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行动呼吁:消除残疾医学生面临的障碍。

Call to Action: Eliminate Barriers Faced by Medical Students With Disabilities.

机构信息

Department of Family Medicine, University of Michigan, Ann Arbor, Michigan

Department of Family Medicine, University of Michigan, Ann Arbor, Michigan.

出版信息

Ann Fam Med. 2022 Jul-Aug;20(4):376-378. doi: 10.1370/afm.2824.

DOI:10.1370/afm.2824
PMID:35879081
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9328715/
Abstract

When physicians have a disability or chronic condition, they can offer deeper insight and ability into managing the needs of patients with similar conditions. Yet an alarming 2021 survey found that only 40.7% of physicians feel confident that they provide the same level of care to people with disabilities (PWD) as those without. This may contribute to troubling health care disparities for the over 61 million Americans living with disabilities. In a recent report, The American Medical Association (AMA) recognized that increased concordance between patients and physicians with disabilities is key to resolving health care inequities for PWD, yet although 1 in 5 patients reports a disability, only 1 in 33 physicians identifies as such. This is because prospective medical students with disabilities face many barriers in medical education and practice. We call for specific changes to medical school admission processes and curricula to promote a more just and diverse workforce which includes more physicians with disabilities.

摘要

当医生有残疾或慢性病时,他们可以更深入地了解和处理具有类似病情的患者的需求。然而,一项令人震惊的 2021 年调查发现,只有 40.7%的医生有信心他们为残疾患者(PWD)提供的护理水平与非残疾患者相同。这可能导致超过 6100 万美国残疾患者的医疗保健差距问题令人担忧。在美国医学协会(AMA)的一份最新报告中,承认残疾患者与残疾医生之间的一致性增加是解决残疾患者医疗保健不平等问题的关键,但尽管每 5 名患者中就有 1 人报告有残疾,但只有每 33 名医生中就有 1 人认同这一点。这是因为有残疾的未来医学学生在医学教育和实践中面临许多障碍。我们呼吁对医学院的录取流程和课程进行具体改革,以促进一个更公正、更多样化的劳动力队伍,其中包括更多的残疾医生。

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Call to Action: Eliminate Barriers Faced by Medical Students With Disabilities.行动呼吁:消除残疾医学生面临的障碍。
Ann Fam Med. 2022 Jul-Aug;20(4):376-378. doi: 10.1370/afm.2824.
2
Removing Barriers and Facilitating Access: Increasing the Number of Physicians With Disabilities.消除障碍,促进机会均等:增加残疾医生人数。
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The Climate Change Conversation: Understanding Nationwide Medical Education Efforts.气候变化对话:了解全国范围内的医学教育工作。
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Codevelopment of an illustration representative of people living with spina bifida for health educational materials.为健康教育材料开发一个具有代表性的、体现脊髓裂患者生活的插图。
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本文引用的文献

1
Structural Barriers to Student Disability Disclosure in US-Allopathic Medical Schools.美国全科医学医学院学生残疾情况披露的结构障碍
J Med Educ Curric Dev. 2021 May 26;8:23821205211018696. doi: 10.1177/23821205211018696. eCollection 2021 Jan-Dec.
2
Estimated Prevalence of US Physicians With Disabilities.美国残疾医生的预估患病率。
JAMA Netw Open. 2021 Mar 1;4(3):e211254. doi: 10.1001/jamanetworkopen.2021.1254.
3
Physicians' Perceptions Of People With Disability And Their Health Care.医生对残疾人和他们的医疗保健的看法。
Health Aff (Millwood). 2021 Feb;40(2):297-306. doi: 10.1377/hlthaff.2020.01452.
4
Medical Schools' Willingness to Accommodate Medical Students with Sensory and Physical Disabilities: Ethical Foundations of a Functional Challenge to "Organic" Technical Standards.医学院校接纳有感官和身体残疾的医学生的意愿:对“器质性”技术标准功能挑战的伦理基础
AMA J Ethics. 2016 Oct 1;18(10):993-1002. doi: 10.1001/journalofethics.2016.18.10.medu1-1610.
5
The case for diversity in the health care workforce.医疗保健劳动力多元化的理由。
Health Aff (Millwood). 2002 Sep-Oct;21(5):90-102. doi: 10.1377/hlthaff.21.5.90.