Biases in Medical Students Altered After Trauma Informed Care Training

Laneita Williamson 3/5/206:59 AM

Biases in medical students reviewing a case study was dramatically altered after a trauma informed care training

The biases included:

Belief that patient was having drug seeking behavior due to actions and request

Patient could be relapsing from drugs if they are hypervigilant or withdrawn

Patient with history of IV drug use may lie

Patient is able to drink soft drinks all day, but why is she not making decisions about eating meals or being engaged in her care. She is making poor choices.

Fearful that patient will be violent, aggressive or angry with staff due to her actions

Feeling of helplessness with complaints of chronic pain

We will not be happy to make her happy and will get poor reviews

Taking care of this patient will be tiresome

Taking care of this patient will take more time than I have to give

Changed perspective after trauma informed care training:

I wonder why I had those biases

I would have never thought about a past of adversities

I know I should wonder what happened to this person in place of what is wrong with this person

I need to also consider adult health risk after childhood adversities

I wouldn't have known to consider other diagnosis until hearing about trauma informed care

What is being done to minimize childhood adversities

What resources are available for the patient after discharge from the hospital

Who do we have within the hospital to decompress or to seek assistance

How can we learn more

What are practical steps to assist the patient

How does events such as bullying or racism impact health and behavior

What is being done in the community to provide education and resources

I had a shift from character assumption to understanding reactive behaviors are from past adversities.

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Comments (3)

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Carey SippFormer Director of Strategic Partnerships

Agree with Gail. Is it possible to add a little opening paragraph to the piece saying that it was a real-time case study at Wake Medical (?) that included XX students wherein students were given a case study and asked about biases. They then received a xx-minute training on trauma-informed care (your own curriculum or one from somewhere else?). The case was then reviewed again and the students were asked what had changed following receipt of trauma informed care training -- or something such as that? If you could post a lead-in to this, with your permissionI would love to share it out to the NC home page and perhaps in a couple of other spots on ACEs Connection

THANKS!

3/6/2010:47 AM

Laneita WilliamsonMember

Gail Kennedy (ACEs Connection Staff) posted:
Very interesting findings. Can you please share the study this was pulled from? I would like to share it with others.
Thank you! Gail

Hi Gail, this was a real time case study at our organization, not a research study. The students were given a case study, asked about biases, given trauma informed care, case study reviewed again, and asked what had changed since initially given the case study.

3/5/207:55 AM

Gail KennedyMember

Very interesting findings. Can you please share the study this was pulled from? I would like to share it with others.

Thank you! Gail

3/5/207:48 AM

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Biases in medical students reviewing a case study was dramatically altered after a trauma informed care training

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