IntroductionTrauma 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.MethodsWe 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.ResultsFive-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).DiscussionThe 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.

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The medical field traditionally classifies “trauma” as acute physical injury, requiring immediate medical attention. Psychological trauma is a separate entity, traditionally viewed as under the purview of behavioral health. Although mental health providers have expertise in treating the consequences of psychological trauma, medical providers can also play a distinct role in addressing the impact of such trauma on patients' health. Medical providers often work in settings where patients with anxiety, depression, chronic pain, or other pathologies related to underlying trauma may first interact with the health care sector, such as a primary care clinic or an emergency room.