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重新构想医师助理教育:倡导认知多样性以促进包容性、神经多样性认知及归属感。

Reimagining Physician Assistant Education: Championing Cognitive Diversity to Promote Inclusivity, Neurodiversity Awareness, and a Sense of Belonging.

作者信息

George Tonya C, Hudson Lillie, Brown Sheena D, Coleman Veronica

机构信息

Tonya C. George, PhD, MSHS, MSPH, PA-C, DFAAP, is a assistant professor, Doctor of Medical Science Program, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Philadelphia.

Lillie Hudson, MSPA, MPH, PA-C, is a clinical assistant professor of family medicine, Primary Care Physician Assistant Program, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

J Physician Assist Educ. 2025 Jun 1;36(2):204-208. doi: 10.1097/JPA.0000000000000655. Epub 2025 Jan 28.

DOI:10.1097/JPA.0000000000000655
PMID:39878752
Abstract

Neurodiversity, encompassing conditions such as autism spectrum disorder, attention-deficit/hyperactivity disorder, and dyslexia, represents a significant and often under-recognized segment of the population, including within science, technology, engineering, mathematics, and medicine fields like medicine. Neurodiverse individuals possess unique skills, including enhanced creativity, analytical thinking, and meticulous attention to detail, which are valuable in health care professions. However, failure to recognize and support these individuals can result in missed opportunities, social isolation, and mental health challenges. Despite a growing emphasis on diversity, equity, inclusion, and belonging in higher education, neurodiversity is frequently overlooked, particularly in physician assistant (PA) education. This article examines the unique challenges faced by neurodiverse PA student learners and the existing literature gap regarding neurodiversity in PA education. It underscores the need for greater awareness, reduced stigma, and improved support systems. Recommendations include integrating neurodiversity into the PA curriculum, providing faculty training on inclusive teaching practices, and establishing tailored accommodations to foster a sense of belonging. PA programs can foster a more equitable health care system by creating inclusive learning environments that acknowledge and cater to the unique needs of neurodiverse student learners, thereby enhancing student-faculty interactions and promoting academic success. The aim of this article was to facilitate the reimagining of PA education to champion cognitive diversity. By promoting a more inclusive learning environment, PA programs can cultivate future clinicians who are better equipped to serve diverse patient populations.

摘要

神经多样性涵盖自闭症谱系障碍、注意力缺陷多动障碍和诵读困难等情况,代表了很大一部分往往未得到充分认识的人群,包括在科学、技术、工程、数学以及医学等领域。神经多样化的个体拥有独特的技能,包括更强的创造力、分析思维以及对细节的一丝不苟的关注,这些在医疗保健行业中很有价值。然而,未能认识和支持这些个体可能会导致错失机会、社会孤立以及心理健康挑战。尽管高等教育越来越强调多样性、公平性、包容性和归属感,但神经多样性经常被忽视,尤其是在医师助理(PA)教育中。本文探讨了神经多样化的PA学生学习者面临的独特挑战以及PA教育中关于神经多样性的现有文献空白。它强调了提高认识、减少污名化以及改善支持系统的必要性。建议包括将神经多样性纳入PA课程,为教师提供关于包容性教学实践的培训,并建立量身定制的便利措施以培养归属感。PA项目可以通过创建包容的学习环境来促进更公平的医疗保健系统,这种环境承认并满足神经多样化学生学习者的独特需求,从而加强师生互动并促进学业成功。本文的目的是推动对PA教育进行重新构想,以支持认知多样性。通过促进更具包容性的学习环境,PA项目可以培养出更有能力为不同患者群体服务的未来临床医生。

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