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PACEs in Medical Schools

Becoming Trauma Informed (Millstein JGIM 2020)

 

I was very moved by this piece by general internist colleague, Dr. Jeffrey Millstein of Penn Medicine.  He shares his sense of humility in realizing he did not truly know his patient because he was not aware of the extent of her trauma history.  He also shares that offering his witness and " the landing of my presence" helps to move her process of healing forward.  

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As a family doc with 40 years of practice under my belt I heard the phrase "Trauma Informed Care." for the first time in 2019. This not so benign neglect is complimented by adult medicine's obliviousness to the pervasive morbidities caused by the fact that about 20% of our adult patients were abused as children. This affects both mental and physical health. Training in adult medicine is void of attention to both child abuse and TIC, much to the detriment of our patients.

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