RESIDENT: Mitigating the Effects of Secondary Traumatic Stress in Medical Education

Presenting Author(s): Dr. Keely Murphy

Co-Author(s): Amanda Roze des Ordons, Patricia Kerig, Aliya Kassam, Rachel Ellaway, Kannin Osei-Tutu

Date and time: 22 Mar 2025 from 15:05 to 15:20

Location: Hawthorn C  

Abstract

Within the context of medical education, there is significant potential for exposure to trauma. Despite this, the importance of trauma-informed approaches to medical education have only recently been described. Many medical educators lack the skills necessary to support learners who encounter the potential consequences associated with vicarious trauma and secondary traumatic stress (STS). Given the lack of professional development opportunities in this area, a curriculum originally developed to enhance resilience among non-mental health professionals was adapted for use within the context of medical education. The modified curriculum was delivered to 14 medical professionals from a variety of practice backgrounds over
1.5 days of classroom-based instruction. Participants completed pre-and post-assessment surveys which revealed increased confidence across three key areas: understanding of concepts related to STS, strategies for minimizing the risk of STS, and management of STS within educational contexts. Interviews were conducted with participants following the workshop to explore their experiences of the workshop and its impact. Thematic analysis of interview data is currently in progress.

Learning Objectives

1. Define vicarious trauma and secondary traumatic stress (STS);

2. Describe how a STS professional development curriculum can be adapted for use within medical education; and

3. Identify key areas of skill development relevant to supporting medical learners exposed to vicarious trauma and/or STS.

Literature References

1. McCann IL, Pearlman LA. Vicarious traumatization: A framework for understanding the psychological effects of working with victims. J. Traumat. Stress. 1990;3:131–149.2. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: Contributors, consequences and solutions. J Int Med. 2018;283:516-529.

2. Jackson T, Provencio A, Bentley-Kumar K, Pearcy C, Cook T, McLean K, Morgan J, Haque Y, Agrawal V, Bankhead-Kendall B, Taubman K, Truitt MS. PTSD and surgical residents: Everybody hurts… sometimes. Am

3. J Surg. 2017;214:1118-1124.Sendler DJ, Rutkowska A, Makara-Studzinska M. How the exposure to trauma has hindered physicians' capacity to heal: Prevalence of PTSD among healthcare workers. Eur J Psychiatr. 2016;30:321-334.Williams BW, Welindt D, Hafferty FW, Stumps A, Flanders P, Williams MV. Adverse childhood experiences in trainees and physicians with professionalism lapses: Implications for medical education and remediation. Acad Med. 2021;96:736-743.