Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents

Introduction Assessing and addressing patient histories of trauma constitute a critical component of care for vulnerable populations such as pregnant patients, yet they often go unrecognized in obstetric care. Obstetric providers may feel poorly equipped to address this issue comfortably and effecti...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Natalie R. Stevens, Lucie Holmgreen, Stevan E. Hobfoll, Jamie A. Cvengros
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Obstetrics Trauma Sensitive Screening PTSD Post-Traumatic Stress Disorder Pregnancy Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/21d3affa4eb84b4c937d591e4c37e7e8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:21d3affa4eb84b4c937d591e4c37e7e8
record_format	dspace
spelling	oai:doaj.org-article:21d3affa4eb84b4c937d591e4c37e7e82021-11-19T13:46:59ZAssessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents10.15766/mep_2374-8265.109252374-8265https://doaj.org/article/21d3affa4eb84b4c937d591e4c37e7e82020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10925https://doaj.org/toc/2374-8265Introduction Assessing and addressing patient histories of trauma constitute a critical component of care for vulnerable populations such as pregnant patients, yet they often go unrecognized in obstetric care. Obstetric providers may feel poorly equipped to address this issue comfortably and effectively. Methods We designed this didactic module for obstetric residents with previous experience taking patient histories and delivering clinical care. The module was delivered with a faculty member and three additional facilitators with expertise in communication skills training. The session included 60 minutes of background information followed by a 15-minute presentation of a communication template for assessing trauma history. Using a practice case, residents had 45 minutes to practice in small groups, with the facilitators serving as the patient in the role-play. Results In the 2015-2016 academic year, 21 obstetric residents participated in this module. All residents (100%) endorsed favorable beliefs regarding the importance of assessing trauma history and using trauma-informed care. On average, three-fourths (77%) demonstrated basic awareness of issues related to trauma in medical populations. Most residents (>85%) reported a high sense of efficacy in delivering trauma-informed care in some areas, while fewer (64%) reported efficacy specifically in educating patients about signs and symptoms of traumatic stress. Discussion The module was well received overall, with participants indicating that clinical training in trauma-informed communication was needed to enhance their sense of efficacy in this area. This learning exercise provided training in a critical communication skill while highlighting areas for further development.Natalie R. StevensLucie HolmgreenStevan E. HobfollJamie A. CvengrosAssociation of American Medical CollegesarticleObstetricsTrauma SensitiveScreeningPTSDPost-Traumatic Stress DisorderPregnancyMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Obstetrics Trauma Sensitive Screening PTSD Post-Traumatic Stress Disorder Pregnancy Medicine (General) R5-920 Education L
spellingShingle	Obstetrics Trauma Sensitive Screening PTSD Post-Traumatic Stress Disorder Pregnancy Medicine (General) R5-920 Education L Natalie R. Stevens Lucie Holmgreen Stevan E. Hobfoll Jamie A. Cvengros Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents
description	Introduction Assessing and addressing patient histories of trauma constitute a critical component of care for vulnerable populations such as pregnant patients, yet they often go unrecognized in obstetric care. Obstetric providers may feel poorly equipped to address this issue comfortably and effectively. Methods We designed this didactic module for obstetric residents with previous experience taking patient histories and delivering clinical care. The module was delivered with a faculty member and three additional facilitators with expertise in communication skills training. The session included 60 minutes of background information followed by a 15-minute presentation of a communication template for assessing trauma history. Using a practice case, residents had 45 minutes to practice in small groups, with the facilitators serving as the patient in the role-play. Results In the 2015-2016 academic year, 21 obstetric residents participated in this module. All residents (100%) endorsed favorable beliefs regarding the importance of assessing trauma history and using trauma-informed care. On average, three-fourths (77%) demonstrated basic awareness of issues related to trauma in medical populations. Most residents (>85%) reported a high sense of efficacy in delivering trauma-informed care in some areas, while fewer (64%) reported efficacy specifically in educating patients about signs and symptoms of traumatic stress. Discussion The module was well received overall, with participants indicating that clinical training in trauma-informed communication was needed to enhance their sense of efficacy in this area. This learning exercise provided training in a critical communication skill while highlighting areas for further development.
format	article
author	Natalie R. Stevens Lucie Holmgreen Stevan E. Hobfoll Jamie A. Cvengros
author_facet	Natalie R. Stevens Lucie Holmgreen Stevan E. Hobfoll Jamie A. Cvengros
author_sort	Natalie R. Stevens
title	Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents
title_short	Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents
title_full	Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents
title_fullStr	Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents
title_full_unstemmed	Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents
title_sort	assessing trauma history in pregnant patients: a didactic module and role-play for obstetrics and gynecology residents
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/21d3affa4eb84b4c937d591e4c37e7e8
work_keys_str_mv	AT natalierstevens assessingtraumahistoryinpregnantpatientsadidacticmoduleandroleplayforobstetricsandgynecologyresidents AT lucieholmgreen assessingtraumahistoryinpregnantpatientsadidacticmoduleandroleplayforobstetricsandgynecologyresidents AT stevanehobfoll assessingtraumahistoryinpregnantpatientsadidacticmoduleandroleplayforobstetricsandgynecologyresidents AT jamieacvengros assessingtraumahistoryinpregnantpatientsadidacticmoduleandroleplayforobstetricsandgynecologyresidents
_version_	1718420058552664064

Assessing Trauma History in Pregnant Patients: A Didactic Module and Role-Play for Obstetrics and Gynecology Residents

Ejemplares similares