Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Spain Rehabilitation Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Teach Learn Med. 2024 Apr-May;36(2):183-197. doi: 10.1080/10401334.2022.2148107. Epub 2022 Nov 25.
One in four American adults have a disability, which makes people with disabilities the largest minority group in the United States (U.S.). Chronic diseases are prevalent within this population, which faces myriad barriers that limit access to healthcare and create significant health care disparities. Yet, disability awareness programs are limited in U.S. medical schools and graduates report a sense of unpreparedness to care for this population. Come Roll with Me (CRWM) was implemented as an interprofessional, preclinical experience to provide medical and Doctor of Physical Therapy (DPT) students an opportunity to engage with wheelchair users and one another. Students rotated through four stations with a licensed physical therapist and wheelchair user facilitator. Stations included (1) manual wheelchair self-propulsion, (2) accessible parking, (3) transfers, and (4) open dialog on barriers to healthcare led by the wheelchair user. This study sought to assess the impact of CRWM on students' understanding of the barriers and health disparities faced by individuals with disabilities. Assessment was conducted using course evaluations, thematic analysis of student reflection essays and a focus group with the wheelchair user facilitators to determine if CRWM met pre-implementation program goals and objectives, including the Interprofessional Educational Collaborative (IPEC) core competencies. Student reflections from both disciplines indicated that learners were able to identify a variety of barriers faced by people with disabilities and prioritize methods to mitigate these factors. Approximately 91% of medical students agreed or strongly agreed that CRWM was effective in their learning on course evaluations. Wheelchair user facilitators noted three important outcomes of CRWM: educating, teaming, and impact on students. Come Roll with Me is a robust educational activity, as evidenced by the program meeting all goals and objectives as well as (IPEC) core competencies. It provides students a unique opportunity to learn about disability from another profession and wheelchair users. People with disabilities and DPT students are a unique and underutilized pool of educators in undergraduate medical education.
四分之一的美国成年人有残疾,这使得残疾人士成为美国最大的少数群体。这一人群中普遍存在慢性疾病,他们面临着无数的障碍,限制了他们获得医疗保健的机会,并造成了巨大的医疗保健差距。然而,残疾意识项目在美国医学院校中有限,毕业生报告说他们对照顾这一人群准备不足。“与我一起滚动”(Come Roll with Me,CRWM)是作为一个跨专业的临床前体验而实施的,为医学和物理治疗博士(Doctor of Physical Therapy,DPT)学生提供了一个与轮椅使用者互动的机会。学生与一名有执照的物理治疗师和轮椅使用者协调员一起轮流参加四个站点。站点包括(1)手动轮椅自行推进,(2)无障碍停车,(3)转移,以及(4)由轮椅使用者主导的关于医疗保健障碍的开放对话。本研究旨在评估 CRWM 对学生理解残疾人士所面临的障碍和健康差距的影响。评估是通过课程评估、学生反思文章的主题分析以及与轮椅使用者协调员的焦点小组进行的,以确定 CRWM 是否达到了实施前的课程目标和目的,包括跨专业教育协作(Interprofessional Educational Collaborative,IPEC)核心能力。来自两个学科的学生反思表明,学习者能够识别出残疾人士所面临的各种障碍,并确定缓解这些因素的方法。大约 91%的医学生在课程评估中同意或强烈同意 CRWM 对他们的学习有效。轮椅使用者协调员指出了 CRWM 的三个重要成果:教育、团队合作和对学生的影响。“与我一起滚动”是一项强有力的教育活动,因为该计划满足了所有目标和目的以及(IPEC)核心能力。它为学生提供了一个独特的机会,从另一个专业和轮椅使用者那里了解残疾。残疾人和 DPT 学生是本科医学教育中独特且未充分利用的教育者群体。