Can Your Idea of Happily Ever After Interfere With IPV Patient Care?

Jennifer Ayres, PhD

Jennifer Ayres, PhD

As a trauma psychologist, I find that my greatest challenge in working with survivors of Intimate Partner Violence (IPV) is contending with my automatic bias that the “happily ever after” includes my patient leaving his or her perpetrator. When my bias arises, I reflect on three truths I learned from my undergraduate employment at a battered women’s shelter.

  • Most people go back.
  • If he or she goes back, and you made it clear that you thought it wasn’t a good decision, the patient can’t return to you the next time.
  • It will happen again.

And there are a couple truths I’ve learned since I worked at the shelter.

  • Basic decisions become complicated when you consider all the repercussions.
  • Leaving might not be the best decision.
  • If he or she does leave, the resources often aren’t available, and there is no referral for “make someone feel safe and free.”

These last three are challenging because I am much more comfortable with the patient who decides to flee the abusive situation or engage in the legal fight.

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Making It Fun and Successful: Strategies for Working With Learners in Academic Difficulty

By La Donna Porter, MD, and Margaret Stafford, MD.

Have you ever felt frustrated or daunted when trying to help a struggling learner? We, the co-chairs of the STFM Group on Learners in Academic Difficulty, understand! And we want to help you experience the satisfaction of helping your learners reach their highest potential.

Below are key strategies that will help you assess and assist your own learners: motivational interviewing, creating a differential diagnosis for the behaviors, and developing target behaviors and plans. We also include cases, so read on to see how you can use these skills to work with:

  • A resident who refuses to admit a patient
  • An intern with disorganized presentations
  • A senior resident who struggles to lead the team

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Use PCMH Principles to Improve Vaccination Rates

 John Epling, MD, MSEd

John Epling, MD, MSEd

What does it mean to be a medical home? In these times of Accountable Care Organizations, patient-centered medical home (PCMH) certifications, and Medicaid Redesign projects it can be easy to lose sight of a meaningful way to measure our progress toward becoming a PCMH. Examining our practices’ ability to deliver vaccinations across the lifespan can help us understand where we fall along the medical home spectrum.

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