Title: Interdisciplinary Approach to Training Healthcare Professionals to Address the Effects of Adverse Childhood Events Using Simulation and Video Annotation
Stream: Higher Education
Presentation Type: Oral Presentation
Authors:
Kim Coon, The University of Oklahoma, United States
Frances Wen, The University of Oklahoma, United States
Julie Miller-Cribbs, The University of Oklahoma, United States
Kristin Rodriguez, The University of Oklahoma, United States
Martina Jelley, The University of Oklahoma, United States
Abstract:
Adverse childhood experiences (ACEs) are 10 categories of childhood abuse and maltreatment which have a dose-response relationship with common adult health concerns seen in healthcare settings including health risk behaviors, chronic disease, and mental illness. Many of the ACEs-associated biopsychosocial risk factors are modifiable. However, healthcare professionals may not address these issues for fear of opening “Pandora’s Box”, i.e., a source of extensive problems for which they may feel that they are not sufficiently prepared for with training, resources, or time. Trainees need instruction in how to conduct trauma-focused conversations within the limited scope of an office visit and to deliver successful interventions. To address this need, we have developed and implemented a 4-hour simulation and video based training program for healthcare professions trainees on how to conduct brief interventions connecting their patients’ current health concerns and their experiences of ACEs. We have completed workshops that included didactic sessions followed by individual simulations with standardized patients for over 500 trainees. Participants have evaluated this program as preparatory for real-life encounters, and as being designed to allow for educational mastery. This presentation will describe the curriculum including the five targeted skills, and illustrate the key components (i.e., didactics, provider and patient videos, simulated-patient encounters, trainee feedback, and facilitated discussion that encompasses targeted skills, clinical implementation, and self-care). We will share outcomes from a mixed-methods evaluation of the training program.
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