Teaching Medical Students About Communicating with Patients Who Have Sensory or Physical Disabilities

Iezzoni, Lisa I.; Ramanan, Radhika A.; Drews, Reed E.

doi:10.18061/dsq.v25i1.527

Cited by 45 publications

(13 citation statements)

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“…The U.S. DOJ's "Access to medical care for individuals with mobility disabilities" [5] was published to help educate healthcare providers on how the ADA applies to healthcare facilities and services. Previous studies have shown that knowledge of the ADA and accessible equipment can reduce the number of barriers to healthcare [13,17]; unfortunately few training programs exist for healthcare professionals [18][19]. It is hoped that upon adoption, the U.S. Access Boards' new "Proposed accessibility standards for medical diagnostic equipment" [7] will provide healthcare facilities and clinics with specific accessible medical equipment standards and serve as a catalyst for development of professional training for healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

Accessibility of outpatient healthcare providers for wheelchair users: Pilot study

Frost

Bertocci²,

Stillman³

et al. 2015

J Rehabil Res Dev

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Abstract-The Americans with Disabilities Act (ADA) requires full and equal access to healthcare services and facilities, yet studies indicate individuals with mobility disabilities receive less than thorough care as a result of ADA noncompliance. The objective of our pilot study was to assess ADA compliance within a convenience sample of healthcare clinics affiliated with a statewide healthcare network. Site assessments based on the ADA Accessibility Guidelines for Buildings and Facilities were performed at 30 primary care and specialty care clinics. Clinical managers completed a questionnaire on standard practices for examining and treating patients whose primary means of mobility is a wheelchair. We found a majority of restrooms (83%) and examination rooms (93%) were noncompliant with one or more ADA requirements. Seventy percent of clinical managers reported not owning a heightadjustable examination table or wheelchair accessible weight scale. Furthermore, patients were examined in their wheelchairs (70%-87%), asked to bring someone to assist with transfers (30%), or referred elsewhere due to an inaccessible clinic (6%). These methods of accommodation are not compliant with the ADA. We recommend clinics conduct ADA selfassessments and provide training for clinical staff on the ADA and requirements for accommodating individuals with mobility disabilities.

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Section: Discussionmentioning

confidence: 99%

Accessibility of outpatient healthcare providers for wheelchair users: Pilot study

Frost

Bertocci²,

Stillman³

et al. 2015

J Rehabil Res Dev

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“…Findings from this study and previous studies regarding health care professionals' knowledge of the ADA as it applied to their business environment are concerning but not surprising. Few educational programs exist that provide ADA or disability training for health professionals 24,45,[47][48][49][50] . This leaves practice administrators and other health professionals with little to no knowledge about how to best care for or accommodate their patients with disabilities 45,51,52 .…”

Section: Discussionmentioning

confidence: 99%

Predicting barriers to primary care for patients with disabilities: A mixed methods study of practice administrators

Pharr

Chino

2013

Disability and Health Journal

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“…To gather insights into training needs, we turned directly to students. Using similar methods as described elsewhere, 35 in February 2002, we conducted 2 focus group interviews with 13 total students nearing graduation and asked how they had been taught about communicating with persons with major mental illness.…”

Section: What Students Told Usmentioning

confidence: 99%

Teaching medical students about communicating with patients with major mental illness

2006

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Persons with major mental illness often have chronic diseases and poor physical health. Therefore, all practicing physicians should learn about communicating effectively with these patients. Few efforts to teach medical students communication skills have specifically targeted patients with major mental illness. Indeed, most of the limited literature on this topic is decades old, predating significant scientific advances in cognitive neuroscience and psychiatric therapeutics and changes in social policies regarding major mental illness. To gather preliminary insight into training needs, we interviewed 13 final-year students from 2 Boston medical schools. Students' observations coalesced around 4 themes: fears and anxieties about interacting with persons with major mental illness; residents "protecting" students from patients with major mental illness; lack of clinical maturity; and barriers to learning during psychiatry rotations. Educational researchers must explore ways to better prepare young physicians to communicate effectively with patients with major mental illness.

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Teaching Medical Students About Communicating with Patients Who Have Sensory or Physical Disabilities

Abstract: No abstract available

Cited by 45 publications

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Accessibility of outpatient healthcare providers for wheelchair users: Pilot study

Accessibility of outpatient healthcare providers for wheelchair users: Pilot study

Predicting barriers to primary care for patients with disabilities: A mixed methods study of practice administrators

Teaching medical students about communicating with patients with major mental illness

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