Related Experiment Video
Updated: Jun 29, 2025

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Trauma-Informed Care as a Universal Precaution: A Brief, Case-Based, Educational Primer Featuring Role-Playing and
Avi J Kopstick1, Aly M Aly, Emily Zientek
1Dr. Kopstick: Assistant Professor, Division of Pediatric Critical Care, Department of Pediatric Medicine, Texas Tech University Health Science Center El Paso, El Paso, TX. Dr. Aly: Resident, Department of Pediatric Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX. Ms. Zientek: Medical Student, Paul L. Foster School of Medicine, El Paso, TX. Dr. Williams: Associate Professor, Division of Pediatric Critical Care, Department of Pediatrics, and an Associate Director, Pediatric Critical Care and Neurotrauma Recovery Program, Oregon Health & Science University, Portland, OR. Dr. Hall: Associate Professor, Department of Pediatrics, and an Associate Director, Pediatric Critical Care and Neurotrauma Recovery Program; and a Co-Training Director, Psychology & Neuropsychology Fellowships, Oregon Health & Science University, Portland, OR. Dr. Macauley: Professor, Division of Pediatric Palliative Care, Department of Pediatrics, Oregon Health & Science University, Portland, OR. Dr. Duffee: AAP Council on Community Pediatrics.
Abstract:
Despite its growing popularity, the implementation of Trauma-Informed Care (TIC) in standard medical practices remains insufficient. A workshop, featuring role-playing scenarios and individual self-reflection exercises, was developed to enhance compassion among health care providers. The workshop was created by a multidisciplinary team of community pediatricians, pediatric intensivists, psychologists, and palliative care physicians, was structured around key elements and principles of TIC, and was based on actual patient encounters. The 90-minute session included didactics, role-playing, writing and self-reflection exercises, and large-group debriefings, and it was presented at two academic meetings. It is currently available as an open-sourced, freely accessible website. The workshop was attended by individuals with varying levels of training and experience. Of approximated 80 participants, 39 responded to surveys about baseline knowledge and workshop satisfaction, and 24 completed self-perceived pre- and postknowledge surveys. Nearly 90% had limited prior exposure to TIC. All rated the workshop highly, with no significant differences based on workshop facilitation. Nearly 95% felt that they learned something that would impact their day-to-day practices. Self-perceived pre-post knowledge showed statistically significant improvements. This workshop is feasible and can potentially increase health care professionals' capacity to care, decrease moral injury, and alleviate burnout from difficult cases.
Related Concept Videos
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions I: Contact, Enteric, and Droplets
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Preventive Healthcare Services
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...

