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New research · Internal Medicine
Journal of general internal medicine · 22h
StudyJournal of general internal medicine · 2026

Medical Trauma on the Inpatient Medicine Service: Perspectives of Recently Hospitalized Patients, Residents, and the Interdisciplinary Care Team.

Revika Singh, Ibrahim B Mokhtar, Yashoswini Chakraborty … Marlise Jeanne Pierre-Wright
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Internal MedicineStudy

Three themes describe how hospitalization may re-activate or compound medical trauma.

Medical Trauma on the Inpatient Medicine Service: Perspectives of Recently Hospitalized Patients, Residents, and the Interdisciplinary Care Team.

Revika Singh et al. · Journal of general internal medicine · 2026
Background

While trauma's impact on health and well-being is increasingly emphasized in outpatient and pediatric settings, less is known about how a patient's history of trauma, especially healthcare-related trauma ("medical trauma"), may shape experiences of safety, trust, and distress on a general internal medicine inpatient service.

Purpose

We sought to understand how recently hospitalized adults experience safety, trust, and distress during hospitalization, and how resident physicians and interdisciplinary care team members perceive barriers to delivering trauma-informed care.

Methods

Completed semi-structured interviews that explored recent hospitalization experiences and perceptions of distress, safety, and trust.

n = 10 patients
3
Results
themes
ways hospitalization can make past healthcare trauma worse or bring it back
n = 10 patients
More results

A total of 10 patients with high ACEs, 10 internal medicine residents, and 10 interdisciplinary care team members (5 nurses, 4 social workers, and 1 chaplain) participated.

“
Conclusion · 1 of 2

Medical trauma is an important and impactful phenomenon, often reinforced through routine care.

Conclusion · 2 of 2

Embedding trauma-informed strategies, such as screening for prior trauma, reviewing documentation for bias, and trauma-informed communication, may help reduce medical trauma and strengthen trust in inpatient general medicine care.

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