Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents

Introduction Adverse childhood experiences (ACEs) and trauma are common and can negatively impact children's health. Standardized patient (SP) learning may provide trainees with knowledge and skills to screen for and manage ACEs, apply trauma-informed care approaches, and teach resilience strat...

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Autores principales:	M. Cooper Lloyd, Jessica Ratner, Jaime La Charite, Robin Ortiz, Sean Tackett, Leonard Feldman, Barry S. Solomon, Nicole Shilkofski
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2021
Materias:	Adverse Childhood Experiences Trauma-Informed Care Resilience Standardized Patient De-escalation Communication Skills Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/496ef666d3f84b2cb6259d91db77005b
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spelling	oai:doaj.org-article:496ef666d3f84b2cb6259d91db77005b2021-11-15T15:43:07ZAddressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents10.15766/mep_2374-8265.111932374-8265https://doaj.org/article/496ef666d3f84b2cb6259d91db77005b2021-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11193https://doaj.org/toc/2374-8265Introduction Adverse childhood experiences (ACEs) and trauma are common and can negatively impact children's health. Standardized patient (SP) learning may provide trainees with knowledge and skills to screen for and manage ACEs, apply trauma-informed care approaches, and teach resilience strategies. Methods With content experts, we developed three SP cases based on common clinical encounters, as well as didactic and debriefing materials. Case 1 focused on somatic symptoms in an adolescent with ACEs, case 2 focused on an ACE disclosure by a parent, and case 3 focused on de-escalation. The workshop required facilitators, SPs, simulation exam room and meeting space, and audiovisual equipment. It lasted 4 hours and included an orientation (1 hour), the three SP cases (totaling 2 hours), and group debriefing (1 hour). Results We conducted five identical workshops with 22 pediatric residents. Participants responded favorably to case fidelity and applicability to their clinical work. Resident mean self-assessment scores improved significantly from baseline. Specifically, we assessed comfort with inquiring about and discussing ACEs, explaining the health impacts of trauma, identifying protective factors, resilience counseling, and de-escalation. Over 90% of responses indicated that residents were likely to apply what they had learned to their clinical practice. Discussion These findings demonstrate that our SP cases were well received and suggest that such curricula can help pediatric residents feel more prepared to address trauma and promote resilience. Future work will assess these outcomes, as well as behavior change, in a larger sample to further substantiate these promising findings.M. Cooper LloydJessica RatnerJaime La ChariteRobin OrtizSean TackettLeonard FeldmanBarry S. SolomonNicole ShilkofskiAssociation of American Medical CollegesarticleAdverse Childhood ExperiencesTrauma-Informed CareResilienceStandardized PatientDe-escalationCommunication SkillsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adverse Childhood Experiences Trauma-Informed Care Resilience Standardized Patient De-escalation Communication Skills Medicine (General) R5-920 Education L
spellingShingle	Adverse Childhood Experiences Trauma-Informed Care Resilience Standardized Patient De-escalation Communication Skills Medicine (General) R5-920 Education L M. Cooper Lloyd Jessica Ratner Jaime La Charite Robin Ortiz Sean Tackett Leonard Feldman Barry S. Solomon Nicole Shilkofski Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents
description	Introduction Adverse childhood experiences (ACEs) and trauma are common and can negatively impact children's health. Standardized patient (SP) learning may provide trainees with knowledge and skills to screen for and manage ACEs, apply trauma-informed care approaches, and teach resilience strategies. Methods With content experts, we developed three SP cases based on common clinical encounters, as well as didactic and debriefing materials. Case 1 focused on somatic symptoms in an adolescent with ACEs, case 2 focused on an ACE disclosure by a parent, and case 3 focused on de-escalation. The workshop required facilitators, SPs, simulation exam room and meeting space, and audiovisual equipment. It lasted 4 hours and included an orientation (1 hour), the three SP cases (totaling 2 hours), and group debriefing (1 hour). Results We conducted five identical workshops with 22 pediatric residents. Participants responded favorably to case fidelity and applicability to their clinical work. Resident mean self-assessment scores improved significantly from baseline. Specifically, we assessed comfort with inquiring about and discussing ACEs, explaining the health impacts of trauma, identifying protective factors, resilience counseling, and de-escalation. Over 90% of responses indicated that residents were likely to apply what they had learned to their clinical practice. Discussion These findings demonstrate that our SP cases were well received and suggest that such curricula can help pediatric residents feel more prepared to address trauma and promote resilience. Future work will assess these outcomes, as well as behavior change, in a larger sample to further substantiate these promising findings.
format	article
author	M. Cooper Lloyd Jessica Ratner Jaime La Charite Robin Ortiz Sean Tackett Leonard Feldman Barry S. Solomon Nicole Shilkofski
author_facet	M. Cooper Lloyd Jessica Ratner Jaime La Charite Robin Ortiz Sean Tackett Leonard Feldman Barry S. Solomon Nicole Shilkofski
author_sort	M. Cooper Lloyd
title	Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents
title_short	Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents
title_full	Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents
title_fullStr	Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents
title_full_unstemmed	Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents
title_sort	addressing trauma and building resilience in children and families: standardized patient cases for pediatric residents
publisher	Association of American Medical Colleges
publishDate	2021
url	https://doaj.org/article/496ef666d3f84b2cb6259d91db77005b
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Addressing Trauma and Building Resilience in Children and Families: Standardized Patient Cases for Pediatric Residents

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