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Reply to "Building the case for change: Surveying primary care practices in trauma screening"

Hi Bennet - I am one of the founders of TIHCER, that Jan mentions above.  We are a group of about 100 health care professionals who do believe that trauma affects adult health and that we have to address it and teach about it.  We certainly don't have all the answers but have found that educating ourselves and our trainees about ACEs science helps us care for our patients and can help patients understand the origins of their health problems and behaviors.  Several of us feel that understanding trauma and its effects can help with physician burnout, which is very high.  I am a general internist and I don't screen all my patients, but I do more of a case-finding approach.  I explore patients' histories when they are having problems that aren't improving.  Or early on when it appear likely there has been trauma.  We are working on a set of competencies for medical students in trauma-informed care and hope to study interventions for chronic disease patients in the future.  Let me know if you'd like to join our group.  We do monthly Zoom meetings.  

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