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Research Article

Storylines of Trauma in Health Professions Education: A Critical Metanarrative Review

ORCID Icon & ORCID Icon
Received 15 Dec 2023, Accepted 29 Mar 2024, Published online: 18 Apr 2024

References

  • Wilson JP. PTSD and complex PTSD: Symptoms, syndromes, and diagnoses. In: Wilson JP, Keane TM, eds. Assessing Psychological Trauma and PTSD. 2nd ed. New York, NY: The Guilford Press; 2004: 7–44.
  • Caldas MP, Ostermeier K, Cooper D. When helping hurts: COVID-19 critical incident involvement and resource depletion in health care workers. J Appl Psychol. 2021;106(1):29–47. doi:10.1037/apl0000850.
  • Canadian Association for Mental Health. 2021. https://www.camh.ca/en/heathinfo/mental-illness-and-addiction-index/trauma. Accessed June 5, 2023.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
  • Substance Abuse and Mental Health Services Administration. SAMHSA’s concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA)14-4884. Substance Abuse and Mental Health Services Administration. 2014. Accessed June 5, 2023. https://store.samhsa.gov/system/files/sma14-4884.pdf.
  • Wiggleton C, Petrusa E, Loomis K, et al. Medical students’ experiences of moral distress: development of a web-based survey. Acad Med. 2010;85(1):111–117. doi:10.1097/ACM.0b013e3181c4782b.
  • Schneider K, Breuer G, Luibl L, Paulsen F, Scholz M, Burger PHM. Vulnerable in the end – Longitudinal study among medical students on mental health and personal and work-related resources over a 5.5-year-period. Ann Anat. 2023;250:152155. doi:10.1016/j.aanat.2023.152155.
  • McCann IL, Pearlman LA. Constructivist self-development theory: A theoretical framework for assessing and treating traumatized college students. J Am Coll Health. 1992;40(4):189–196. doi:10.1080/07448481.1992.9936281.
  • 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(4):321–334.
  • Thompson CV, Naumann DN, Fellows JL, Bowley DM, Suggett N. Post-traumatic stress disorder amongst surgical trainees: An unrecognised risk? The Surgeon. 2017;15(3):123–130. doi:10.1016/j.surge.2015.09.002.
  • Wong G, Greenhalgh T, Westhorp G, Buckingham J, Pawson R. RAMESES publication standards: Meta-narrative reviews. BMC Med. 2013;11:20.
  • Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R. Storylines of research in diffusion of innovation: A meta-narrative approach to systematic review. Soc Sci Med. 2005;61(2):417–430. doi:10.1016/j.socscimed.2004.12.001.
  • Kuhn TS. The structure of scientific revolutions (4th ed.). Chicago, IL: The University of Chicago Press; 2012.
  • Covidence Systematic Review Software. Veritas health innovation. 2022. Accessed June 5, 2023. www.covidence.org.
  • Booth A. Searching for qualitative research for inclusion in systematic reviews: a structured methodological review. Syst Rev. 2016;5(1):74. doi:10.1186/s13643-016-0249-x.
  • Bynum WE, Teunissen PW, Varpio L. In the “shadow of shame”: a phenomenological exploration of the nature of shame experiences in medical students. Acad Med. 2021;96(11S):S23–S30. doi:10.1097/ACM.0000000000004261.
  • Wyatt TR, Taylor TR, White D, Rockich-Winston N. When no one sees you as Black: the effect of racial violence on Black trainees and physicians. Acad Med. 2021;96(11S):S17–S22. doi:10.1097/ACM.0000000000004263.
  • Ginzburg HM, Bateman DJ. New Orleans medical students post-Katrina – an assessment of psychopathology and anticipatory transference of resilience. Psychiatr Ann. 2008;38(2):145–156. doi:10.3928/00485713-20080201-01.
  • McFarland DC, Maki RG, Holland J. Psychological distress of internal medicine residents rotating on a hematology and oncology ward: An exploratory study of patient deaths, personal stress, and attributed meaning. MedSciEduc. 2015;25(4):413–420. doi:10.1007/s40670-015-0159-x.
  • Herbert JD, Forman EM. Cross-cultural perspectives on post-traumatic stress. In: Rosen GM, Frueh BC, eds. Clinician’s Guide to Posttraumatic Stress Disorder. Hoboken, NJ: Wiley; 2010: 235–261.
  • Golden NA. The importance of narrative: Moving towards sociocultural understandings of trauma-informed praxis. Bank Street Occasional Article Series. 2020;43:71–78.
  • McClinton A, Laurencin CT. Just in TIME: trauma-informed medical education. J Racial and Ethnic Health Disp. 2020;7(6):1046–1052. doi:10.1007/s40615-020-00881-w.
  • Brown T, Berman S, McDaniel K, et al. Trauma-informed medical education (TIME): advancing curricular content and educational context. Acad Med. 2021;96(5):661–667. doi:10.1097/ACM.0000000000003587.
  • Stone L, Phillips C, Douglas KA. Sexual assault and harassment of doctors, by doctors: a qualitative study. Med Educ. 2019;53(8):833–843. doi:10.1111/medu.13912.
  • 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(5):736–743. doi:10.1097/ACM.0000000000003532.
  • Jackson T, Provencio A, Bentley-Kumar K, et al. PTSD and surgical residents: everybody hurts… sometimes. Am J Surg. 2017;214(6):1118–1124. doi:10.1016/j.amjsurg.2017.08.037.
  • Jackson T, Zhou C, Khorgami Z, et al. Traumatized residents – it’s not surgery. It’s medicine. J Surg Educ. 2019;76(6):e30–e40. doi:10.1016/j.jsurg.2019.08.002.
  • Leaune E, Durif-Bruckert C, Noelle H, et al. Impact of exposure to severe suicidal behaviours in patients during psychiatric training: an online French survey. Early Intervention Psych. 2021;15(1):149–157. doi:10.1111/eip.12923.
  • Vance MC, Mash HBH, Ursano RJ, et al. Exposure to workplace trauma and posttraumatic stress disorder among intern physicians. JAMA Netw Open. 2021;4(6):e2112837. doi:10.1001/jamanetworkopen.2021.12837.
  • Kratzke IM, Campbell A, Yefimov MN, et al. Pilot study using neurofeedback as a tool to reduce surgical resident burnout. J Am Coll Surg. 2021;232(1):74–80. doi:10.1016/j.jamcollsurg.2020.08.762.
  • Bharmal A, Morgan T, Kuhn I, Wee B, Barclay S. Palliative and end-of-life care and junior doctors: a systematic review and narrative synthesis. BMJ Support Palliat Care. 2022;12(e6):e862–e868. doi:10.1136/bmjspcare-2019-001954.
  • Fülöp E, Devecsery Á, Hausz K, Kovács Z, Csabai M. Relationship between empathy and burnout among psychiatry residents. New Med. 2011;4:143–147.
  • Murray E, Krahé C, Goodsman D. Are medical students in prehospital care at risk of moral injury? Emerg Med J. 2018;35(10):590–594. doi:10.1136/emermed-2017-207216.
  • Kaye-Kauderer HP, Levine J, Takeguchi Y, et al. Post-traumatic growth and resilience among medical students after the March 2011 disaster in Fukushima, Japan. Psychiatr Q. 2019;90(3):507–518. doi:10.1007/s11126-019-09646-z.
  • Chew QH, Chia FL, Ng WK, et al. Perceived stress, stigma, traumatic stress levels and coping responses amongst residents in training across multiple specialties during COVID-19 pandemic—a longitudinal study. IJERPH. 2020;17(18):6572. doi:10.3390/ijerph17186572.
  • Aftab M, Abadi AM, Nahar S, et al. COVID-19 pandemic affects the medical students’ learning process and assaults their psychological wellbeing. IJERPH. 2021;18(11):5792. doi:10.3390/ijerph18115792.
  • Mills LD, Mills TJ. Symptoms of post-traumatic stress disorder among emergency medicine residents. J Emerg Med. 2005;28(1):1–4. doi:10.1016/j.jemermed.2004.05.009.
  • Kannan L, Wheeler DS, Blumhof S, et al. Work related post traumatic stress disorder in medicine residents. Acad Psychiatry. 2019;43(2):167–170. doi:10.1007/s40596-018-0911-9.
  • Taku K, Prioleau PG, Anderson DS, et al. Medical student reactions to disaster after the 2011 great East Japan earthquake: motivation and posttraumatic growth. Psychiatr Q. 2018;89(4):1007–1018. doi:10.1007/s11126-018-9601-8.
  • Hancock D, Taylor A, Dawson B. Impact of cadaver dissection on medical students. N Z J Psychol. 2004;33(1):17–25.
  • Beverly EA, Díaz S, Kerr AM, Balbo JT, Prokopakis KE, Fredricks TR. Students’ perceptions of trigger warnings in medical education. Teach Learn Med. 2018;30(1):5–14. doi:10.1080/10401334.2017.1330690.
  • Kindermann D, Jenne MP, Schmid C, et al. Motives, experiences and psychological strain in medical students engaged in refugee care in a reception center – a mixed-methods approach. BMC Med Educ. 2019;19(1):302. doi:10.1186/s12909-019-1730-8.
  • Ruskin R, Sakinofsky I, Bagby RM, Dickens S, Sousa G. Impact of patient suicide on psychiatrists and psychiatric trainees. Acad Psychiatry. 2004;28(2):104–110. doi:10.1176/appi.ap.28.2.104.
  • Barman R, Kablinger A. Prevalence of trauma- and stress-related symptoms in psychiatrists and trainees following patient suicide in the United States. Soc Psychiatr Psychiatr Epidemiol. 2021;56(7):1283–1288. doi:10.1007/s00127-020-02023-3.
  • Seemann NM, Karanicolas PJ, Guttman MP, et al. Compassion fatigue in surgical trainees. J Surg Educ. 2019;76(5):1211–1222. doi:10.1016/j.jsurg.2019.03.012.
  • Raviola G, Machoki M, Mwaikambo E, Good MJ. HIV, disease plague, demoralization and “burnout”: resident experience of the medical profession in Nairobi, Kenya. Cult Med Psychiatry. 2002;26(1):55–86. doi:10.1023/a:1015289132151.
  • Brave Heart MYH. The return to the sacred path: healing the historical trauma response among the Lakota. Smith Coll Stud Social Work. 1998;68(3):287–305. doi:10.1080/00377319809517532.
  • Shaw JM, Brown RF, Dunn SM. A qualitative study of stress and coping responses in doctors breaking bad news. Patient Educ Couns. 2013;91(2):243–248. doi:10.1016/j.pec.2012.11.006.
  • Bynum WE, Goodie JL. Shame, guilt, and the medical learner: Ignored connections and why we should care. Med Educ. 2014;48(11):1045–1054. doi:10.1111/medu.12521.
  • McFarland DC, Roth A. Resilience of internal medicine house staff and its association with distress and empathy in an oncology setting. Psychooncology. 2017;26(10):1519–1525. doi:10.1002/pon.4165.
  • Haglund ME, Aan Het Rot M, Cooper NS, et al. Resilience in the third year of medical school: A prospective study of the associations between stressful events occurring during clinical rotations and student well-being. Acad Med. 2009;84(2):258–268. doi:10.1097/ACM.0b013e31819381b1.
  • Ffrench-O’Carroll R, Feeley T, Crowe S, Doherty EM. Grief reactions and coping strategies of trainee doctors working in paediatric intensive care. Br J Anaesth. 2019;123(1):74–80. doi:10.1016/j.bja.2019.01.034.
  • Becker RE. PTSD: a disorder and a reaction. AJP. 2005;162(12):2215–2219. doi:10.1176/appi.ajp.162.12.2215.
  • Alagappan K, Steinberg M, Mancherje N, Pollack S, Carpenter K. The psychological effects of a four-week emergency medicine rotation on residents in training. Acad Emerg Med. 1996;3(12):1131–1135. doi:10.1111/j.1553-2712.1996.tb03373.x.
  • Hasanović M, Herenda S. Post traumatic stress disorder, depression and anxiety among family medicine residents after 1992-95 war in Bosnia and Herzegovina. Psychiatr Danub. 2008;20(3):277–285.
  • Nwoga CN, Audu MD, Obembe A. Prevalence and correlates of posttraumatic stress disorder among medical students in the University of Jos, Nigeria. Niger J Clin Pract. 2016;19(5):595–599. doi:10.4103/1119-3077.188704.
  • Kolehmainen C, Stahr A, Kaatz A, et al. Post-code PTSD symptoms in internal medicine residents who participate in cardiopulmonary resuscitation events: a mixed methods study. J Grad Med Educ. 2015;7(3):475–479. doi:10.4300/JGME-D-14-00424.1.
  • Finkelstein P, Mathers LH. Post-traumatic stress among medical students in the anatomy dissection laboratory. Clin Anat. 1990;3(3):219–226. doi:10.1002/ca.980030308.
  • Kaltreider NB. The impact of a medical student’s suicide. Suicide Life Threat Behav. 1990;20(3):195–205. doi:10.1111/j.1943-278X.1990.tb00104.x.
  • Jackson VA, Sullivan AM, Gadmer NM, et al. It was haunting…”: physicians’ descriptions of emotionally powerful patient deaths. Acad Med. 2005;80(7):648–656. doi:10.1097/00001888-200507000-00007.
  • Bellolio MF, Cabrera D, Sadosty AT, et al. Compassion fatigue is similar in emergency medicine residents compared to other medical and surgical specialties. WestJEM. 2014;15(6):629–635. doi:10.5811/westjem.2014.5.21624.
  • Pelissier C, Viale M, Berthelot P, et al. Factors associated with psychological distress in French medical students during the COVID-19 health crisis: a cross-sectional study. IJERPH. 2021;18(24):12951. doi:10.3390/ijerph182412951.
  • Saali A, Stanislawski ER, Kumar V, et al. The psychiatric burden on medical students in New York City entering clinical clerkships during the COVID-19 pandemic. Psychiatr Q. 2022;93(2):419–434. doi:10.1007/s11126-021-09955-2.
  • McClain T, Kammer-Kerwick M, Wood L, Temple JR, Busch-Armendariz N. Sexual harassment among medical students: prevalence, prediction, and correlated outcomes. Workplace Health Saf. 2021;69(6):257–267. doi:10.1177/2165079920969402.
  • Klamen DL, Grossman LS, Kopacz D. Posttraumatic stress disorder symptoms in resident physicians related to their internship. Acad Psychiatry. 1995;19(3):142–149. doi:10.1007/BF03341425.
  • Irby DM. Improving environments for learning in the health professions. Proceedings of a Conference Sponsored by Josiah Macy Jr. Foundation. New York, NY: Josiah Macy Jr. Foundation; 2018.
  • CLER Evaluation Committee. CLER Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, Version 2.0. Chicago, IL: Accreditation Council for Graduate Medical Education; 2019.
  • Albert M, Hodges B, Regehr G. Research in medical education: balancing service and science. Adv Health Sci Educ Theory Pract. 2007;12(1):103–115. doi:10.1007/s10459-006-9026-2.
  • Bordage G. Conceptual frameworks to illuminate and magnify. Med Educ. 2009;43(4):312–319. doi:10.1111/j.1365-2923.2009.03295.x.
  • Bates J, Ellaway RH. Mapping the dark matter of context: a conceptual scoping review. Med Educ. 2016;50(8):807–816. doi:10.1111/medu.13034.
  • Burstow B. Toward a radical understanding of trauma and trauma work. Violence Against Women. 2003;9(11):1293–1317. doi:10.1177/1077801203255555.
  • Haidet P, Stein HF. The role of the student-teacher relationship in the formation of physicians. The hidden curriculum as process. J Gen Intern Med. 2006;21(S1):S16–S20. doi:10.1111/j.1525-1497.2006.00304.x.
  • Liao L. The physician as person: the missing foundation in the CanMEDS roles. Can Med Education J. 2020;11(5):e97–e99.
  • Greenhalgh T, Robert G, Bate P, Macfarlane F, Kyriakidou O. Diffusion of Innovation in Health Service Organizations. Oxford, UK: Blackwell Publishing; 2005.
  • Katz CL, Gluck N, Maurizio A, DeLisi LE. The medical student experience with disaster and disaster response. CNS Spectr. 2002;7(8):604–610. doi:10.1017/S1092852900018216.
  • Naghavi SH, Shabestari O, Alcolado J. Post-traumatic stress disorder in trainee doctors with previous needlestick injuries. Occup Med. 2013;63(4):260–265. doi:10.1093/occmed/kqt027.
  • Al-Mateen CS, Linker JA, Damle N, Hupe J, Helfer T, Jessick V. Vicarious traumatization and coping in medical students: a pilot study. Acad Psychiatry. 2015;39(1):90–93. doi:10.1007/s40596-014-0199-3.
  • Fein R, Rosen AH. The case of Daniel Terzi: trauma with clinical care. In: Gordon-Elliott JS, Rosen AH, eds. Early Career Physician Mental Health and Wellness. Switzerland: Springer Nature; 2019.
  • Gregory J, de Lepinau J, de Buyer A, Delanoy N, Mir O, Gaillard R. The impact of the Paris terrorist attacks on the mental health of resident physicians. BMC Psychiatry. 2019;19(1):79. doi:10.1186/s12888-019-2058-y.
  • Lo T, De Stefano L, Lu S, et al. Post-traumatic stress disorder in resident physicians. Cureus. 2019;11(6):e4816. doi:10.7759/cureus.4816.
  • Sciolla AF, Wilkes MS, Griffin EJ. Adverse childhood experiences in medical students: Implications for wellness. Acad Psychiatry. 2019;43(4):369–374. doi:10.1007/s40596-019-01047-5.
  • Pasin L, Sella N, Correale C, et al. Pandemic COVID-19: the residents’ resilience. Acta Biomed. 2020;91(4):e2020120.

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