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携手共进:建立一种可付诸行动的、关注残障歧视的医学教育教学方法。

Moving Forward Together: Establishing an Actionable Pedagogical Approach to Ableism-Aware Medical Education.

作者信息

Tolchin Dorothy W, Ankam Nethra S, Bosques Glendaliz, Kasi Ravi, Sauter Carley, Therattil Maya, Rydberg Leslie

出版信息

Acad Med. 2025 May 1;100(5):547-557. doi: 10.1097/ACM.0000000000005931. Epub 2024 Dec 3.

Abstract

As a form of discrimination, ableism impacts access to and the experience of clinical care for patients with disabilities as well as the daily experiences of learners and clinicians with disabilities. Ableist beliefs and practices conflict with physicians' professional responsibilities and legal obligations to provide care that is nondiscriminatory and accessible. An actionable pedagogical approach within medical education is needed to prepare a physician workforce that is able to meaningfully identify and mitigate ableism at all levels of the health care system.In this article, the authors propose a 3-pronged approach to ableism-aware medical education, building on frameworks that have been articulated for addressing other forms of discrimination to set forth a practical framework easily adopted by educators who may not be experts in ableism and its impact. The 3-pronged approach aligns with American Medical Association and Association of American Medical Colleges perspectives on advancing health equity and is inclusive of priority areas articulated by stakeholders, including those living with disability, those teaching about disability, and those advancing equity within medicine more broadly. The authors provide strategies relevant to medical students, faculty, and institutions, recognizing that ableism exists-and can be addressed-on multiple levels.

摘要

作为一种歧视形式,残障歧视影响着残疾患者获得临床护理的机会和体验,以及残疾学习者和临床医生的日常经历。残障歧视的观念和做法与医生提供非歧视性和无障碍护理的职业责任及法律义务相冲突。医学教育需要一种可行的教学方法,以培养一支能够在医疗保健系统的各个层面切实识别并减少残障歧视的医生队伍。在本文中,作者基于已阐明的用于解决其他形式歧视的框架,提出了一种针对残障意识医学教育的三管齐下方法,以阐述一个实用框架,便于那些可能并非残障歧视及其影响方面专家的教育工作者采用。这种三管齐下的方法与美国医学协会和美国医学院协会在推进健康公平方面的观点一致,并涵盖了利益相关者(包括残疾人士、讲授残疾问题的人士以及更广泛地推动医学领域公平的人士)所明确提出的优先领域。作者提供了与医学生、教师和院校相关的策略,认识到残障歧视在多个层面存在且可以得到解决。

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