Trauma-Informed Training: Impact of Multi-Disciplinary Workshop to Educate Family Medicine Residents on Adverse Childhood Experiences

06-01-2021 13:52

Submission Abstract

Introduction: Trauma-informed care (TIC) is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of trauma-1. Adverse Childhood Experiences (ACEs) are traumas occurring prior to age eighteen-2. ACEs affect health and social outcomes-2. A 2017 survey revealed 27% of programs included TIC in residency training-1. Most devoted < 5 hours annually-1. Barriers to training included time and lack of faculty champion-1.
Methods: Residents and faculty attended an 8-hour workshop led by a psychologist at a local university. Workshop included multidisciplinary speakers and participants. Sessions were scheduled for 8 dates over an 8-month period. Training included interactive lectures and immersive training. Participants completed pre & post ARTIC scales and a voluntary training evaluation-4. Institutional IRB granted project an exemption.
Results: 149 participants. 37 residents. 76% female. 75% Caucasian. 15% African-American. 36% physicians. 25% nurses. 9% social workers. 8% chaplains. Pre and post-training score changes were statistically significant (all p values < 0.001) for overall ARTIC scale and subscales. Results and training evaluation comments will be shared.
Discussion: Spacing training sessions created time for education in residents’ schedules. Delegating the champion to a community expert allowed a more robust experience. Resilience and self-care is an important part of the training experience.

Author(s):Donna McGee, MD; Patricia Bouknight, MD; Samantha Drew, DO; Alisha Davis, DO
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