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PACEs in Pediatrics

Tagged With "medical education"

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Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health

Audrey Stillerman ·
I was honored to have my review article, “Childhood Adversity and Lifelong Health: from research to action”, chosen as the November 2018 cover story of the Journal of Family Practice . Here is a link to the article. Access is free after registration with the journal and retrievable directly by anyone who has Medline PubMed access. https://www.mdedge.com/jfponline/article/178388/pediatrics/childhood-adversity-lifelong-health-research-action Highlights from the article include: - recognition...
Blog Post

Medical students' ACE scores mirror general population, study finds

Laurie Udesky ·
A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...
Blog Post

NJ medical school program requires all first-year students to learn about ACEs science

Laurie Udesky ·
In 2015, Dr. Beth Pletcher, a pediatrician and associate professor specializing in genetics, was at the annual conference of the American Academy of Pediatrics in Washington D.C. when she heard two speakers that forever changed her work with medical students. Dr. Beth Pletcher “I went to two talks on adverse childhood experiences (ACEs) that were so mind-boggling to me that I decided on my drive back to New Jersey that I had to do something about it,”says Pletcher, director of the Division...
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Re: NJ medical school program requires all first-year students to learn about ACEs science

Suzanne Frank ·
Bravo! Great work!!! This work improves patient care and builds resilience in medical students. A path to control stress and prevent burn out in medicine and the health care system. We need more physicians like Dr. Pletcher. Suzanne Frank,MD Santa Clara County,CA ACEs Network Steering Committee
Blog Post

ACEs Research Corner — June 2019

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Wickramasinghe YM, Raman S, Garg P, Hurwitz R. Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a...
Ask the Community

Seeking trauma-informed medical care

Chris Simon ·
On the chance that someone here can offer a referral or advice, I'm looking for a trauma-informed medical doctor who can be my wife's Primary Care Physician. She is 39 years old and has gone without medical care for over 27 years as a result of her childhood trauma which involved severe neglect and long-term social isolation. I need to find a physician who is willing to communicate with me before her first appointment so I can fully explain her condition and what kind of approach will best...
Comment

Re: Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health

Veronique Mead ·
Dear Audrey, What a terrific summary and highlighting of the major points about ACEs, including the often minimized risk for autoimmune and other chronic diseases. Congrats on this huge success of getting ACEs in front of family docs and other primary care providers. I'm so thrilled to see it and am sharing on my chronic illness trauma blog and FB page and more!!
Reply

Re: Seeking trauma-informed medical care

Veronique Mead ·
Dear Chris, I just saw your request and that you posted this question perhaps a year ago. Seeing no other comments I wanted to check in to see if you've found good care with someone who can connect well with your wife. I was once a family doctor and ended up retraining as a trauma therapist and specializing in chronic illness. If additional support is helpful I'd suggest your wife get support for healing some of these effects of trauma she has around events from childhood as they could make...
Blog Post

Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Recently a family doc published a "Viewpoint" in the Journal of the American Medical Association suggesting restraint and caution in using the ACEs screening tool (Campbell TL. Viewpoint, Screening for Adverse Childhood Experiences (ACEs) in Primary Care: A Cautionary Note , JAMA Published Online: May 28, 2020, doi:10.1001/jama.2020.4365) because (1) there were no evidenced based treatments, (2) asking the questions would offend patients and parents, and (3) risk of labeling people with such...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
No we should not be asking these ACEs in the Peds office. I don’t think that any of our patients should have their name, DOB, medicaid number and a billing code sent to the state documenting 4 or more or less than 4 ACEs. This HAS A REAL POSSIBILITY of misuse. We took an OATH to do no harm and this could cause real harm. Also your second “expert” is Dr. Nemeroff. He has been a real proponent for psychotropic use in kids. That right there is a red flag to me.
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Mike Flaningam ·
Jeoffry, I share your frustrations. I give credit to JAMA for publishing several articles, over the last six months, on ACEs, but am disappointed they didn't see the value of printing your letter. No doubt all of us, who have been bitten by the ACEs bug, have multiple stories of disappointment in how others don't "get it". (Last year, I submitted a Point of View paper to JAMA, describing my experience in addressing ACEs with my patients, and it was denied.) My frustration now, as in those...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Veronique Mead ·
Jeoffry, Although I have concerns about required screening for ACEs in a society and medical culture that has little understanding of trauma, still commonly believes the only effects of trauma are psychological, often tells individuals with “functional” diseases, mental health conditions, low income or who are discriminated against that it’s all in their heads, does not provide health insurance and mental health treatment for all – I believe it is important to move forward because of all...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Ms Mead I am so grateful for your heartfelt comments. It must have taken a lot of thought and energy to put together such an extensive essay. Your intimate passion and concern come through and I share it. I am glad you found a way (in spite of personal circumstances) to put your wisdom and caring to use. I would riff of your desire to see our society become "more trauma informed" to say I honestly think we live in a relatively brutal and unjust, selfish and violent society. Child abuse is...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
I can see this information used to discriminate against disadvantaged people. Pediatricians should not be collecting scores that can be used in a harmful way against children or parents. You are basically asking a parent to put a number on the chart associated with their name that represents the "parental risk factors" for child abuse and neglect that we all know about from the various medical textbooks we use. I was looking at Zitelli and the ACE questions are listed in the section as...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
Billing Codes Directly Associated with a Score Less than 4 or 4 or more.: DHCS Operational Implementation Element Description\ Payment Effective Date January 1, 2020 Attest to Completing Training By July 1, 2020 Target Population Children and adults up to 65 Provider Types Almost all Rate $29 HCPCS Codes • G9919: ACEs score of 4 or greater, high risk • Screening performed – result indicates patient at high risk for toxic stress; education and interventions (as necessary) provided • G9920:...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
Is it Social Justice to take disadvantaged kids (or any kids) and to collect their Name, DOB, Medicaid Number and a Billing Code representing 4 or more ACES or Less than 4 ACES and send that information to the state? Can you tell me Jeff please; is that your idea of Social Justice? It is not my idea of Social Justice and all I have seen from the California community is getting a score - nothing about how to talk to parents about the score or anything.... Just GET THAT SCORE DOCTOR. This does...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Veronique Mead ·
Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
But, Alas, pediatricians are medical clinicians, not police. If they did not ask about language skills they may never uncover a hearing problem that could be treated. If they do not ask about home environment, they may overlook abuse -which they have the responsibility and skills to treat.This is not prejudice, punishment or stigmatization but caring outreach and risk assessment in the vast majority of circumstances.
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
You DO NOT NEED AN ACE SCORE to get a psychosocial history. You do not need to put a family at risk to do a psychosocial history and provide services to patients. I know. I have been doing it for 20 years. All this score can be used for when put in the medical record is to harm children, parents and families. If I were forced to get this score, I would tell all my patients that the government is forcing me to ask you questions that could put you at risk for having your children removed from...
Blog Post

ACEs Research Corner — July 2020

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she will post the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Heim CM, Entringer S, Buss C. Translating basic research knowledge on the biological embedding of early-life stress into novel approaches for the developmental...
Blog Post

Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
Blog Post

Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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