Interprofessional Grand Rounds – Trauma-Informed Pelvic Care

Friday, May 5, 2023, 12:00 PM - Monday, May 4, 2026, 1:00 PM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Trauma-informed care (TIC) approaches can enhance patient-centeredness and reduce negative experiences. This session will discuss how it is important for healthcare professionals to be aware of the effects of trauma has on our patients and how implementing a trauma-informed care approach to pelvic exams can improve patient outcomes. 

Presenter
Lindsey L A Cushing, APRN, SANE-A
OB/GYN Nurse Practitioner
Medical-Forensic Care Program Director
Cheshire Medical Center, Keene, NH

Learning Outcome
At the conclusion of this learning activity, (at least 75% of) participants will be able to discuss the importance of implementing a trauma informed approach to pelvic care and strategies for doing so. 

Disclosure
The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have no relevant financial relationship(s)* with ineligible companies** to disclose.

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Bibliographic Material

• Chor, J., Stulberg, D. B., & Tillman, S. (2019). Shared Decision-Making Framework for Pelvic Examinations in Asymptomatic, Nonpregnant Patients. Obstetrics and gynecology, 133(4), 810–814. https://doi.org/10.1097/AOG.0000000000003166
  
  
• Knox, B. (2018) Screening women for intimate partner violence: Creating proper practice habits. The Nurse Practitioner, 43(5), 14-20. https://doi.org/10.1097/01.NPR.0000531918.92139.ca
  
  
• Live Free or Die Alliance. (2020, January 13). Secret pelvic exams or unfounded fears?CitizensCount. https://www.citizenscount.org/news/secret-pelvic-exams-or-unfounded-fears
  
  
• McDermott, J., & Johnson, C.K. (2019, May 12). States seek explicit patient consent for pelvic exams. Associated Press. https://apnews.com/article/north-america-ut-state-wire-bills-wa-state-wire-ct-state-wire-c309d388b10b4fe582753e3b1f768f94
  
  
• Pascucci, C. (2022, December 29). Birth in Rape Culture. Birth Monopoly. https://birthmonopoly.com/birth-in-rape-culture/
  
  
• Quaile, H.C. (2020), Trauma-informed care for the primary care provider, Women’s Healthcare, Aug,pages 6-12.
  
  
• RJMedEd. (2022, February 6). Trauma-informed Pelvic Care [Video].  https://www.youtube.com/watch?v=BWiKEVrTXAQ
  
  
• Somberg, T. (2023, May 1). States That Require Consent For Pelvic Exams While Under Anesthesia (Because Anything Less Is Not Okay). msn.com. https://www.msn.com/en-us/news/us/states-that-require-consent-for-pelvic-exams-while-under-anesthesia-because-anything-less-is-not-okay/ar-AA1aAeMF
  
  
• Substance Abuse and Mental Health Services Administration. (2022, September 27). Trauma and Violence. https://www.samhsa.gov/trauma-violence
  
  
• Tillman, S. (2020), Consent in Pelvic Care. Journal of Midwifery & Women’s Health, 65(6), 749–758. https://doi.org/10.1111/jmwh.13189
  
  
• Tillman, S. & Likis, F. (2016). Gynecologic History and Physical Examination. In K.D. Schuiling & F.E. Likis (Eds.), Women’s Gynecologic Health (pp 95-125). Jones & Bartlett Learning.
  
  
• Williams, A. A., & Williams, M. (2013). A guide to performing pelvic speculum exams: a patient-centered approach to reducing iatrogenic effects. Teaching and learning in medicine, 25(4), 383–391. https://doi.org/10.1080/10401334.2013.827969
  
  
• Zarnello, L. (2023). Implementing trauma-informed care across the lifespan to acknowledge childhood adverse event prevalence: best clinical practices. The Nurse Practitioner 48(2), 14-22.
  

Dartmouth Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dartmouth Health Nursing Continuing Education Council is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This educational activity carries 1.00 contact hour(s).

Registration/Requirements for Successful Completion
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Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CME/CNE Office
Dartmouth Health
[email protected]