[A MODEL FOR TRAUMA- SENSITIVE MEDICAL EXAMINATION TUTORING STRATEGY].

Abstract

Background: The patient-doctor encounter encompasses a comprehensive information and decision-making situation. It involves a gap in knowledge and feelings between the doctor and the patient, which intensifies in sensitive situations, in particular gynecology. It may be accompanied by loss of control, violation of privacy, embarrassment and discomfort. This emotional gap has deepened in the past year following the October 7th terror attack. The current training of medical students and residents is insufficient.

Objectives: To formulate a comprehensive learning model for trauma-informed treatment.

Methods: A steering committee mapped out principles for formulating and implementing the training: dealing with patients who have experienced trauma and identifying the characteristics of the phenomenon, the type and scope of communication skills required, and the tools for its implementation, and processing the therapist's feelings to provide professional confidence relevant to the situation. The patients' expressions were collected as a platform for workshops that included theoretical lectures, patient testimonies and actors' simulations.

Results: A total of 27 residents (in Shamir Hospital) and 35 senior gynecologists from 15 health institutions countrywide were trained. An analysis of the insights reflected the perceived benefit of professionalism, the importance of acquiring professional tools and the need for additional knowledge while enhancing the experience of providing care and service. Participants noted the deepening of the ability to identify the phenomenon and deal with patients who have experienced trauma.

Conclusions: It is important to promote trauma-sensitive testing among gynecologists at a national level, especially in the fields of urogynecology, fertility, pregnancy and obstetrics, alongside other clinical fields (urology, surgery, etc.). We recommend exposing medical students in clinical settings and interns during any internship in order to enhance patient-doctor encounter dialogue. This process will improve professional skills and patient experience at a national level, and increase the overall quality of medical services provided in Israel.