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Teaching residents to work with torture survivors: experiences from the Bronx Human Rights Clinic.

Abstract：

INTRODUCTION:Despite the 1984 United Nations's Convention Against Torture calling to train doctors to work with torture survivors, many physicians are unaware of their obligation and few are taught the requisite clinical skills. AIM:To describe the development, implementation, and evaluation of a curriculum to teach residents to work with torture survivors. PARTICIPANTS:Medicine residents in New York City PROGRAM DESCRIPTION:A 2-component curriculum consisting of a series of workshops and clinical experiences, which provide content, skills, and practices regarding the medical, psychological, ethical, and legal aspects of evaluating and caring for torture survivors. CURRICULUM EVALUATION: All 22 trainees received surveys before and after training. Surveys assessed residents' relevant prior experience, beliefs, skills, and attitudes regarding working with torture survivors. At baseline, 23% of residents described previous human rights trainings and 17% had work experiences with torture survivors. Before the curriculum, 81% of residents reported doctors should know how to evaluate survivors, although only 5% routinely screened patients for torture. After the curriculum, residents reported significant improvements in 3 educational domains-general knowledge, sequelae, and self-efficacy to evaluate torture survivors. DISCUSSION:This curriculum addresses the disparity between doctors' obligations, and training to work with torture survivors. It is likely to achieve its educational goals, and can potentially be adapted to other residencies.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Metalios EE,Asgary RG,Cooperman N,Smith CL,Du E,Modali L,Sacajiu G

doi

10.1007/s11606-008-0592-2

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

1038-42

issue

7

eissn

0884-8734

issn

1525-1497

journal_volume

23

pub_type

杂志文章

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