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Educating for Empathy: A Simulation-Based Approach to Trauma-Informed Care in Residency Training.

Elizabeth Cerceo1, Amir Davoodi2, Krystal Hunter3

  • 1Division of Hospital Medicine, Department of Medicine, Cooper University Healthcare, Cooper Medical School of Rowan University, Camden, NJ, USA.

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PubMed
Summary

This study explored trauma-informed care (TIC) training for internal medicine residents. The hybrid educational intervention showed potential for maintaining and improving residents' empathy and trauma-informed attitudes, supporting its integration into medical education.

Keywords:
OSCEempathygraduate medical educationinternal medicinestandardized patientstrauma-informed care

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Area of Science:

  • Medical Education
  • Psychology
  • Public Health

Background:

  • Trauma-informed care (TIC) is crucial but often missing in physician training.
  • Most physicians lack skills to address patients' trauma histories effectively.
  • High rates of trauma exposure necessitate better physician preparedness.

Purpose of the Study:

  • To evaluate a hybrid educational intervention's impact on internal medicine residents' empathy and attitudes toward TIC.
  • To assess the feasibility of integrating TIC training into residency programs.
  • To determine if structured TIC education can mitigate empathy decline during residency.

Main Methods:

  • A hybrid curriculum combining didactics and standardized patient (SP) scenarios was implemented.
  • Second-year internal medicine residents participated in educational sessions and Observed Structured Clinical Examinations (OSCEs).
  • Residents completed the Jefferson Scale of Empathy (JSE) and Attitudes Related to Trauma-Informed Care (ARTIC) Scale at baseline, 3, and 6 months.

Main Results:

  • High baseline scores on empathy and TIC attitudes were observed.
  • Trends indicated increased empathy and trauma-informed attitudes post-intervention.
  • No statistically significant changes were found, but importantly, no decline in empathy occurred.

Conclusions:

  • Integrating TIC training into residency education is feasible and potentially beneficial.
  • Structured TIC education and OSCEs may support and enhance trauma-informed communication skills.
  • Findings support formal inclusion of TIC in graduate medical education, warranting further research.