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患病率、计划和认知:家庭医学住院医师中的残疾问题。

Prevalence, Plans, and Perceptions: Disability in Family Medicine Residencies.

机构信息

University of Michigan Medical School, Ann Arbor, MI.

University of Michigan Medical School.

出版信息

Fam Med. 2021 May;53(5):338-346. doi: 10.22454/FamMed.2021.616867.

Abstract

BACKGROUND AND OBJECTIVES

Leading medical organizations including the Accreditation Council for Graduate Medical Education (ACGME) and American Association of Medical Colleges (AAMC) espouse the value of a diverse physician workforce, including disability, yet there is a dearth of research about this population in graduate medical education (GME). More information is needed on the prevalence of disability in the resident population, plans to recruit residents with disabilities, and program perceptions of barriers to inclusion. The goal of this study was to better understand the prevalence of disability in the resident population, plans to recruit residents with disabilities, and program perceptions of barriers to disability inclusion and frequency of disability-related complaints and litigation.

METHODS

Surveys were emailed to 200 department chairs via SurveyMonkey as part of a larger omnibus survey conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA).

RESULTS

More than 30% of family medicine programs reported at least one faculty member with a disability, while 50% reported matriculating at least one resident with a disability in the previous 5 years. Programs with greater numbers of physicians with disabilities were more likely to have a plan to recruit residents with disabilities, and inadequate expertise was the largest perceived barrier to disability inclusion.

CONCLUSIONS

Employing faculty with disabilities may be the driving force for having an active plan to recruit residents with disabilities. In order to meet the stated diversity goals of medicine, programs will need to increase professional development around disability inclusion.

摘要

背景与目的

包括研究生医学教育认证委员会(ACGME)和美国医学院协会(AAMC)在内的主要医学组织都倡导拥有多元化的医生队伍,包括残疾医生,然而在研究生医学教育(GME)中,针对这一人群的研究却很少。我们需要更多关于残疾居民的患病率、招收残疾居民的计划以及项目对包容性障碍的看法的信息。本研究的目的是更好地了解居民群体中的残疾患病率、招收残疾居民的计划以及项目对残疾包容性的障碍感知以及残疾相关投诉和诉讼的频率。

方法

通过 SurveyMonkey 向 200 名系主任发送电子邮件调查,这是学术家庭医学教育研究联盟理事会(CERA)进行的更大规模综合调查的一部分。

结果

超过 30%的家庭医学项目报告称至少有一名残疾教职员工,而 50%的项目报告称在过去 5 年中至少有一名残疾居民入学。拥有更多残疾医生的项目更有可能制定招收残疾居民的计划,而缺乏专业知识是最大的残疾包容障碍。

结论

雇用残疾教职员工可能是制定积极招收残疾居民计划的驱动力。为了实现医学领域规定的多样性目标,项目需要增加残疾包容性方面的专业发展。

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