Just and Realistic Expectations for Persons with Disabilities Practicing Nursing, Oct 16 – AMA Journal of Ethics

The nursing profession can become more inclusive by fostering a supportive culture, resilience, and realistic expectations for people with disabilities. AMA Journal of Ethics is a monthly bioethics journal published by the American Medical Association.

Source: Just and Realistic Expectations for Persons with Disabilities Practicing Nursing, Oct 16 – AMA Journal of Ethics

Patricia M. Davidson, PhD, RN, Cynda Hylton Rushton, PhD, RN, Jennifer Dotzenrod, MPP, Christina A. Godack, MA, Deborah Baker, DNP, CRNP, and Marie N. Nolan, PhD, RN

Abstract

The Americans with Disabilities Act prohibits discrimination on the basis of disability and requires schools to provide reasonable accommodations for persons with disabilities. The profession of nursing is striving for diversity and inclusion, but barriers still exist to realizing accommodations for people with disabilities. Promoting disclosure, a supportive and enabling environment, resilience, and realistic expectations are important considerations if we are to include among our ranks health professionals who can understand, based on similar life experiences of disability, a fuller range of perspectives of the patients we care for.

Continue Reading

Technical Standards and Deaf and Hard of Hearing Medical School Applicants and Students: Interrogating Sensory Capacity and Practice Capacity, Oct 16 – AMA Journal of Ethics

Medical school technical standards should be revised to be more inclusive of applicants with disabilities to diversify the physician workforce. AMA Journal of Ethics is a monthly bioethics journal published by the American Medical Association.

Source: Technical Standards and Deaf and Hard of Hearing Medical School Applicants and Students: Interrogating Sensory Capacity and Practice Capacity, Oct 16 – AMA Journal of Ethics

Michael Argenyi, MD

Abstract

Applicants to medical schools who are deaf and hard of hearing (DHoH) or who have other disabilities face significant barriers to medical school admission. One commonly cited barrier to admission is medical schools’ technical standards (TS) for admission, advancement, and graduation. Ethical values of diversity and equity support altering the technical standards to be more inclusive of people with disabilities. Incorporating these values into admissions, advancement, and graduation considerations for DHoH and other students with disabilities can contribute to the physician workforce being more representative of the diverse patients it serves and better able to care for them.

Continue Reading

Why Increasing Numbers of Physicians with Disability Could Improve Care for Patients with Disability, Oct 16 – AMA Journal of Ethics

Expanding the numbers of physicians with disabilities would facilitate patient-centered care for those who need similar accommodations. AMA Journal of Ethics is a monthly bioethics journal published by the American Medical Association.

Source: Why Increasing Numbers of Physicians with Disability Could Improve Care for Patients with Disability, Oct 16 – AMA Journal of Ethics

Lisa I. Iezzoni, MD, MSc

Abstract

Erroneous assumptions among health care professionals about the daily lives, preferences, values, and expectations of persons with disability can contribute to documented health care disparities, faulty communication, and substandard quality of care affecting this heterogeneous population. Efforts to reduce racial and ethnic disparities have focused on expanding diversity in the physician workforce. Would expanding the numbers of physicians with disability benefit patients with disability? Increasing the number of physicians who identify as “disabled” is one strategy for proactively confronting disability-related barriers affecting patients, but such efforts will likely face substantial challenges. Nonetheless, physicians who require accommodations to practice (e.g., a height-adjustable examination table) could plausibly benefit patients needing similar accommodations and perhaps be well-positioned to provide patient-centered care to persons with comparable disability.

Continue Reading

Health Professionals with Disabilities: Motivating Inclusiveness and Representation, Oct 16 – AMA Journal of Ethics

Introduction to the October 2016 issue on health professionals with disabilities. AMA Journal of Ethics is a monthly bioethics journal published by the American Medical Association.

Source: Health Professionals with Disabilities: Motivating Inclusiveness and Representation, Oct 16 – AMA Journal of Ethics

Health Professionals with Disabilities: Motivating Inclusiveness and Representation

Medical schools seeking to increase representation of minorities in the profession have sought to improve matriculation and graduation rates of racial and ethnic minorities [1]. But one minority group whose needs remain neglected in the medical field is persons with disabilities.

Although 18.7 percent of the US population [2, 3] and up to 8.9 percent of US residents aged 18 to 24 self-identify as having at least one disability [4], less than 1 percent of medical students have disabilities known to school administrators. A study published in 2012 found that since 2001, only 0.56 percent of matriculating and 0.42 percent of graduating medical students have physical or sensory disabilities [5]. These data suggest that persons with physical, cognitive, or sensory disabilities face significant hurdles in entering, continuing, and completing training in health professional fields. Furthermore, physicians who develop disabilities after completing their training can have difficulty obtaining accommodations from their employers and consequently leave clinical practice for administrative, teaching, or corporate positions that do not require direct patient care, preventing patients with disabilities from benefiting from the experiences of physicians intimately familiar with the process of adapting their activities of daily living.

The goal of this issue of the AMA Journal of Ethics® is to discuss the importance of increasing representation of people with disabilities in the medical field and to outline some of the obstacles that health professionals and trainees encounter in pursuing or continuing medical practice.

Continue Reading

Prevalence of Self-Disclosed Disability in US Allopathic Medical Students | Medical Education and Training | JAMA | The JAMA Network

Studying the performance of medical students with disabilities requires a better understanding of the prevalence and categories of disabilities represented.1- 4 It remains unclear how many medical students have disabilities; prior estimates are out-of-date and psychological, learning, and chronic health disabilities have not been evaluated.5 This study assessed the prevalence of all disabilities and the accommodations in use at allopathic medical schools in the United States.

Source: Prevalence of Self-Disclosed Disability in US Allopathic Medical Students | Medical Education and Training | JAMA | The JAMA Network

Empowering medical students with disabilities: The student perspective – Herzer – 2016 – Disability Compliance for Higher Education – Wiley Online Library

Source: Empowering medical students with disabilities: The student perspective – Herzer – 2016 – Disability Compliance for Higher Education – Wiley Online Library

Medical school can be a stressful and high-stakes experience. For medical students with disabilities, that experience may be even more stressful as students navigate the accommodations process, worry about possible discrimination if they disclose their disabilities, and fear being viewed as inferior compared to their peers. Disability services providers play a vital role in supporting students through the medical school experience.

MU medical students’ complaints describe humiliation, discrimination | Higher Education | columbiamissourian.com

MU medical students’ complaints describe humiliation, discrimination

Source: MU medical students’ complaints describe humiliation, discrimination | Higher Education | columbiamissourian.com

COLUMBIA — Matt Darrough didn’t take a traditional path to the MU School of Medicine.

When he applied in November 2013, he was 43 and working full time as a lawyer. He was also preparing to have his legs amputated below the knee and get prosthetics. An accident years earlier had left him paralyzed from the knees down.

Darrough was worried that his age and disability would make medical school more difficult, but in his interview, the chief of surgery said he was exactly the type of student the school was seeking. The admissions committee wanted greater diversity, including students like Darrough with no background in science.

Three years later, Darrough dropped out, frustrated with what he described as constant bullying, a lack of accommodation of his disability and an overall hostile environment.

He filed a complaint — one of 15 filed by students against the medical school in the past two years, according to documents requested by the Missourian in September and obtained Dec. 8 through a Sunshine Law request. Most of the complaints involved public humiliation, and others described experiences of gender discrimination.

The Missourian obtained medical students’ reports of mistreatment from September 2014 to present through a Sunshine Law request. The following are selections of students’ narratives.

Continue Reading

Moving From Disability to Possibility | Humanities | JAMA | The JAMA Network

Source: Moving From Disability to Possibility | Humanities | JAMA | The JAMA Network

When I was in the first grade, an astute teacher noticed that I had trouble seeing the blackboard. This finding was quickly confirmed by a vision test. Formal evaluation by an ophthalmologist revealed that I had a rare degenerative retinal disease. Worse than that diagnosis was the ophthalmologist’s devastating prognosis for my life: attending college would be very challenging, sports and certain activities would be difficult or impossible, and it was unlikely that I would ever have a professional career.

Doctor’s care is a balance of skill, empathy for Virginia Tech Carilion School of Medicine student : Augusta Free Press

Source: Doctor’s care is a balance of skill, empathy for Virginia Tech Carilion School of Medicine student : Augusta Free Press

Alyssa Savelli has wanted to be a doctor for as long as she can remember. “When I was 5, I would just sit and watch Discovery Health Channel and watch open heart surgery.”

A learning disability as a child made Savelli second-guess her dreams. “As I worked with special tutors, I got over it, but it wore on my confidence for a long time. I still worried that medicine would be too hard for me.”

A life-altering illness in her family caused her to refocus on her early dream. During her freshman year at Virginia Tech, Savelli’s father was diagnosed with acoustic neuroma, a brain tumor that impacts a nerve that runs from the ear to the brain. Along with numerous doctors’ appointments, he had to undergo complicated surgery to remove the tumor.

“Through that period, I noticed what makes a good doctor,” Savelli said, in particular noting the work of Rafael Tarmargo, a neurosurgeon at Johns Hopkins Medicine who performed her dad’s surgery. “Despite the fact that Dr. Tamargo was a brilliant surgeon and he is really busy, he was also very empathetic. Whenever my dad came in, he would ask how everyone else in the family was doing by name.”

Continue Reading