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A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...

Please join the Project Co-Directors (TICHER Members) for an overview of 42 innovative and original (free to the pubic) virtual cases. These cases highlight a patient centered approach to the care of patients who have survived traumatic life experiences. Experiences that include, for example, sexual assault, interpersonal and community violence, military sexual trauma, and child abuse. The virtual cases comprise a comprehensive online training curriculum created for physicians and other...

I am increasingly finding myself sharing pdfs, infographics from this wonderful organization's site, I am sure most of you have seen it but just in case: https://www.traumainformedcare.chcs.org/screening-for-adverse-childhood-experiences-and-trauma/

I'm sure many of you have heard about Dr. Recinos' amazing book, I did not realize that learning about ACEs (curriculum!) promoted her healing: https://www.acesconnection.com/blog/how-i-healed-from-my-own-childhood-trauma

Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan

We found this helpful in designing learning expeiences in GME - it's PBL & evaluated, forgive if this is duplicate information. Aspects that could translate well to UME include: 'Five primary aims of the Core Concepts portion of the CCCT include: (a) enhance practitioners’ empathic understanding of the nature of traumatic experiences (b) facilitate the development of clinical reasoning and clinical judgment in practitioners who work (or plan to work) with [trauma-exposed pts] ...(e)...

See attached document

https://www.sciencedirect.com/science/article/pii/S0738399110000340 This article is one of the few (only) RCTs looking at simulation-based communication training relevant to ACEs, which included a 2-year follow-up of observed skills in medical visits.

This weekend brought 25+ people together in Tulsa to further the discussion around competencies and curriculum development to advance the concept of Trauma-Informed Health Care. A rich discussion ensued with presentations from a number of institutions across the country where various approaches are being considered or have been instituted to integrate these concepts into the healthcare environment. One of the hoped-for outcomes of the meeting was to begin to develop a working document around...

This article comes from the American Educator. While it is intended for K-12 teachers, there are points made that are relevant to any level of training. Here is a quote from page 9 that I think we should consider carefully, "Notably, we do not recommend that schools adopt universal or targeted screening for ACEs. A possible exception would be to include related items in anonymous school-wide surveys to raise broad awareness of the prevalence of potentially traumatic experiences. At this...

TIHCER meeting. June 22, 2019. Thank you so much to Ellen Goldstein and Martina Jelley for allowing a brief presentation to the Oklahoma based meeting today re: the ACES TIC AHRQ topic nomination by the American College of Preventive Medicine ACPM work group. The dialog and slides from today were excellent (and I have shared some already with others). A notable quote was “all of our patients are traumatized”. Another take away is that supportive care for the effects of trauma “can reduce ED...

The first step is to recognize how common trauma is, and to understand that every patient may have experienced serious trauma. We don’t necessarily need to question people about their experiences; rather, we should just assume that they may have this history, and act accordingly