Just in TIME: Trauma-Informed Medical Education.

Just in TIME: Trauma-Informed Medical Education.
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DOI:
10.1007/s40615-020-00881-w
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发表时间:
2020-12
影响因子:
3.9
通讯作者:
Laurencin CT
Laurencin CT
中科院分区:
医学4区
文献类型:
--
作者:
McClinton A;Laurencin CT

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许多组织实施创伤知情方法。该模式协助机构提供护理和教育,为经历过创伤经历的成员提供支持,许多机构将这些原则作为普遍的预防措施。学生和实习生在医学教育中的经历揭示了隐藏的课程,这些课程可能会传递有关机构价值观的相互矛盾的信息,在该机构中,促进公平,但偏见和歧视性做法却很常见。在患者与提供者的互动中已经发现了隐性的种族偏见,并且也可能扩大其对学习者体验的影响。偏见和歧视通过情感伤害对其目标造成创伤。应用创伤知情方法的原则,我们提倡创伤知情医学教育(TIME)。 《时代》培养了这样的认识:学生和受训者可能会因有偏见的制度和文化而遭受创伤,并倡导制定支持学习者的政策和做法,以防止进一步再次遭受创伤。 TIME 将成为提供公正、公平教育的一种手段。
Numerous organizations implement a trauma-informed approach. This model assists institutions in providing care and education that delivers support to members who have undergone traumatic experiences, and many institutions apply the principles as a universal precaution. Student and trainee experiences in medical education reveal a hidden curriculum that may deliver conflicting messages about the values of an institution, in which equity is promoted, but biased and discriminatory practices are commonplace. Implicit racial bias has been identified in the patient-provider interaction and may also extend its impact on the learner experience. Bias and discrimination inflict trauma on its targets via emotional injury. Applying the principles of the trauma-informed approach, we advocate for trauma-informed medical education (TIME). TIME fosters awareness that students and trainees can experience trauma from a biased system and culture and advocates for the establishment of policies and practices that support learners to prevent further re-traumatization. TIME will serve as a means to deliver just and equitable education.
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