A simulation and video-based training program to address adverse childhood experiences.

Area of Science:

• Medical Education
• Public Health
• Psychiatry

Background:

• Adverse childhood experiences (ACEs) are linked to adult health issues, including chronic disease and mental illness.
• Physicians often hesitate to discuss ACEs due to lack of training and time.
• Effective communication strategies are needed for primary care settings.

Purpose of the Study:

• To describe a training program for primary care residents on addressing ACEs.
• To equip residents with skills for brief, trauma-informed interventions.
• To facilitate discussion on clinical implementation and self-care.

Main Methods:

• A 4-hour simulation and video-based training program was developed.
• The program included didactics, patient/provider videos, and simulated encounters.
• Trainee feedback, facilitated discussion, and companion resources were utilized.

Main Results:

• Resident participants found the program preparatory for real-life encounters.
• The training was evaluated as allowing for educational mastery.
• Skills, clinical implementation, and self-care were discussed.

Conclusions:

• Training programs can effectively prepare primary care residents to address ACEs.
• Simulation and video-based methods enhance learning for trauma-focused conversations.
• Addressing ACEs in primary care is feasible with appropriate training and resources.