Bosques Glendaliz, Ankam Nethra Sridhara, Kasi Ravi, Rydberg Leslie, Sauter Carley, Therattil Maya, Tolchin Dorothy W
From the Department of Physical Medicine and Rehabilitation, McGovern Medical School at University of Texas Health Sciences Center at Houston, Shriners Hospital for Children in Houston, TIRR Memorial Hermann Hospital, Houston, Texas (GB); Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (NSA); Rush Medical College at Rush University Medical Center, Chicago, Illinois (RK); Northwestern University Feinberg School of Medicine and Shirley Ryan Ability Lab, Chicago, Illinois (LR); Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin (CS); Drexel University College of Medicine, Philadelphia, Pennsylvania (MT); and Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Boston, Massachusetts (DWT).
Am J Phys Med Rehabil. 2022 Jan 1;101(1):89-96. doi: 10.1097/PHM.0000000000001703.
One in four noninstitutionalized adults in the United States lives with a disability. People with disabilities have frequent interactions with the medical community and the healthcare system yet experience disparities in access and outcomes. The Association of American Medical Colleges has included disability in its definition of diversity as one of the aspects of patient care that may affect health equity. However, training in the lived experience of disability is not always included in medical education. Physiatrists make excellent disability champions in medical schools, given their training and experience in the care of individuals with disabilities. Here, we describe strategies for physiatrists to increase disability education in medical schools and an overview of standards and tools (Liaison Committee on Medical Education standards; Commission on Osteopathic College Accreditation standards; International Classification of Functioning, Disability and Health language; and the Core Competencies on Disability for Health Care Education published by the Alliance for Disability in Health Care Education) physiatrists can use to facilitate interactions with medical school educational leadership. Specific examples are provided along with a framework to guide the development of disability champions in medical schools.
在美国,四分之一未住机构的成年人患有残疾。残疾人经常与医疗界和医疗保健系统打交道,但在医疗服务可及性和治疗结果方面却存在差异。美国医学院协会已将残疾纳入其多样性定义之中,作为可能影响健康公平性的患者护理方面之一。然而,残疾生活体验方面的培训在医学教育中并不总是涵盖在内。鉴于物理治疗师在照顾残疾人方面所接受的培训和经验,他们是医学院中出色的残疾权益倡导者。在此,我们描述了物理治疗师在医学院增加残疾教育的策略,以及物理治疗师可用于促进与医学院教育领导层互动的标准和工具概述(医学教育联络委员会标准;整骨医学院认证委员会标准;《国际功能、残疾和健康分类》术语;以及医疗保健教育中的残疾核心能力,由医疗保健教育中的残疾联盟发布)。文中提供了具体示例以及一个指导医学院残疾权益倡导者培养的框架。