On-the-Go Training: Downloadable Modules to Train Medical Students to Care for Adult Female Sexual Assault Survivors

Siegel, Molly; Gonzalez, Estela C.; Wijesekera, Olindi; Finkelstein, Katherine; Petricone, Randi; Glass, Lois; Lewis‐O’Connor, Annie; Duffy, Conor; Quijije, Nadia; March, Gail; Bell, Shannon

doi:10.15766/mep_2374-8265.10656

Cited by 15 publications

(22 citation statements)

References 7 publications

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“…Similarly, Siegel and colleages developed on-the-go downloadable videos of the medical evaluation and treatment of adult sexual assault patients for medical students. 22 While knowledge scores improved after viewing the videos, there was no content regarding the forensic evaluation of these patients.…”

Section: Introductionmentioning

confidence: 98%

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

et al. 2020

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Introduction: Many emergency medicine (EM) physicians have limited training in the care of sexual assault patients. Simulation is an effective means to increase the confidence and knowledge of physicians in such high-stakes, low-frequency clinical scenarios as sexual assault. We sought to develop and implement a sexual assault simulation with a structured debriefing for EM residents and to determine its impact on resident learners' attitudes and knowledge skills in the care of patients with sexual assault. Methods: The simulation blended psychomotor skills (e.g., collecting forensic evidence), cognitive skills (e.g., ordering laboratory studies and medications), and communication skills (e.g., obtaining relevant patient history, responding to psychosocial concerns raised by team members and simulator). Our emergency department checklist was available as a cognitive aid for each step of the evidence collection process. A content expert answered questions in real time during the simulation and provided structured debriefing following the simulation. Trainees completed an anonymous survey within a week after the intervention and a follow-up survey within 8 months. Results: Nineteen EM trainees participated. Presimulation, 39% reported never having received training in the medical care of a patient with sexual assault. The proportion of trainees agreeing or strongly agreeing with the statement "I am comfortable and confident managing a case of sexual assault" increased from 21% to 74% following the simulation (p < .05). Discussion: This intervention was associated with EM trainees' increased confidence with and knowledge of medical and forensic evaluations for an adolescent with sexual assault.

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Section: Introductionmentioning

confidence: 98%

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

et al. 2020

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“…17 MedEdPORTAL has also published two resources related to TIC, one on caring for female sexual assault survivors 18 and the second on trauma-informed physical examination techniques. 19 With the exception of the 25-minute self-directed module, 18 these learning opportunities require faculty in place to deliver the content. While this in-person element allows for rich discussion and active learning, limitations include faculty availability, scheduling, and finding protected time in existing curricula.…”

Section: Introductionmentioning

confidence: 99%

“…One describes a mandatory 3-hour workshop for first-year medical students at Rutgers New Jersey School of Medicine including didactics combined with small-group discussion, 16 and the second reports on a 25-minute self-directed module for pediatric residents embedded into an advocacy rotation. 17 MedEdPORTAL has also published two resources related to TIC, one on caring for female sexual assault survivors 18 and the second on trauma-informed physical examination techniques. 19 With the exception of the 25-minute self-directed module, 18 these learning opportunities require faculty in place to deliver the content.…”

Section: Introductionmentioning

confidence: 99%

Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care

2020

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Introduction: Training health professionals for the skills and capacity to respond adequately to children and adults who have been exposed to adverse childhood experiences is recognized as an essential need in health care. Accessible opportunities to educate physicians and physician-trainees are limited. Methods: Four computer-based e-modules were created focusing on addressing childhood adversity and implementing trauma-informed care in the pediatric primary care setting. These childhood adversity and trauma-informed care (CA-TIC) e-modules were designed as an individualized, self-directed experience to allow for distance learning with flexibility to be embedded into existing coursework. To foster an engaging learning environment, we narrated the modules, prioritized images, and included the opportunity for participant interaction via multiple-choice and short-answer questions. Twenty-eight pediatric residents, two medical students, four attending physicians, and one fellow at Children's National Hospital completed the e-modules. Results: Overall, participants rated the CA-TIC e-modules 4.6 (SD = 0.5) out of 5 for design and quality. Using paired t tests and Wilcoxon signed rank tests, we found statistically significant score increases from presession to postsession for participants' knowledge, attitudes, practice, and confidence related to CA-TIC. The most commonly cited learning points and practice changes included asking about trauma in practice and the seven C's of resilience. Discussion: A trauma-informed, strengths-based approach to care can assist health care providers in mitigating the link between adversity and related poor health outcomes. The CA-TIC e-modules provide an opportunity to train health professionals using an innovative, self-directed, and low-resource mechanism.

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“…10,11 Medical student training has been limited and primarily offered to small groups of participants. 12,13 Larger-scale medical student participation in TIC education has been more broadly focused. 14 We believe that providing this training to physicians early in their careers is critical for successful integration of skills, professional development, and transformation of clinical practice.…”

Section: Introductionmentioning

confidence: 99%

A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students

2019

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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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On-the-Go Training: Downloadable Modules to Train Medical Students to Care for Adult Female Sexual Assault Survivors

Cited by 15 publications

References 7 publications

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care

A Novel, Trauma-Informed Physical Examination Curriculum for First-Year Medical Students

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