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This month, we focused on adverse childhood experiences in primary care..

                  Teaching Matters

This month we spoke with Peter Cronholm, MD, MSCE, FAAFP, from the University of Pennsylvania’s Department of Family Medicine and Community Health.

Dr. Cronholm is an Associate Professor in the Department of Family Medicine and Community Health at the Perelman School of Medicine at the University of Pennsylvania. His research interests have focused on community-based, participatory health services regarding: 1) addressing the care needs of patients who are medically and socially complex; 2) integration of trauma-informed care and primary prevention strategies into systems of primary care; and 3) developing novel mixed methodologies and patient-centered outcomes into research and implementation paradigms.

In this month's featured interview, we discussed Dr. Cronholm’s recommendations for the top 3 educational priorities for high quality ACEs care in primary care settings.

Read the full interview...

"We have the physical health and behavioral health results of trauma and the subsequent entwining of the impact of both, so in many ways the response to ACEs highlights the need to integrate behavioral health services in primary care. Historically these concepts were not part of regular medical encounters and now we understand that ACEs and social determinants of health are primary drivers of health outcomes."

 - Peter Cronholm, MD, MSCE, FAAFP
Associate Professor, University of Pennsylvania 
Department of Family Medicine and Community Health

Resources of the Month

For our December issue, we have curated a set of screening and education tools around adverse childhood experiences (ACEs) in primary care.
  • Tackling Toxic Stress Harvard University's Center on the Developing Child's toxic stress guide is a multi-part series of journalistic articles that examines how practitioners in the field are re-thinking services based on the science of early childhood development and toxic stress.
  • Understanding ACEs and Resiliency for Better Health Care This recorded webinar from the Patient-Centered Primary Care Institute will draw from past ACE Study findings as well as promising clinical practice to explore how ACEs and Resiliency impact individual and family well-being. 
View More Resources

What's the Buzz?

News, Conferences, and Upcoming Events


The HRSA Preventive Medicine Grand Rounds lecture "Screening and Referral to Evidence-Based Eating Disorder Treatment in Primary Care Practice"  is now available online for continuing education credits. These lectures provide an overview of strategies to integrate public health and primary health care at the national level. Presenters focus on applying systems-based approaches to prepare public health leaders to address major population health issues.
The U.S. Department of Health and Human Services (HHS) recently published a Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. The HHS Guide provides advice to clinicians who are contemplating or initiating a change in opioid dosage to help inform tapering decisions in consultation with their patients.


December 18
University of Maryland's Practical Tips for Coordinating Addiction Treatment in Medical Settings
What: Webinar | Website

January 24
HRSA's Primary Care Training and Enhancement: Residency Training in Primary Care (PCTE-RTPC) Program
What: FOA | Website

January 1- March 31
UMass Medical School, Center for Integrated Primary Care’s Certificate Course in Primary Care Behavioral Health (continuing education credits available)
What: Online Course | Website

February 10-11
Academy Health's National Health Policy Conference
Where: Washington, DC | Website
Copyright © 2019, National Center for Integrated Behavioral Health, All rights reserved.

This resource is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $3,748,818.00 with 0 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.
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