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Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure
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A simulation and video-based training program to address adverse childhood experiences.

Frances K Wen1, Julie E Miller-Cribbs2, Kim A Coon3

  • 11 Department of Family and Community Medicine, The OU-TU School of Community Medicine, Tulsa, OK, USA.

International Journal of Psychiatry in Medicine
|September 13, 2017
PubMed
Summary
This summary is machine-generated.

Primary care residents can now receive training to address adverse childhood experiences (ACEs) and their health impacts. This program equips physicians with skills for trauma-focused conversations during brief patient visits.

Keywords:
ACEsadverse childhood experienceseducationprimary caresimulation

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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.