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Preparing residents to deal with human trafficking
Keon Ma1, Jahaan Ali1, Julianna Deutscher1
1Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Canada.
The Clinical Teacher
|July 28, 2020
Summary
Front-line physicians have limited knowledge of human trafficking (HT) and its health concerns. An online learning module significantly improved residents' HT knowledge and confidence in supporting victims.
Area of Science:
- Medical Education
- Public Health
- Human Trafficking Research
Background:
- Human trafficking (HT) victims face significant health issues and often interact with healthcare providers.
- Awareness and knowledge of HT among front-line physicians are critically low.
- There is a lack of data on integrating HT education into residency training programs.
Purpose of the Study:
- To assess the effectiveness of an online learning module in improving resident knowledge of human trafficking.
- To evaluate changes in self-reported and tested knowledge of HT among medical residents.
- To determine resident preparedness and comfort in identifying and supporting HT victims.
Main Methods:
- Residents from family medicine, emergency medicine, and general paediatrics participated.
- Knowledge was assessed using pre- and post-intervention surveys.
- An online learning module was delivered individually or in facilitated sessions.
Main Results:
- Baseline knowledge of HT red flags was low (16%), with limited prior education (6% in residency, 25% in medical school).
- Post-intervention, significant improvements were observed in self-reported (p < 0.001) and tested (p = 0.005) knowledge.
- Residents reported increased preparedness (p < 0.001), comfort (p < 0.001), and confidence (p < 0.001) in supporting victims.
Conclusions:
- Medical residents providing first-contact care demonstrate limited baseline knowledge of human trafficking.
- Residency programs should prioritize HT education to enhance physician competency in identifying and supporting victims.
- Online modules are effective, but protected time may be needed for broader implementation.
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