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Peer-to-Peer Trauma-Informed Training for Surgical Residents Facilitated by Psychiatry Residents

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Abstract

Objective

This article describes the implementation of trauma-informed care (TIC) didactic training, using a novel, interdisciplinary peer-to-peer teaching model to improve confidence surrounding trauma-informed practices in a surgical residency program.

Methods

Eight psychiatry residents and two medical students with a background in psychological trauma and TIC and an interest in medical education were recruited to participate in three 2-hour “train the trainer” sessions led by a national expert in TIC. Eight psychiatry residents and two medical students subsequently developed and delivered the initial TIC training to 29 surgical interns. Training included the neurobiology of psychological trauma, principles of trauma-informed care, and developing trauma-informed curricula.

Results

Surgical interns reported significantly improved understanding of the physiology of trauma, knowledge of TIC approaches, and confidence and comfort with TIC and practices. Among surgical interns, understanding of the physiology of the fear response increased from 3.36 to 3.85 (p = 0.03). Knowledge of the neurobiology of trauma improved between pre- and post-training surveys (2.71 to 3.64, p = 0.006). Surgery interns also expressed an improved understanding of the connection between fear, trauma, and aggression (3.08 to 4.23, p = 0.002) from pre- to post-training surveys. Post-training knowledge of trauma-informed approaches increased from 2.57 to 4.71 (p < 0.001) and confidence in delivering TIC on the wards increased from 2.79 to 4.64 (p < 0.001).

Conclusion

This TIC curriculum delivered via a peer-to-peer training model presents an effective way to improve comfort and confidence surrounding TIC practices and approaches in a surgical residency training program.

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Acknowledgements

The authors have informed the journal that they agree that both Heather Buxton and Mollie C. Marr completed the intellectual and other work typical of the first author.

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Authors and Affiliations

  1. Children’s Hospital Colorado, Aurora, CO, USA

    Heather Buxton

  2. Oregon Health & Science University, Portland, OR, USA

    Mollie C. Marr, Jovo Vijanderan, Karen Brasel, Mackenzie Cook & Alisha Moreland-Capuia

  3. University of Washington, Seattle, WA, USA

    Alexandra Hernandez

  4. McLean Hospital/Harvard Medical School, Belmont, MA, USA

    Alisha Moreland-Capuia

Authors
  1. Heather Buxton
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  2. Mollie C. Marr
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  3. Alexandra Hernandez
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  4. Jovo Vijanderan
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  5. Karen Brasel
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  6. Mackenzie Cook
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  7. Alisha Moreland-Capuia
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Corresponding author

Correspondence to Alisha Moreland-Capuia.

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Disclosures

Heather Buxton received an Educational Mini Grant from Oregon Health and Science University ($7,000). Mollie Marr was supported by the National Institute of Mental Health under award number F30 MH118762. The other authors declare no conflicts of interest.

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Buxton, H., Marr, M.C., Hernandez, A. et al. Peer-to-Peer Trauma-Informed Training for Surgical Residents Facilitated by Psychiatry Residents. Acad Psychiatry 47, 59–62 (2023). https://doi.org/10.1007/s40596-022-01648-7

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  • DOI: https://doi.org/10.1007/s40596-022-01648-7

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