Seven ways to get a grip on requests for trigger warnings in medical education

Authors

  • Victoria Taylor Dalhousie University
  • Lara Hazelton Dalhousie University
  • Kathleen Singh Dalhousie University

DOI:

https://doi.org/10.36834/cmej.79544

Abstract

Trigger warnings are statements provided prior to the delivery of sensitive content that aim to prepare recipients for ensuing distress. In recent years, there have been calls to incorporate trigger warnings into medical education due to the recognition that encountering sensitive content in educational settings can add to the stress experienced by medical students. The evidence for and against their use is inconsistent, and currently there is little consensus on how to, or if we should, introduce trigger warnings into educational settings. In this paper, we present seven ways to get a grip on requests for trigger warnings in medical education: consult your institution; adopt a balanced and evidence-informed approach; encourage self-awareness and help seeking; communicate realistic expectations regarding clinical practice; approach sensitive content as an educational opportunity; foster inclusivity in discussions involving sensitive content; and encourage feedback.

References

1. Nolan HA, Roberts L. Twelve tips for implementing trigger or content warnings in healthcare professions education. Med Teach. Published online Dec 17,2023;1-8. https://doi.org/10.1080/0142159X.2023.2290995

2. Stout J, Martin AI. Trauma-informed care in the classroom: our experience with a content warning in a medical school course. Med Sci Educ. 2022;32(3):711-718. https://doi.org/10.1007/s40670-022-01559-0

3. Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence of anxiety and depression among medical students during the Covid-19 pandemic: a cross-sectional study. J Med Educ Curric Dev. 2021;8:238212052199115. https://doi.org/10.1177/2382120521991150

4. Brazeau CMLR, Shanafelt T, Durning SJ, et al. Distress among matriculating medical students relative to the general population. Acad Med J Assoc Am Med Coll. 2014;89(11):1520-1525. https://doi.org/10.1097/ACM.0000000000000482

5. Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students. JAMA. 2016;316(21):2214-2236. https://doi.org/10.1001/jama.2016.17324

6. Bridgland VME, Jones PJ, Bellet BW. A meta-analysis of the efficacy of trigger warnings, content warnings, and content Notes. Clin Psychol Sci. Published online August 18, 2023:21677026231186625. https://doi.org/10.1177/21677026231186625

7. Nolan HA, Roberts L. Trigger warnings as tools for learning—theorising an evolving cultural concept. Med Educ. 2024;58(2):185-195. https://doi.org/10.1111/medu.15172

8. Hu B, Yang X, Tuo X. The prevalence of post-traumatic stress disorder in college students by continents and national income during the COVID-19 pandemic: a meta-analysis. Front Psychol. 2023;14:1129782. https://doi.org/10.3389/fpsyg.2023.1129782

9. Nolan HA, Roberts L. Medical educators’ views and experiences of trigger warnings in teaching sensitive content. Med Educ. 2021;55(11):1273-1283. https://doi.org/10.1111/medu.14576

10. Beverly EA, Díaz S, Kerr AM, Balbo JT, Prokopakis KE, Fredricks TR. Students’ perceptions of trigger warnings in medical education. Teach Learn Med. 2018;30(1):5-14. https://doi.org/10.1080/10401334.2017.1330690

11. Nolan HA, Roberts L. Medical students’ views on the value of trigger warnings in education: a qualitative study. Med Educ. 2022;56(8):834-846. https://doi.org/10.1111/medu.14803

Downloads

Published

2025-03-15

How to Cite

1.
Taylor V, Hazelton L, Singh K. Seven ways to get a grip on requests for trigger warnings in medical education. Can. Med. Ed. J [Internet]. 2025 Mar. 15 [cited 2025 Apr. 20];. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/79544

Issue

Section

Black Ice

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.