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Related Concept Videos

Data Collection III01:05

Data Collection III

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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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Physical Assessment of the Respiratory Tract II: Palpation01:24

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Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
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Physical Assessment of the Respiratory Tract III: Percussion01:29

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The respiratory system, fundamental to life, consists of complex structures responsible for gas exchange. The percussion assessment is critical to understanding this system's health and functionality. This non-invasive assessment technique allows healthcare providers to evaluate the density or aeration of the lungs, thereby identifying potential abnormalities.
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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Related Experiment Video

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A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
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A Trauma-Informed Approach to Peer Physical Examination.

Sadie Elisseou1, Emily Adams2, Maya Adler3

  • 1Clinical Instructor of Medicine, Department of Medicine, Harvard Medical School.

Mededportal : the Journal of Teaching and Learning Resources
|September 19, 2022
PubMed
Summary

Medical students benefit from trauma-informed peer physical examination (TIPPE) training, which enhances understanding of trauma-informed care principles. This approach aims to prevent retraumatization during clinical skills education.

Keywords:
Clinical Teaching/Bedside TeachingClinical/Procedural Skills TrainingCommunication SkillsPhysical ExaminationTrauma-Informed Care

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Area of Science:

  • Medical Education
  • Trauma-Informed Care
  • Clinical Skills Training

Background:

  • Peer physical examination (PPE) is a standard medical school teaching tool.
  • Medical students have trauma prevalence similar to the general population.
  • Current PPE curricula lack trauma-informed care (TIC) principles, risking student retraumatization.

Purpose of the Study:

  • To develop and evaluate a novel trauma-informed PPE (TIPPE) curriculum for first-year medical students.
  • To compare student perceptions of safety, trust, and autonomy in TIPPE versus standard PPE.
  • To assess the impact of TIPPE on student familiarity with TIC principles.

Main Methods:

  • A TIPPE curriculum was implemented for first-year medical students.
  • A control group from the prior year was used for comparison.
  • Student perceptions were assessed, and qualitative data were analyzed thematically.

Main Results:

  • 29% of students had a mental health diagnosis, and 33% had a trauma history.
  • 5% of students reported PPE triggered traumatic recall.
  • TIPPE participation significantly increased familiarity with TIC, though overall ratings did not change.

Conclusions:

  • Standard PPE models require adaptation to mitigate the risk of student retraumatization.
  • The TIPPE curriculum provides a model for institutions to train trauma-informed clinicians.
  • Students desire earlier and more comprehensive integration of TIC principles into medical education.