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Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking
Nicole E Exeni McAmis1,2,3, Richard S Feinn4, Monica R Saxena3
1Los Robles Regional Medical Center, Department of Emergency Medicine, Thousand Oaks, CA.
This simulation training significantly improved healthcare providers' ability to identify and manage human trafficking victims. Participants reported increased confidence and knowledge, highlighting the value of simulation in real-world clinical settings.
Area of Science:
- Medical Education
- Public Health
- Human Rights
Background:
- Human trafficking is a global health crisis and human rights violation, with millions affected annually.
- Healthcare providers frequently encounter victims but often lack formal training in identification and response.
- Emergency departments are critical points of contact for victims seeking medical care.
Purpose of the Study:
- To assess and enhance the knowledge of healthcare professionals in identifying human trafficking victims.
- To provide education on recognizing red flags, indicators, and injuries associated with human trafficking.
- To train providers in trauma-informed care, resource provision, and reporting laws.
Main Methods:
- A simulation-based training using standardized patients was conducted for emergency medicine residents.
- Pre- and post-simulation surveys assessed knowledge and confidence levels.
- Statistical analysis included linear mixed models and chi-square tests; qualitative feedback was also gathered.
Main Results:
- Knowledge scores significantly improved post-simulation (Pre: 59.2 → Post: 65.1).
- Comfort in recognizing and managing victims increased substantially (recognizing: 35% to 64%; managing: 28% to 69%).
- 100% of participants agreed the simulation enhanced their knowledge; qualitative feedback emphasized increased awareness and practical tools.
Conclusions:
- Simulation-based training is an effective tool for improving healthcare providers' preparedness to identify and respond to human trafficking.
- The training enhanced participants' confidence and provided practical skills for victim support.
- Further integration of social work and additional pre-simulation training could further optimize such educational interventions.
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