Family Medicine Initiative on 
Trauma-Informed Care (FIT)

Adverse Childhood Experiences (ACEs) and toxic stress are public health crises. ACEs are stressful or traumatic events experienced by age 18, identified in the landmark Centers for Disease Control and Prevention (CDC) and Kaiser Permanente (KP) Adverse Childhood Experiences Study, to be strongly associated with increased health and social risks. Early detection and intervention can help prevent or reduce the health risks associated with ACEs.

Family Medicine Initiative on Trauma-Informed Care (FIT)

We are proud to announce CAFP’s new peer-to-peer learning initiative, Family Medicine Initiative on Trauma-Informed Care (FIT)Funded by the Office of the California Surgeon General, the Department of Health Care services, and ACES Aware, this initiative is designed to raise awareness about Adverse Childhood Experiences (ACEs).

With our longitudinal patient relationships, family physicians have a unique opportunity to make a lasting healthcare impact by thoughtfully identifying cumulative adversity as a root cause to some of our patients’ most persistent and debilitating healthcare challenges.

Over the next year, CAFP will organize a series of regionally-based, peer-to-peer learning workshops - one in each district of the state. During theses online workshops, facilitators will introduce ACEs screening rationale and methods, followed by peer-to-peer discussion groups on best practices, overcoming barriers to care, and practice approaches for this new screening tool.


Access ACEs Aware training and self-attestation to certify physicians for MediCal payment.

P2P Learning

Register for a P2PL workshop taking place between January and May 2021.


Resources to help support your trauma-informed family practice.


FIT Expert Advisory Panel

Meet our Expert Advisory Panel! These experienced and insightful clinicians are working with CAFP to design and conduct the forthcoming 2021 peer-to-peer learning workshops.

Anna Askari, MD, MSBS

Family Medicine Resident at Eisenhower Health

Erika Roshanravan, MD, FAAFP

CommuniCare Health Centers

Adia Scrubb, MD, MPP

LifeLong Medical

Brent Sugimoto, MD, MPH, AAHIVS, FAAFP

QVMD Health

Peer-to-Peer Learning Workshops

Schedule of Upcoming P2PL workshops:
April 21, 2021
  • District 6: FIT Workshop, Session 2

    April 21, 2021  6:30 pm - 8:30 pm

    See more details

April 26, 2021
  • District 10: FIT Workshop, Session 2

    April 26, 2021  6:30 pm - 8:30 pm

    See more details

April 28, 2021
  • District 1: FIT Workshop, Session 1

    April 28, 2021  6:30 pm - 8:00 pm

    See more details

May 6, 2021
  • District 8 & 9: Fit Workshop, Session 1

    May 6, 2021  6:30 pm - 8:30 pm

    See more details

May 12, 2021
  • District 1: FIT Workshop, Session 2

    May 12, 2021  6:30 pm - 8:30 pm

    See more details

May 20, 2021
  • District 8 & 9: FIT Workshop, Session 2

    May 20, 2021  6:30 pm - 8:30 pm

    See more details

May 27, 2021
  • District 5 ACES FIT session 1

    May 27, 2021  6:30 pm - 8:00 pm

    See more details

June 10, 2021
  • Dist. 5 ACES FIT Session 2

    June 10, 2021  6:30 pm - 8:30 pm

    See more details

A brief description of the P2PL workshops:

CAFP's Family Medicine Initiative on Trauma-Informed Care (FIT) workshop consists of two sessions, two weeks apart, designed to introduce clinicians to the concepts of toxic stress and Adverse Childhood Experiences (ACEs) as they relate to trauma-informed care. In session 1, participants will learn about the relationship between toxic stress and chronic disease, how to screen for ACEs, and meet in small groups to discuss trauma-informed care. In session 2, the focus will shift to best practices, practical strategies to use when responding to ACEs in their patients, as well as regional/state resources to use with patients. Learners who attend both sessions can earn up to 6 AAFP Prescribed Credits.

Learning Objectives

At the end of this workshop, you should be able to:

  • Describe how ACEs and toxic stress disrupt physiology and influence the development of chronic disease
  • Summarize the principles of trauma-informed care as they relate to provider, staff and patient wellness
  • Formulate practical methods for responding to ACEs with trauma-informed care principles
  • Identify best practices in the use of validated ACE screening tools
  • Reference regional resources to use with patients
  • Provide feedback/suggestions to CAFP for ACEs screening road map 

Frequently Asked Questions (FAQ) for Workshops

Who are these workshops intended for?
The Family Medicine Initiative on Trauma-Informed Care (FIT) workshops are intended for family physicians, practicing in the state of California.

Can I invite other members of my healthcare team to participate?
These first workshops are intended for physicians. We hope to provide subsequent training opportunities for the wider healthcare team.

How about residents in our local chapter’s residency program?
They are welcome to attend.

How many sessions and how long are they?
The FIT workshop consists of two sessions, two week apart. The first session will be 90 minutes and the second session will be two hours.  

How will the workshop be delivered?  
All sessions will be delivered via Zoom.

Do I need to attend both sessions?
The two sessions are designed to work together. The first session provides a foundation; the second session builds on that foundation to discuss practical strategies for responding to ACEs in your patients. Up to 6 AAFP Prescribed Credits are available for attending both sessions.

If I can’t make the dates for my regional session, could I attend another?
Yes. All FIT workshop dates will be posted on the CAFP website. However, our expectation is that learners will participate in both sessions in the geographical region in which they practice, in order to take full advantage of regional specifics and solutions.

TEDTalk: Nadine Burke Harris

Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple the risk for heart disease and lung cancer. An impassioned plea for pediatric medicine to confront the prevention and treatment of trauma, head-on.

Watch Here

Tools and Resources

Use the following links to access the tools and resources offered by the Office of the California Surgeon General.

Screening Tools:

Clinical Assessment and Treatment Planning:

ACEs Resources:


Resources available for the FIT P2PL Workshops can be found here: 

Community Conversation: Adia Scrubb, MD

Adia Scrubb, MD (Susan Hogeland, CAE Health Policy Fellow)

Watch the Community Conversation: ACEs with Adia Scrubb, MD, MPP, PGY3 - inaugural Susan Hogeland, CAE Health Policy Fellow (recorded on April 26, 2020)

Watch Here

Coming Soon: More on Homeroom

In addition to the PDF monograph, we are pleased to offer the We Are Not Our Numbers: Understanding Adverse Childhood Experiences cases on the CAFP’s Homeroom platform. Learners can read one chapter at a time, complete cases, and earn 4 AAFP Prescribed credits, 4 AMA PRA Category 1TM credits and 4 California Bureau of Registered Nursing credits.


Connect with your local CAFP chapter

Find fellow family physicians in your neighborhood.
(415) 345-8667
1520 Pacific Avenue, San Francisco, CA 94109
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