Trauma sensitive professionalism remediation: A New Framework

Date:  Sunday 6 September 2020
Time:  1330-1630
Location:  Barra, Crowne Plaza

  • Betsy Williams, Professional Renewal Center, USA
  • Frederic Hafferty, Mayo Clinic College of Medicine, USA
  • Kathy Zoppi, Community Health Network, USA
  • Ian Wilson, University of Wollongong, Australia

Summary of theme and why it is important:  Lapses in professional conduct occur internationally and across the medical education continuum. Such lapses threaten safe and effective patient care, challenge educators, and threaten the perceived trustworthiness of medical education and medical regulatory/certification processes. Recent studies have demonstrated that trainees/practicing physicians referred for professionalism concerns have a high prevalence of exposure to adverse childhood experiences (ACE). Behavioral manifestations of ACE exposure include emotional dysregulation, difficulties labeling/expressing feelings, poor self-concept, and experiencing feelings of shame/guilt. ACE exposure is associated with negative sequellae including vulnerability to physical and mental health conditions in later life. We will present an evidence-based framework for understanding the relationship of ACEs to potential lapses in professionalism. We will provide an overview of the literature on ACEs, including the prevalence in healthcare providers. Additionally, we will discuss current remedial approaches including soliciting input from workshop participants. Participants will learn the importance of considering ACE in the context of learner-educator and learner-organization relationships. We will provide participants tools and opportunities for learning/skill development using case studies, handouts, and mnemonics. Participants will engage in role-plays with feedback to promote skills in and methods of developing trauma informed/sensitive educational processes. Included will be discussion of identification methods and development of a trauma informed/sensitive culture. Participants will discuss plans for implementing trauma informed/sensitive educational methods including their perception of facilitators and barriers to success. We will utilize interactive elements designed to foster engagement, increase self-efficacy and skills.
What participants will gain:  This workshop will enhance participants’ consideration of psychosocial/organizational factors in addressing professionalism lapses. We encourage self-reflection through individual/group exercises about participants’ previous experiences/level of knowledge about ACE exposure, level of self-efficacy in handling problematic/unprofessional behaviors from an individual and organizational perspective utilizing a trauma informed/sensitive approach. Attendees will broaden their understanding of the importance of recognizing ACE exposure as they address trainees/physicians with professional lapses and will have a framework for addressing these issues.
Who should participate:  This workshop is appropriate for medical educators across the educational continuum (undergraduate through postgraduate), as well as students/trainees.
Level of workshop:  Intermediate/advanced

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