de Oliveira Elda, Dantas Rafaela Gonçalves, Amaral Giovanna Araujo, Barreto Giaxa Renata Rocha, de Góis Aécio Flávio Teixeira
Universidade de São Paulo (USP), Escola Paulista de Enfermagem, Universidade Federal de São Paulo (EPE/UNIFESP), São Paulo, Brazil.
Escola Paulista de Medicina (EPM/UNIFESP), São Paulo, Brazil.
Med Teach. 2022 Mar;44(3):294-299. doi: 10.1080/0142159X.2021.1985098. Epub 2021 Oct 7.
Since people with disabilities (PwD) are underrepresented in medical education, the authors of this article conducted a qualitative research in the form of an in-depth interview with students with disabilities from a medical school in Brazil, to characterize their experiences in medical education and identify barriers and facilitators to inclusion.
Participants were recruited by snowball sampling, signed an informed consent form, and completed a socioeconomic questionnaire. They were interviewed individually with open-ended questions so that they could develop narratives.
The students identified some barriers to inclusion - teachers' lack of knowledge about students' special needs, students' own lack of knowledge about their needs during the medical course, underestimation of the disability by teachers and classmates, difficult access to college buildings - and facilitators, such as acceptance of the disability by professors and colleagues, proactivity of professors and colleagues in adapting practical learning scenarios.
Students identified peer and teacher acceptance as an important determinant of inclusion, which is in line with the biopsychosocial view of disability. They also reported doubts about their ability to practice medicine, which dialogues with literature research that points to a medical culture that expects nothing less than perfection from students.
鉴于残疾人在医学教育中的代表性不足,本文作者对巴西一所医学院的残疾学生进行了深入访谈形式的定性研究,以描述他们在医学教育中的经历,并确定融入过程中的障碍和促进因素。
通过滚雪球抽样招募参与者,他们签署了知情同意书并完成了一份社会经济调查问卷。对他们进行单独访谈,提出开放式问题,以便他们能够讲述自己的经历。
学生们确定了一些融入障碍——教师对学生特殊需求缺乏了解、学生自己在医学课程期间对自身需求缺乏认识、教师和同学对残疾的低估、进入大学建筑困难——以及促进因素,如教授和同事对残疾的接纳、教授和同事积极主动地调整实践学习场景。
学生们认为同伴和教师的接纳是融入的重要决定因素,这与残疾的生物心理社会观点一致。他们还对自己从事医学实践的能力表示怀疑,这与文献研究相呼应,该研究指出医学文化期望学生达到完美。