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2023-12-04
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Public Health Practice
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Copyright (c) 2023 Gurbaksh Esch, William Nauam
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Training pediatric residents in trauma-informed care in Flint, MI: A pilot study
Gurbaksh Esch
Michigan State University, College of Human Medicine and Charles Stewart Mott Department of Public Health
William Nauam
Abstract
Childhood trauma has significant long-term effects on children, into adulthood, including impacts on growth, development, mental health, and chronic disease. Many children face trauma or traumatic events during their childhood. Significant racial and socioeconomic disparities exist in terms of adverse childhood events. The children and residents of Flint, MI have faced numerous toxic stressors over time. Currently, there is no standardized trauma-informed care (TIC) curriculum taught in pediatric residencies, including in that of Hurley Children’s (in Flint, MI) pediatric residency program. This pilot curriculum examined the impact of a short training, embedded in a required pediatric residency rotation, on resident comfort with trauma-informed care topics. Results, including improvement in resident understanding of basic concepts of ACEs and trauma and improvement in comfort in knowing when to refer and teaching resilience to parents, from this small pilot study were encouraging. However, more research must be done to assess including TIC training in pediatric residencies as a standard requirement.
