A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students

Introduction Trauma is prevalent in the general population in various forms and has lasting effects on health. Physicians routinely examine patients who have experienced trauma, although most providers lack training in trauma-informed care, a well-established framework for providing quality care to...

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Autores principales:	Sadie Elisseou, Sravanthi Puranam, Meghna Nandi
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Editor's Choice Clinical Skills Physical Examination Trauma-Informed Care Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/6a83b411df204b8983ad1bca5ed99919
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spelling	oai:doaj.org-article:6a83b411df204b8983ad1bca5ed999192021-11-22T13:40:12ZA Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students10.15766/mep_2374-8265.107992374-8265https://doaj.org/article/6a83b411df204b8983ad1bca5ed999192019-01-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10799https://doaj.org/toc/2374-8265Introduction Trauma is prevalent in the general population in various forms and has lasting effects on health. Physicians routinely examine patients who have experienced trauma, although most providers lack training in trauma-informed care, a well-established framework for providing quality care to trauma survivors. To address this gap, we implemented a novel curriculum on trauma-informed physical examination skills for first-year medical students. Methods We held a large-group lecture for 148 first-year medical students and 40 faculty members to introduce a framework for a trauma-informed physical examination, using a standardized patient for demonstration. The framework included specific language and behaviors to employ before, during, and after the examination in order to enhance patients' sense of safety, control, and trust. Students then transitioned to small groups to practice performing vital signs using a trauma-informed approach, with supervision from MD faculty. Results Five-point scales were used to evaluate students' knowledge gained from the session and satisfaction with the session. Overall satisfaction with the session was rated as 4.08 (SD = 0.81), and students felt that the session was highly effective in defining a trauma-informed physical examination (4.29, SD = 0.70). Discussion The session was well received and effective in teaching future physicians trauma-informed skills. We offer other institutions a model for incorporating trauma-informed care into clinical skills curricula.Sadie ElisseouSravanthi PuranamMeghna NandiAssociation of American Medical CollegesarticleEditor's ChoiceClinical SkillsPhysical ExaminationTrauma-Informed CareMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Editor's Choice Clinical Skills Physical Examination Trauma-Informed Care Medicine (General) R5-920 Education L
spellingShingle	Editor's Choice Clinical Skills Physical Examination Trauma-Informed Care Medicine (General) R5-920 Education L Sadie Elisseou Sravanthi Puranam Meghna Nandi A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students
description	Introduction Trauma is prevalent in the general population in various forms and has lasting effects on health. Physicians routinely examine patients who have experienced trauma, although most providers lack training in trauma-informed care, a well-established framework for providing quality care to trauma survivors. To address this gap, we implemented a novel curriculum on trauma-informed physical examination skills for first-year medical students. Methods We held a large-group lecture for 148 first-year medical students and 40 faculty members to introduce a framework for a trauma-informed physical examination, using a standardized patient for demonstration. The framework included specific language and behaviors to employ before, during, and after the examination in order to enhance patients' sense of safety, control, and trust. Students then transitioned to small groups to practice performing vital signs using a trauma-informed approach, with supervision from MD faculty. Results Five-point scales were used to evaluate students' knowledge gained from the session and satisfaction with the session. Overall satisfaction with the session was rated as 4.08 (SD = 0.81), and students felt that the session was highly effective in defining a trauma-informed physical examination (4.29, SD = 0.70). Discussion The session was well received and effective in teaching future physicians trauma-informed skills. We offer other institutions a model for incorporating trauma-informed care into clinical skills curricula.
format	article
author	Sadie Elisseou Sravanthi Puranam Meghna Nandi
author_facet	Sadie Elisseou Sravanthi Puranam Meghna Nandi
author_sort	Sadie Elisseou
title	A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students
title_short	A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students
title_full	A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students
title_fullStr	A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students
title_full_unstemmed	A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students
title_sort	novel, trauma-informed physical examination curriculum for first-year medical students
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/6a83b411df204b8983ad1bca5ed99919
work_keys_str_mv	AT sadieelisseou anoveltraumainformedphysicalexaminationcurriculumforfirstyearmedicalstudents AT sravanthipuranam anoveltraumainformedphysicalexaminationcurriculumforfirstyearmedicalstudents AT meghnanandi anoveltraumainformedphysicalexaminationcurriculumforfirstyearmedicalstudents AT sadieelisseou noveltraumainformedphysicalexaminationcurriculumforfirstyearmedicalstudents AT sravanthipuranam noveltraumainformedphysicalexaminationcurriculumforfirstyearmedicalstudents AT meghnanandi noveltraumainformedphysicalexaminationcurriculumforfirstyearmedicalstudents
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A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students

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