Primary Care Chat on Twitter

@primarycarechat

Deep dives into the art and joy of great adult primary care, as well as the evidence behind it. Join us every other Thurs, 9:30 EST/6:30 PST. NEXT CHAT: 2/06

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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Wow! That was a lot of information and learning. Let’s cement some take-home points with our usual recap. #primarycarechat (1/11)

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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To begin our #primarycarechat recap, let's take it back to the basics. How do we define trauma? We like @SAMHSAgov’s def’n. In the most fundamental terms – an injury which has lasting adverse effects. (2/11)pic.twitter.com/e9HoRSYiqP

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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TIC – again, in very fundamental terms – is a model of care that actively acknowledges and responds to the trauma that our pts have experienced. Safety and control are key principles. #primarycarechat (3/11)pic.twitter.com/ML6frLVSqd

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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TIC is a hard, complex and highly nuanced model of care. However there are four pillars to TIC that can help us start to build our skill-set in this. #primarycarechat (4/11)pic.twitter.com/dkDETVawx3

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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As @meggerber taught us, principles of TIC can be shared with clinical team members in brief inservices or even at huddles. @LeighKimberg's / @UCSF's 4C approach is a great framework to guide clinicians. #primarycarechat (5/11)pic.twitter.com/O37vh5XfCy

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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We can use these frameworks to come up with some best practices around how and where we care for patients who have experienced trauma. #primarycarechat (6/11)pic.twitter.com/IGfJ5SAIxS

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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A subtle note – screening may not be necessary for all patients. Instead, active implementation of “universal trauma precautions” serves as the cornerstone to TIC. #primarycarechat (7/11)pic.twitter.com/bX17vuuWks

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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Note: for more on HOW to screen for trauma, consider reading @sheelaraja's excellent guide: http://nysfptraining.org/wp-content/uploads/2018/09/NYSFPTC-Trauma-Informed-Care-Training-Slides_Final_508.pdf … #primarycarechat (8/11)

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Primary Care Chat‏ @primarycarechat 19. pro 2019.

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Lastly – as @aloBoston and others point out, it's key for us to remember that trauma can happen to individual patients as a result of collective (e.g. systemic/institutional) forces. #primarycarechat (9/11)pic.twitter.com/oeVEmMDtba