Abstracts
Abstract
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.
Résumé
Contexte : On constate un besoin croissant de créer une formation uniforme sur le handicap dans le cadre des études médicales de premier cycle afin de les doter des connaissances et des compétences nécessaires pour prodiguer des soins holistiques aux personnes handicapées.
Objectifs : Le but de cette revue de la portée était de mieux cerner la littérature scientifique décrivant les meilleures pratiques pour l’élaboration d’un programme d’enseignement sur le handicap et les incidences d’un tel programme sur les étudiants en médecine de premier cycle.
Résultats : Nous avons pu dégager trois éléments principaux dont il convient de tenir compte lors de la conception d’un programme d’enseignement sur le handicap au prédoctorat : (1) l’efficacité des stratégies pédagogiques, (2) les compétences à le cadre de la formation sur le handicap, et (3) les incidences de la formation sur les étudiants.
Conclusions : La littérature révèle qu’une formation sur le handicap a des incidences sur la manière générale dont les étudiants en médecine perçoivent les personnes qui en souffrent. Par suite d’une telle formation, les étudiants font davantage preuve de compréhension envers les patients lors de leurs rencontres cliniques. L’efficacité d’une formation sur le handicap dépend du degré de son intégration dans le cursus médical de premier cycle.
Appendices
Bibliography
- World Health Organization. WHO global disability action plan 2014-2021. 2015 https://www.who.int/publications/i/item/who-global-disability-action-plan-2014-2021. [Accessed June 7, 2022]
- Symons AB, McGuigan D, Akl EA. A curriculum to teach medical students to care for people with disabilities: development and initial implementation. BMC Med Educ. 2009;9:78. https://doi.org/10.1186/1472-6920-9-78
- Woodard LJ, Havercamp SM, Zwygart KK, Perkins EA. An innovative clerkship module focused on patients with disabilities. Acad Med. 2012;87:537-542. https://doi.org/10.1097/ACM.0b013e318248ed0a
- Iezzoni LI, Rao SR, Ressalam J, et al. Physicians' perceptions of people with disability and their health care. Health Aff. 2021;40(2):297-306. https://doi.org/10.1377/hlthaff.2020.01452
- Borowsky H, Morinis L, Garg M. Disability and ableism in medicine: A curriculum for medical students. MedEdPORTAL. 2021;17:1-8. https://doi.org/10.15766/mep_2374-8265.11073
- Ioerger M, Flanders RM, French-Lawyer JR, Turk MA. Interventions to teach medical students about disability: a systematic search and review. Am J Phys Med Rehabil. 2019;98:577-599. https://doi.org/10.1080/14739879.2014.11494239
- Watmough S, Leftwick P, Alexander-White S. An evaluation of medical students' views on the introduction of a community placement and its impact on their understanding of patients with disabilities. Educ Prim Care. 2014;25:36-42. https://doi.org/10.1097/ACM.0b013e318248ed0a
- Bowen CN, Havercamp SM, Karpiak Bowen S, Nye G. A call to action: preparing disability-competent health care workforce. Disabil Health J. 2020;13(4):1-5. https://doi.org/10.1016/j.dhjo.2020.100941
- Long-Bellil LM, Robey KL, Graham CL, et al. Teaching medical students about disability: the use of standardized patients. Acad Med. 2011;86:1163-1170. https://doi.org/10.1097/ACM.0b013e318226b5dc
- Castro SS, Rowe M, Andrade LF, Cyrino EG. Developing competencies among health professions students related to the care of people with disabilities: a pilot study. Interface. 2017;22:551-563. https://doi.org/10.1590/1807-57622016.0684
- Crotty M, Finucane P, Ahern M. Teaching medical students about disability and rehabilitation: methods and student feedback. Med Educ. 2000;34:659-664. https://doi.org/10.1046/j.1365-2923.2000.00621.x
- Galil A, Glick S, Flusser H, et al. Teaching medical students about disability: A community-based approach. Med Teach. 1996;18:333-337. https://doi.org/10.3109/01421599609034187
- Sarmiento C, Miller SR, Chang E, Zazove P, Kumagai AK. From impairment to empowerment: a longitudinal medical school curriculum on disabilities. Acad Med. 2016;91:954-957. https://doi.org/10.1097/ACM.0000000000000935
- Symons AB, Morley CP, McGuigan D, Akl EA. A curriculum on care for people with disabilities: effects on medical student self-reported attitudes and comfort level. Disabil Health J. 2014;7:88-95. https://doi.org/10.1016/j.dhjo.2013.08.006
- Sheppard ME, Vitalone-Raccaro N, Kaari JM, Ajumobi TT. Using a flipped classroom and the perspective of families to teach medical students about children with disabilities and special education. Disabil Health J. 2017;10:552-558. https://doi.org/10.1016/j.dhjo.2017.03.012
- Rogers JM, Morris MA, Hook CC, Havyer RD. Introduction to disability and health for preclinical medical students: Didactic and disability panel discussion. MedEdPORTAL. 2016;12:1-5. https://doi.org/10.15766/mep_2374-8265.10429
- Marshall J, Haines A, Chamberlain MA. Undergraduate medical education on disability and rehabilitation in the UK. Clin Rehabil. 1991;5:251-254. https://doi.org/10.1177/026921559100500312
- Wells TPE, Byron MA, McMullen SHP, Birchall MA. Disability teaching for medical students: disabled people contribute to curriculum development: letters to the editor. Med Educ. 2002;36:788-790. https://doi.org/10.1046/j.1365-2923.2002.01264_1.x
- Medina-Walpole A, Mooney CJ, Lyness JM, Lambert DR, Lurie SJ. Medical student attitudes toward patients in diverse care settings: the impact of a patient evaluation course. Teach Learn Med. 2012;24:117-121. https://doi.org/10.1080/10401334.2012.664533
- Tracy J, Graves P. Medical students and people with disabilities: A teaching unit for medical students exploring the impact of disability on the individual and the family. Med Teach. 1996;18:119-124. https://doi.org/10.3109/01421599609034145
- Graham CL, Brown RS, Zhen H, McDermott S. Teaching medical students about disability in family medicine. Fam Med. 2009;41:542-544.
- Ankam NS, Bosques G, Sauter C, et al. Competency-based curriculum development to meet the needs of people with disabilities: a call to action. Acad Med. 2019;94:781-788. https://doi.org/10.1097/ACM.0000000000002686
- Jones P, Donald M. Teaching medical students about children with disabilities in a rural setting in a school. BMC Med Educ. 2007;7:1-5. https://doi.org/10.1186/1472-6920-7-12
- Havercamp SM, Macho PN. What undergraduate and graduate students should know about disability. In: Rubin IL, Merrick J, Greydanus DE, Patel DR.editors. Health care for people with intellectual and developmental disabilities across the lifespan. USA: Springer, Cham; 2016.p.2125-2131. https://doi.org/10.1007/978-3-319-18096-0_160
- Saketkoo L, Anderson D, Rice J, Rogan A, Lazarus CJ. Effects of a disability awareness and skills training workshop on senior medical students as assessed with self-ratings and performance on a standardized patient case. Teach Learn Med. 2004;16:345-354. https://doi.org/10.1207/s15328015tlm1604_7