-informed care model to their future practices.
While generalizability of the study was limited due to the retrospective design, the MSH program was found to have a meaningful impact on the resident physicians who participated in the training.
人口贩运是美国普遍存在的公共卫生问题。鉴于人口贩运受害者和幸存者对长期的、创伤知情护理有着迫切需求，2016年，加利福尼亚州萨克拉门托尊严健康家庭医学住院医师项目设立了医疗安全港（MSH），随后扩展至另外两个尊严健康住院医师项目点。MSH项目为住院医师安排了3节特定于人口贩运的课程，以使他们为MSH患者提供护理做好准备。本研究旨在评估住院医师参与MSH课程后的学习信心，以及他们毕业时对整个MSH项目的看法。
本研究采用回顾性的预评估/后评估设计。住院医师完成了调查，利用李克特量表项目评估每节3次培训课程后的学习信心。三年级住院医师还完成了一项包含量表和开放式问题的调查。除了对开放式问题进行内容分析外，还使用配对检验来评估数据。
在所有测量项目的培训课程后，学习信心都有显著提高，包括识别和照顾人口贩运受害者和幸存者。三年级住院医师表示，MSH项目帮助他们更有效地与受害者和幸存者沟通并提供护理，许多人计划将创伤知情护理模式应用于未来的工作中。
由于采用回顾性设计，本研究的普遍性有限，但发现MSH项目对参与培训的住院医师有显著影响。
