Associate Professor in the Department of Family Medicine at Queen's University in Kingston, Ont.
Family physician at Forest Hills Family Health Centre and the Integrated Services for Autism and Neurodevelopmental Disorders, and Lecturer in the Department of Family and Community Medicine at the University of Toronto in Ontario.
Can Fam Physician. 2019 Apr;65(Suppl 1):S35-S40.
Adults with intellectual and developmental disabilities (IDD), a group with complex health problems and inequities in access to health care, look to family physicians for primary care.
To enable residents to learn and demonstrate competencies that are unique to the care of adults with IDD with minimal extra time and resources required of the residency program.
In their regular family medicine teaching practices, residents undertake planned encounters with adults with IDD involving comprehensive health assessments with physical examinations. Tools to implement the Canadian guidelines for primary care of adults with IDD are available to support the residents in their encounters. Background information in the form of self-learning and small group learning resources, field notes with rubrics to assess residents' development of competencies, and faculty development resources are also available.
It is important to include such planned clinical experiences in family medicine residency curricula because people with IDD have special needs that are difficult to learn about in other settings. It is a benefit to residents to have patients and families actively contributing to teaching.
患有智力和发育障碍 (IDD) 的成年人，这是一个存在复杂健康问题且在获得医疗保健方面存在不平等现象的群体，他们依赖家庭医生提供初级保健。
使住院医师能够学习并展示针对 IDD 成年人护理的独特能力，而无需额外花费住院医师培训计划的额外时间和资源。
在他们的常规家庭医学教学实践中，住院医师会与 IDD 成年人进行计划中的接触，包括全面的健康评估和身体检查。可提供实施针对 IDD 成年人的初级保健加拿大指南的工具，以支持住院医师的接触。还提供以自学和小组学习资源形式的背景信息、带有评分标准的现场笔记，以评估住院医师能力的发展情况，以及师资发展资源。
将此类计划中的临床经验纳入家庭医学住院医师培训课程非常重要，因为 IDD 患者有特殊需求，在其他环境中很难学习。让患者及其家属积极参与教学对住院医师有益。
