From Impairment to Empowerment: A Longitudinal Medical School Curriculum on Disabilities

Sarmiento, C. Mantolán; Miller, Sonya R.; Chang, En‐Ting; Zazove, Philip; Kumagai, Arno K.

doi:10.1097/acm.0000000000000935

Cited by 30 publications

(28 citation statements)

References 5 publications

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“…7 Fortunately, in recent years, medical education has placed greater focus on development and integration of disability curricula, with examples including stand-alone sessions, 8 a blended curriculum on examination of neuromusculoskeletal disabilities, 9 and longitudinal curricula. [10][11][12] Among these, "Introduction to Disability and Health for Preclinical Medical Students: Didactic and Disability Panel Discussion" by Rogers et al is a stand-alone disability session available in MedEdPORTAL that explores disability within a sociocultural context and harnesses shared student reflection so that students can understand and develop their own attitudes. 8 A systematic review of health care providers' attitudes toward people with disabilities conducted in 2012 concluded that attitudes were generally favorable, but that that some students and health care providers experienced "discomfort or anxiety when challenged with the responsibility of treating a person with physical disabilities."…”

Section: Citationmentioning

confidence: 99%

Working With People With Disabilities: An Interactive Video/Lecture Session for First- and Second-Year Medical Students

Hearn

2020

MedEdPORTAL

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Introduction: Negative physician attitudes toward people with disabilities create barriers to health care for these individuals. Barriers can include withholding of standard medical and preventive care, provision of inferior treatment, and patient mistrust of the health care system. Thus, preparing medical students to care for people with disabilities is especially important. Educating health care providers early in their careers can shape their interactions while their approach to patients is still deliberate. Methods: We developed an interactive introductory session for first-and second-year medical students on how to approach individuals with observable disability in clinical settings. In the session, we explored-through a combination of lecture, discussion, and patient perspective-how negative physician behavior can create health care barriers, as well as proposed a framework for approaching patients with disability. We presented this session in two formats: (a) a slide deck with instructions that a presenter can use to deliver the session and (b) a stand-alone video introduction with reflective questions. Results: The session was evaluated by 151 first-year medical students, with 79% reporting either somewhat or much more comfort approaching individuals with disability following the session. Discussion: The integration of patient and physician perspectives, as well as the use of reflective questions, provides the opportunity for students to actively explore reasons for provider discomfort with disability and delineate clinical setting strategies to approach patients with disability.

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Section: Citationmentioning

confidence: 99%

Working With People With Disabilities: An Interactive Video/Lecture Session for First- and Second-Year Medical Students

Hearn

2020

MedEdPORTAL

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“…10 One teaching strategy that was used and endorsed by several included studies was the idea of using patients as educators. 2,7,13,17 This allowed students to have direct clinical experience with patients similar to those they may treat in the future. 7,13 Findings from these studies indicated an improvement in students' mindset towards people with disabilities after exposure to patients as mentors.…”

Section: Effective Teaching Strategiesmentioning

confidence: 99%

“…2,7,13,17 This allowed students to have direct clinical experience with patients similar to those they may treat in the future. 7,13 Findings from these studies indicated an improvement in students' mindset towards people with disabilities after exposure to patients as mentors. 2,12,17 Two studies investigated the effect of home visits and showed that students who observed patients in their own homes reported an increase in their awareness and knowledge significantly.…”

Section: Effective Teaching Strategiesmentioning

confidence: 99%

A scoping review for designing a disability curriculum and its impact for medical students

et al. 2023

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Background: There is an increasing need for a standardized undergraduate disability curriculum for medical students to better equip students with the proper training, knowledge, and skills to provide holistic care for individuals with disabilities. Objectives: The aim of this scoping review was to better understand and analyze the current body of literature focusing on best practice for including disability curricula and its impact on undergraduate medical students Results: Three major components for designing a disability curriculum for undergraduate medical students were obtained from our analysis. The components were: (1) effective teaching strategies, (2) competencies required for disability curriculum, and (3) impact of disability curriculum on medical students. Conclusions: Current literature revealed that exposing medical students to a disability curriculum impacted their overall perceptions about people with disabilities. This allowed them to develop a sense of understanding towards patients with disabilities during their clinical encounters. The effectiveness of a disability curriculum is dependent on the extent to which these interventions are incorporated into undergraduate medical education.

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“…El conocimiento sobre el concepto de discapacidad y la rehabilitación, de forma general, no hace parte de la educación médica de pregrado, por lo que cuenta con poca intensidad horaria y un contenido ineficiente en su enseñanza 9 . Es claro que el médico de forma constante, indiferente a su especialidad, se enfrenta en su práctica médica al paciente en situación de discapacidad de cualquier grado 10 ; también se ve enfrentado al requerimiento de rehabilitación y la prescripción de terapias; en consecuencia, es prioritario que todos los médicos adquieran un conocimiento básico acerca de la medicina física y rehabilitación (MF&R) 11 . Entre otras habilidades que son dominio de la MF&R se encuentra el conocimiento del sistema nervioso periférico y central y el sistema músculo-esquelético, lo cual es de enorme utilidad para la formación del médico general 12 .…”

Section: Educación En Rehabilitaciónunclassified

Educación médica en rehabilitación en pregrado: Un reto en el mundo

Aguirre

Gutiérrez

Guevara

et al. 2018

Rev Col Med Fis Reh

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La medicina en rehabilitación hace una importante contribución al cuidado de la salud de una gran población y en forma integral encuentra formas de ayudar a pacientes incluso cuando los procesos quirúrgicos se agotan. En ese contexto, aporta medios para minimizar el impacto de las condiciones discapacitantes y alcanzar un nivel de autonomía e interacción normal en la sociedad. Por lo tanto, se hace necesario que los médicos, tanto generales como de todas las especialidades, que tratan pacientes con enfermedades crónicas y limitaciones funcionales, reciban formación y capacitación en las facultades de medicina en los principios del manejo y la rehabilitación de enfermedades agudas, subagudas y crónicas. El presente artículo analiza y describe a través de evidencia el estado actual de la educación médica en rehabilitación, específicamente en la formación de pregrado. Métodos: Revisión de la literatura del periodo 2004-2018 (14 años), en publicaciones relacionadas con educación médica en rehabilitación. Conclusión: Existen muchos intentos de implementar y evaluar programas curriculares de educación en rehabilitación, los resultados son variables y muestran que aún se encuentra en continua investigación. En Colombia no se encuentran estudios que indaguen acerca de los diferentes programas de educación en rehabilitación. Es necesario promover la investigación en docencia médica en esta rama de la medicina. Palabras clave: Educación de pregrado en medicina, medicina física y rehabilitación, evaluación educacional.

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From Impairment to Empowerment: A Longitudinal Medical School Curriculum on Disabilities

Cited by 30 publications

References 5 publications

Working With People With Disabilities: An Interactive Video/Lecture Session for First- and Second-Year Medical Students

Working With People With Disabilities: An Interactive Video/Lecture Session for First- and Second-Year Medical Students

A scoping review for designing a disability curriculum and its impact for medical students

Educación médica en rehabilitación en pregrado: Un reto en el mundo

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