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面向遗传咨询专业学生的残疾培训:倡导者的观点。

Disability training for genetic counseling students: The advocates' perspective.

作者信息

Winchester Dena, Karger Lisa, Wasserman David, Naik Hetanshi

机构信息

Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.

Department of Bioethics, National Institutes of Health, Bethesda, Maryland, USA.

出版信息

J Genet Couns. 2024 Aug;33(4):757-771. doi: 10.1002/jgc4.1784. Epub 2023 Sep 4.

Abstract

The genetics and disability communities have had a complicated relationship that is rooted in the history of the eugenics movement. Disability scholars claim that in order for healthcare professionals to provide optimal services to disabled patients, disability education must be implemented into healthcare training programs. No studies have explored the perspectives of disability advocates regarding the implementation and use of disability training in genetic counseling. This exploratory study recruited 13 advocates with lived experience of disability and genetic counseling exposure to participate in a semi-structured interview to share their recommendations for disability education opportunities in genetic counseling training programs and their perceived benefits of increased student exposure to disability. All advocates received genetic counseling themselves and four advocates reported working with genetic counselors in the advocacy setting. Advocates recounted their experiences working with genetic counselors, identifying qualities they deemed critical for effective counseling. All the advocates expressed interest in participating in experiential opportunities, with few concerns noted. The most frequently discussed recommendations for disability training included inviting advocates to speak in classrooms, and having students shadow disabled individuals. Advocates noted barriers to consider when implementing such educational opportunities, such as accessibility issues. Potential benefits of implementing disability education for students included providing students with a broader scope of knowledge and a deeper understanding of disability and resources available to the disability community. This novel study found that advocates are interested in participating in genetic counseling education, with recommendations on preferred experiential learning. By increasing a genetic counseling student's exposure to a disability, they may develop a comprehensive understanding of life with a disability, which may improve genetic counseling services to those with newly diagnosed disabilities.

摘要

遗传学与残障群体之间的关系错综复杂,其根源可追溯到优生学运动的历史。残障问题学者称,为使医疗保健专业人员能为残障患者提供最佳服务,必须将残障教育纳入医疗培训项目。尚无研究探讨残障权益倡导者对于在遗传咨询中实施和运用残障培训的看法。这项探索性研究招募了13位有残障生活经历且接触过遗传咨询的倡导者,让他们参与半结构化访谈,分享他们对遗传咨询培训项目中残障教育机会的建议,以及他们认为增加学生对残障的接触所带来的益处。所有倡导者都接受过遗传咨询,有四位倡导者报告称在倡导工作中与遗传咨询师合作过。倡导者们讲述了他们与遗传咨询师合作的经历,指出了他们认为有效咨询至关重要的品质。所有倡导者都表示有兴趣参与体验式机会,几乎没有提出担忧。关于残障培训最常讨论的建议包括邀请倡导者到课堂上发言,以及让学生跟随残障人士实习。倡导者指出了实施此类教育机会时需要考虑的障碍,如无障碍环境问题。为学生实施残障教育的潜在益处包括为学生提供更广泛的知识范围,以及更深入地了解残障和残障群体可利用的资源。这项新颖的研究发现,倡导者有兴趣参与遗传咨询教育,并就首选的体验式学习提出了建议。通过增加遗传咨询专业学生对残障的接触,他们可能会全面了解残障人士的生活,这可能会改善为新诊断出残障的人提供的遗传咨询服务。

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