McKee Michael, Case Ben, Fausone Maureen, Zazove Philip, Ouellette Alicia, Fetters Michael D
Assistant professor in the Department of Family Medicine at the University of Michigan Medical School in Ann Arbor.
MPH candidate at the Milken Institute School of Public Health at The George Washington University in Washington, DC, and a chapter advisor for Global Bridges, a global health organization.
AMA J Ethics. 2016 Oct 1;18(10):993-1002. doi: 10.1001/journalofethics.2016.18.10.medu1-1610.
Students with sensory and physical disabilities are underrepresented in medical schools despite the availability of assistive technologies and accommodations. Unfortunately, many medical schools have adopted restrictive "organic" technical standards based on deficits rather than on the ability to do the work. Compelling ethical considerations of justice and beneficence should prompt change in this arena. Medical schools should instead embrace "functional" technical standards that permit accommodations for disabilities and update their admissions policies to promote applications from qualified students with disabilities. Medical schools thus should focus on what students with disabilities can do, rather than what they cannot do, because these students further diversify the health care profession and improve our ability to care for an expanding population of patients with disabilities.
尽管有辅助技术和便利条件,但感官和身体有残疾的学生在医学院中的占比仍然很低。不幸的是,许多医学院采用了基于缺陷而非工作能力的限制性“器质性”技术标准。出于正义和仁爱等令人信服的伦理考量,这一领域应该有所改变。医学院应该采用“功能性”技术标准,允许为残疾学生提供便利,并更新招生政策,以鼓励合格的残疾学生申请。医学院因此应该关注残疾学生能做什么,而不是他们不能做什么,因为这些学生能进一步使医疗行业多元化,并提高我们照顾不断增加的残疾患者群体的能力。