Learning from Physicians with Disabilities and Their Patients

doi:10.1001/journalofethics.2016.18.10.stas1-1610

Cited by 15 publications

(1 citation statement)

References 15 publications

(14 reference statements)

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“…The ADA adds a legal protection for applicants applying to medical school (Brault, 2012 ), but there may be several barriers to accessing and using appropriate accommodations. Logistical barriers include the time needed to locate and implement accommodations (Vogel, 2018 ); the cost of some accommodations (DeLisa & Lindenthal, 2016 ); rigors of medical school training (Corbet & Madorsky, 1991 ; DeLisa & Thomas, 2005 ); and stringent technical standards, which emphasize motor skills over cognitive ability and lack of accommodations to meet the standards (Vogel, 2018 ).…”

Section: Experiences Of Health Care Providers With Disabilitiesmentioning

confidence: 99%

Effects of genetic counselor disabilities on their professional experiences: A qualitative investigation of North American counselors' perceptions

Darr

Veach

Wurtmann

et al. 2022

Journal of Genetic Counseling

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Section: Experiences Of Health Care Providers With Disabilitiesmentioning

confidence: 99%

Effects of genetic counselor disabilities on their professional experiences: A qualitative investigation of North American counselors' perceptions

Darr

Veach

Wurtmann

et al. 2022

Journal of Genetic Counseling

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A Novel Medical Student Assistant Accommodation Model for a Medical Student With a Disability During a Required Clinical Clerkship

Jauregui

Strote

Addison

et al. 2019

AEM Education and Training

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BackgroundAs efforts continue to diversify the physician workforce so that it better matches the patient population, the number of medical students with disabilities will increase. U.S. medical schools and emergency medicine (EM) clerkships should be prepared to provide full and meaningful access to learners with disabilities.MethodsWe created a novel means of providing access to a senior medical student with a mobility disability (secondary to a cervical spinal cord injury) to participate in a fourth‐year EM clerkship. We hired four second‐year medical students as intermediaries to perform senior medical student–directed physical examination maneuvers, during his 15 required 8‐hour emergency department shifts. The senior medical student dictated his documentation using Dragon Natural Speaking (Nuance Communications, 2015) voice recognition software.ResultsThe senior medical student successfully completed the required clinical clerkship and earned a honors grade for his work. Both the senior medical student and the second‐year medical student intermediaries gave positive feedback about the experience.ConclusionsGiven the significant prevalence of disability among medical students in U.S. medical schools, medical educators should provide greater access to students with disabilities and opportunities for advanced education for all learners by creating innovative clinical curriculum. The authors recommend the student intermediary model for senior medical students with physical disabilities in required clinical clerkships.

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The Prevalence of Disability Health Training and Residents With Disabilities in Emergency Medicine Residency Programs

Sapp

Sebok‐Syer

Gisondi

et al. 2020

AEM Education and Training

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Objectives: Individuals with disabilities experience significant health care disparities due to a multitude of barriers to effective care, which include a lack of adequate physician training on this topic and negative attitudes of physicians. This results in disparities through inadequate physical examination and diagnostic testing, withholding or inferior treatment, and neglecting preventative care. While much has been published about disability education in undergraduate medical education, little is known about the current state of disability education in emergency medicine (EM) residency programs.Methods: In 2019, a total of 237 EM residency program directors (PDs) in the United States were surveyed about the actual and desired number of hours of disability health instruction, perceived barriers to disability health education, prevalence of residents and faculty with disabilities, and confidence in providing accommodations to residents with disabilities.Results: A total of 104 surveys were completed (104/237, 43.9% response rate); 43% of respondents included disability-specific content in their residency curricula for an average of 1.5 total hours annually, in contrast to average desired hours of 4.16 hours. Reported barriers to disability health education included lack of time and lack of faculty expertise. A minority of residency programs have faculty members (13.5%) or residents (26%) with disabilities. The prevalence of EM residents with disabilities was 4.02%. Programs with residents with disabilities reported more hours devoted to disability curricula (5 hours vs 1.54 hours, p = 0.017) and increased confidence in providing workplace accommodations for certain disabilities including mobility disability (p = 0.002), chronic health conditions (p = 0.022), and psychological disabilities (p = 0.018).Conclusions: A minority of EM PDs in our study included disability health content in their residency curricula.The presence of faculty and residents with disabilities is associated with positive effects on training programs, including a greater number of hours devoted to disability health education and greater confidence in accommodating learners with disabilities. To reduce health care disparities for patients with disabilities, we recommend that a dedicated disability health curriculum be integrated into all aspects of the EM residency curriculum, including lectures, journal clubs, and simulations and include direct interaction with individuals with

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Learning from Physicians with Disabilities and Their Patients

Cited by 15 publications

References 15 publications

Effects of genetic counselor disabilities on their professional experiences: A qualitative investigation of North American counselors' perceptions

Effects of genetic counselor disabilities on their professional experiences: A qualitative investigation of North American counselors' perceptions

A Novel Medical Student Assistant Accommodation Model for a Medical Student With a Disability During a Required Clinical Clerkship

The Prevalence of Disability Health Training and Residents With Disabilities in Emergency Medicine Residency Programs

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