This study examines family medicine resident practices screening adult patients for ACEs, knowledge of ACEs, attitudes to screening, resident personal ACE histories, and determines preferred ways to learn more about ACEs if gaps were identified. Resident ACE screening rates were found to be extremely low, prompting the recommendation of physician educational initiatives.
[Tink, W., Tink, J., Turin, T., Kelly, M. (2017). Adverse Childhood Experiences: Survey of Resident Practice, Knowledge, and Attitude. Fam Med, 49(1), 7-13. PMID: 28166574]
Most children will experience some type of trauma during childhood, and many children suffer from significant adversities. Research in genetics, neuroscience, and epidemiology all provide evidence that these experiences have effects at the molecular, cellular, and organ level, with consequences on physical, emotional, developmental, and behavioral health across the life span. Trauma-informed care translates that science to inform and improve pediatric care and outcomes. To practically address trauma and promote resilience, pediatric clinicians need tools to assess childhood trauma and adversity experiences as well as practical guidance, resources, and interventions. In this clinical report, we summarize current, practical advice for rendering trauma-informed care across varied medical settings.[Forkey, H., Szilagyi, M., Kelly, E., Duffee, J. (2021). Trauma-Informed Care. Pediatrics, 148(2), e2021052580; DOI: 10.1542/peds.2021-052580]