#218 Trauma-Informed Care with Megan Gerber MD
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber. Dr. Gerber is an Associate Professor of Medicine at Boston University School of Medicine and serves as Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship. Dr. Gerber edited the textbook, “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as basics about the prevalence of trauma, strategies for integrating a trauma-sensitive approach into primary care, practical changes for the office environment, modifications for physical exam methods, and more.
We recognize this topic may bring up upsetting thoughts or memories for some of our listeners. We will provide some self-care and trauma-informed resources in our show notes. The practice of medicine, especially during times of national crisis, can increase our exposure to traumatic events and reactivate difficult memories, predisoposing folks to depression and suicide risk. We just want to reiterate that you are not alone. If you are struggling with thoughts of harming yourself, the national suicide prevention lifeline number is 1-800-273-8255.
Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).
- Producer/Writer/Graphics: Beth Garbitelli
- Co-Producer: Paul Williams MD
- Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
- Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
- Guest: Megan Gerber MD, MPH, FACP
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- Intro, disclaimer, guest bio (0:00 - 4:09 )
- Guest one-liner (4:24 )
- Picks of the Week*: Keep Going: 10 Ways to Stay Creative in Good Times and Bad by Austin Kleon; Pilgrim at Tinker Creek by Annie Dillard; Molly’s Challah on King Arthur Flour website from cook/food writer Molly Yeh; OXO Good Grips Stainless Steel Food Scale with Pull-Out Display; Buffy the Vampire Slayer on Hulu, Amazon Prime; Devs on Hulu, Amazon Prime; Terry Pratchett’s Discworld series (Book 1 of 40: The Color of Magic, Night Watch) and The Wee Free Men; On Becoming a Healer by Saul J. Weiner MD (10:16 )
- Kashlak Cases (14:39 )
- Epidemiology of trauma (16:11 )
- Trauma and #MeToo (19:04 )
- Defining Trauma-Informed Care (TIC) (19:56 )
- Integrating TIC into primary care (23:42 )
- Screening in TIC (25:56 )
- Containment and retraumatization (29:56 )
- Inquiring about trauma (31:39 )
- Recap and Office Visit Mechanics (36:24 )
- Building the Relationship (38:56 )
- Common Inquiry Mishaps (39:46 )
- TIC Physical Exam (41:14 )
- Resources for Patients (45:24 )
- Office Environment (48:56 )
- Provider Burnout (50:56 )
- TIC in Covid-19 (53:24 )
- Take-home Points (57:14 )
- Outro (65:44 )
*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.
Listeners will gain fluency in trauma-informed care practices, methods, and perspectives in order to deliver compassionate care to patients who have experienced trauma and reduce the impacts of trauma in the healthcare setting.
After listening to this episode listeners will…
- Define trauma-informed care and discuss the various forms of trauma.
- Develop increased awareness of prevalence of adverse childhood experience, post-traumatic stress disorders, sexual violence, and intimate partner violence.
- Foster a safe, calm, welcoming clinical environment for patients who have experienced trauma.
- Manage trauma disclosures and assess appropriate next steps for care and referrals.
- Cultivate advanced communication skills and strategies on the topics of sexual violence, intimate partner violence, and other trauma-related experiences.
- Be able to engage in harm reduction strategies when caring for patients with trauma history.
Dr. Gerber reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Garbitelli EC, Gerber MR, Williams PN, Heublein M, Watto MF. “#218 Trauma-Informed Care with Megan Gerber MD”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list June 8, 2020.