TY - JOUR
KW - Curriculum
KW - Family Practice/education
KW - Humans
KW - Internship and Residency/organization & administration
KW - Psychological Trauma/diagnosis/therapy
KW - Research
KW - Surveys and Questionnaires
KW - United States
AU - Melissa E. Dichter
AU - Anne Teitelman
AU - Heather Klusaritz
AU - Douglas M. Maurer
AU - Peter F. Cronholm
AU - Chyke A. Doubeni
A1 - 
AB - BACKGROUND AND OBJECTIVES: Experiences of psychological trauma are common among primary care patient populations, and adversely affect patients' health and health care utilization. Trauma-informed care (TIC) is a framework for identifying and responding to patients' experiences of psychological trauma to avoid retraumatization. The purpose of this study was to evaluate the current state of TIC training in family medicine residency programs in the United States in order to identify opportunities for and barriers to TIC training. METHODS: Items addressing the four core domains of TIC were incorporated into the 2017 Council of Academy Family Medicine Educational Research Alliance (CERA) survey of program directors. The items assessed the presence, content, and sufficiency of TIC curriculum, as well as barriers to further integration of TIC training. RESULTS: Approximately 50% of programs responded to the survey. Of 263 respondents, 71 (27%) reported TIC training in their curriculum, but the majority devoted less than 5 hours annually to core content. The content most commonly addressed recognizing signs of trauma, most frequently using didactic formats. Overall, just over one-half of the programs reported that their curriculum met patients' TIC needs "somewhat" (48.5%) or "a great deal" (4.6%). Lack of a champion followed by lack of time were the most commonly cited barriers to integrating TIC training. CONCLUSIONS: Despite the acknowledged importance of effects of trauma in health care, this study identified insufficient exposure to training in the core TIC domains in family medicine residency programs, underscoring a need for greater integration of TIC training during residency.
AD - University of Pennsylvania Perelman School of Medicine, Department of Family and Community Medicine.; University of Pennsylvania Perelman School of Nursing.; University of Pennsylvania Perelman School of Medicine, Department of Family and Community Medicine.; Reynolds Army Health Clinic, Fort Sill, OK.; Department of Family and Community Health, University of Pennsylvania School of Medicine, Philadelphia, PA.; University of Pennsylvania Perelman School of Medicine, Department of Family and Community Medicine.
BT - Family medicine
C5 - Education & Workforce
CP - 8
CY - United States
DO - 10.22454/FamMed.2018.505481
IS - 8
JF - Family medicine
LA - eng
M1 - Journal Article
N2 - BACKGROUND AND OBJECTIVES: Experiences of psychological trauma are common among primary care patient populations, and adversely affect patients' health and health care utilization. Trauma-informed care (TIC) is a framework for identifying and responding to patients' experiences of psychological trauma to avoid retraumatization. The purpose of this study was to evaluate the current state of TIC training in family medicine residency programs in the United States in order to identify opportunities for and barriers to TIC training. METHODS: Items addressing the four core domains of TIC were incorporated into the 2017 Council of Academy Family Medicine Educational Research Alliance (CERA) survey of program directors. The items assessed the presence, content, and sufficiency of TIC curriculum, as well as barriers to further integration of TIC training. RESULTS: Approximately 50% of programs responded to the survey. Of 263 respondents, 71 (27%) reported TIC training in their curriculum, but the majority devoted less than 5 hours annually to core content. The content most commonly addressed recognizing signs of trauma, most frequently using didactic formats. Overall, just over one-half of the programs reported that their curriculum met patients' TIC needs "somewhat" (48.5%) or "a great deal" (4.6%). Lack of a champion followed by lack of time were the most commonly cited barriers to integrating TIC training. CONCLUSIONS: Despite the acknowledged importance of effects of trauma in health care, this study identified insufficient exposure to training in the core TIC domains in family medicine residency programs, underscoring a need for greater integration of TIC training during residency.
PP - United States
PY - 2018
SN - 1938-3800; 0742-3225
SP - 617
EP - 622
EP - 
T1 - Trauma-Informed Care Training in Family Medicine Residency Programs Results From a CERA Survey
T2 - Family medicine
TI - Trauma-Informed Care Training in Family Medicine Residency Programs Results From a CERA Survey
U1 - Education & Workforce
U2 - 30215822
U3 - 10.22454/FamMed.2018.505481
VL - 50
VO - 1938-3800; 0742-3225
Y1 - 2018
Y2 - Sep
ER -