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PACEs in Medical Schools

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Synergistic adversities and behavioral problems in traumatized children and adolescents (Child Abuse & Neglect)

By Frank W. Putnam a Ernestine C. Briggs b https://doi.org/10.1016/j.chiabu.2020.104492 . Abstract Objective This study investigated synergy of commonly co-occurring pairs of childhood traumas/adversities to determine: 1) if synergistic pairings differ by gender and/or age grouping; and 2) if some traumas/adversities were more synergistically reactive. Methods A sample of 10,355 clinic-referred youth (1.5–18 years) from the National Child Traumatic Stress Network Core Data Set was divided by...

Just in TIME: Trauma-Informed Medical Education [link.springer.com]

By Aneesah McClinton & Cato T Laurencin, Journal of Racial and Ethnic Health Disparities, October 1, 2020 Abstract 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...

The importance of care coordination [medcitynews.com]

By Brooke Sabia, MedCity News, September 30, 2020 Some may ask the question, “What does a care coordinator do for my personal well-being?” There is no short answer as to what a patient can benefit from by receiving assistance from a care coordinator. Their job is to connect with high-risk individuals to uncover and identify needs in a patient-centered manner and in a way that takes into account whether the patient has endured any trauma. When people think of care coordination, they typically...

Association of Early-Life Adversity With Measures of Accelerated Biological Aging Among Children in China (JAMA)

By: Ying Sun, MD; Jiao Fang, MS; Yuhui Wan, MD; Puyu Su, MD; Fangbiao Tao, MD. JAMA Netw Open. 2020; 3(9):e2013588. doi: 10.1001/jamanetworkopen.2020.13588 Key Points Question Aretheredimension-and sex-specific longitudinal associations between early-life adversity and accelerated biological aging in children with specific genetic backgrounds? Findings Thiscohortstudyof997 youths found that both threat- and deprivation-related early-life adversity were associated with earlier age of pubertal...

Teaching Doctors In Training To Connect Climate Change And Health Care (WBUR)

By Martha Bebinger, September 24, 2020, WBUR. It was low tide on the North Shore of Boston when Steve Kearns felt the mosquito bite that would land him in a hospital with West Nile Virus disease for a week. “For at least six months after that, I felt like every five minutes I was being run over by a truck,” Kearns says. “I couldn’t work, I couldn’t walk very well, and I couldn’t focus. I wondered for a bit if I’d ever get better.” Kearns recounts the experience during a check-up with his...

Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)

Child Welfare publication, Child Trends, September 25, 2020. The QIC-AG is a five-year project working with eight sites that implemented evidence-based interventions or developed and tested promising practices which, if proven effective, can be replicated or adapted in other child welfare jurisdictions. Effective interventions are expected to achieve long-term, stable permanence in adoptive and guardianship homes for waiting children as well as children and families after adoption or...

Medicine and medical science: Black lives must matter more The Lancet

The following quote appeared in an editorial in The Lancet on June 13, 2020: "What can medical journals do? Our task is to educate ourselves and others about racism. We must support Black and minority ethnic health workers. And we must use evidence and our values to speak out for Black and minority ethnic communities. The Lancet is a journal with a deep colonial history: the journal has published work that supported the health of settler colonialists and that prioritised their health over...

Free 2020 Virtual Trauma-Informed Care Conference

Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.

RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST

RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...

Addressing Childhood Poverty in Pediatric Clinical Settings [jamanetwork.com]

By Margaret G. Parker, Arvin Garg, Margaret A. McConnell, JAMA Pediatrics, September 14, 2020 Two in 5 children are poor or nearly poor, and childhood poverty is a key social determinant of heath that is associated with negative health and developmental outcomes across the life course. In 2016, the American Academy of Pediatrics published a policy statement on child poverty and health, emphasizing the importance of addressing poverty-related risk factors in the delivery of pediatric care.1...

Addiction Born Out of ACEs and The Return of Hope [avahealth.org]

The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...

Introducing ACEs (Adverse Childhood Experiences) and Resilience to First-Year Medical Students [mededportal.org]

By Edore Onigu-Otite, Sindhu Idicula, MedEdPORTAL, September 15, 2020 Abstract Introduction: Adverse childhood experiences (ACEs) are associated with negative mental and physical health outcomes and predictive of higher sociodemographic risk. Introducing ACEs into undergraduate medical education is key to prevention, early recognition, and intervention. Methods: In a 1-hour lecture, held live and viewed online, we delivered a condensed introduction to ACEs to first-year medical students.

Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter (JAMA)

By Donna M. Zulman, MD, MS 1,2 ; Marie C. Haverfield, PhD 2,3 ; Jonathan G. Shaw, MD, MS 1 ; et al January 7, 2020, JAMA. JAMA. 2020;323(1):70-81. doi:10.1001/jama.2019.19003 MOST READ NON-COVID ARTICLES, 2020 Question What are the most promising practices to foster physician presence and connection with patients? Findings This mixed-methods study identified 5 practices that may enhance physician presence and meaningful connection with patients in the clinical encounter: (1) prepare with...

Catherine Dulac wins 2021 Breakthrough Prize for Life Sciences (Harvard Gazette)

By Jill Radsken, Staff Writer, September 10, 2020. Rewarded for neural study of parenting behavior that reoriented field Catherine Dulac , Lee and Ezpeleta Professor of Arts and Sciences and Higgins Professor of Molecular and Cellular Biology, has been awarded a 2021 Breakthrough Prize in Life Sciences for her pioneering work identifying the neural circuitry that regulates parenting behavior in both males and females. “One of the beauties of science is teamwork,” said Dulac, who described...

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