Table 3.

Pre and Post Training Curriculum Survey Items and Educational Domains

Educational Domains	Pretest mean composite scores (SD) or (%) percent agreement	Posttest mean composite scores (SD) or (%) percent agreement	Cronbach’s Alpha
Professional and ethical codes of conduct regarding torture survivors (2 items)	0.599 (0.174)	0.679 (0.202)	NA
1. Identifying and treating torture survivors is the professional obligation of what type (s) of providers (choose from 6).
2. 4 -part question regarding the Universal Declaration of Human Rights that was established during the Geneva Convention of 1948.
General knowledge about torture (10 items)*	0.487 (0.133)	0.726 (0.119)	NA
1. Which of the following (7) sentences is/are incorrect statement about torture as it is legally defined.
2. What is the number of independent nations where torture is systematic or commonplace?
3. Percentage of those tortured among people seeking political asylum in the United States.
4. Percentage of women who have experienced rape or sexual violence among women seeking political asylum in the United States.
5. The prevalence of torture history in randomly selected foreign born persons seeking medical care in an urban medical center in NYC.
6. The majority of doctors are aware of a history of torture in their patients who experienced it. (True/False)
7. Name the populations at risk for current or past experience of torture.
8. Almost all women seeking political asylum in the United States have a history of rape. (Agree/Disagree)
9. Four statements pertaining to the legal aspects of seeking refuge in the United States (True/False)
10. What are the maneuvers one should perform when physically examining an asylum seeker.
Medical and psychological sequelae of torture (4 items)*	0.669 (0.155)	0.803 (0.119)	NA
1. Examination of the physical sequelae of person who has experienced the 2 most common types of torture reveal the following (choose 2 out of 5).
2. The types of psychological syndromes experienced by torture survivors include (4 choices).
3. Common behavioral responses of torture survivors include (4 choices)
4. Symptoms for PTSD are grouped into 3 major symptom categories which do not include the following (choose 1 out of 4)
Attitudes and perceptions of residents regarding working with torture survivors (4 items)*	27.4%	51.2%	0.486
1. I believe doctors should know how to evaluate torture survivors (Likert scale).
2. I am concerned about being manipulated by clients lying to seek asylum (Likert scale)
3. I feel comfortable evaluating torture survivors (Likert Scale
4. I am comfortable using the diagnostic criteria for PTSD (Likert Scale).
Residents’ self efficacy to assess torture survivors (7 items)*	19.0%	68.6%	0.767
1. I believe that I know how to evaluate torture survivors (Likert Scale).
2. I routinely screen for domestic violence trauma in my medical practice. (Yes/No).
3. I know how to identify the populations at risk for a history of torture (Likert Scale).
4. I know the common types of physical maltreatment used in torture (Likert Scale).
5. I understand the psychological effects of torture (Yes/No).
6. I have used the diagnostic criteria for PTSD in the last year to assess a patient (Yes/No).
7. I routinely screen for a history of torture in my medical practice. (Likert Scale).

Of the 37 questions, 9 are not included here: 5 are demographic and 4 were not entered into the database as they included a term that became obsolete during the course of the training.

NA not applicable because of domain construct or too few items in the domain

*Statistically significant difference (p < .05) between the pretest and posttest mean composite scores or the pretest and posttest percent level of agreement