A scoping review for designing a disability curriculum and its impact for medical students
DOI:
https://doi.org/10.36834/cmej.74411Abstract
Background: There is an increasing need for a standardized undergraduate disability curriculum for medical students to better equip students with the proper training, knowledge, and skills to provide holistic care for individuals with disabilities.
Objectives: The aim of this scoping review was to better understand and analyze the current body of literature focusing on best practice for including disability curricula and its impact on undergraduate medical students
Results: Three major components for designing a disability curriculum for undergraduate medical students were obtained from our analysis. The components were: (1) effective teaching strategies, (2) competencies required for disability curriculum, and (3) impact of disability curriculum on medical students.
Conclusions: Current literature revealed that exposing medical students to a disability curriculum impacted their overall perceptions about people with disabilities. This allowed them to develop a sense of understanding towards patients with disabilities during their clinical encounters. The effectiveness of a disability curriculum is dependent on the extent to which these interventions are incorporated into undergraduate medical education.
Metrics
References
World Health Organization. WHO global disability action plan 2014-2021. 2015 https://www.who.int/publications/i/item/who-global-disability-action-plan-2014-2021. [Accessed June 7, 2022]
Symons AB, McGuigan D, Akl EA. A curriculum to teach medical students to care for people with disabilities: development and initial implementation. BMC Med Educ. 2009;9:78. https://doi.org/10.1186/1472-6920-9-78 DOI: https://doi.org/10.1186/1472-6920-9-78
Woodard LJ, Havercamp SM, Zwygart KK, Perkins EA. An innovative clerkship module focused on patients with disabilities. Acad Med. 2012;87:537-542. https://doi.org/10.1097/ACM.0b013e318248ed0a DOI: https://doi.org/10.1097/ACM.0b013e318248ed0a
Iezzoni LI, Rao SR, Ressalam J, et al. Physicians' perceptions of people with disability and their health care. Health Aff. 2021;40(2):297-306. https://doi.org/10.1377/hlthaff.2020.01452 DOI: https://doi.org/10.1377/hlthaff.2020.01452
Borowsky H, Morinis L, Garg M. Disability and ableism in medicine: A curriculum for medical students. MedEdPORTAL. 2021;17:1-8. https://doi.org/10.15766/mep_2374-8265.11073 DOI: https://doi.org/10.15766/mep_2374-8265.11073
Ioerger M, Flanders RM, French-Lawyer JR, Turk MA. Interventions to teach medical students about disability: a systematic search and review. Am J Phys Med Rehabil. 2019;98:577-599. https://doi.org/10.1080/14739879.2014.11494239 DOI: https://doi.org/10.1097/PHM.0000000000001154
Watmough S, Leftwick P, Alexander-White S. An evaluation of medical students' views on the introduction of a community placement and its impact on their understanding of patients with disabilities. Educ Prim Care. 2014;25:36-42. https://doi.org/10.1097/ACM.0b013e318248ed0a DOI: https://doi.org/10.1080/14739879.2014.11494239
Bowen CN, Havercamp SM, Karpiak Bowen S, Nye G. A call to action: preparing disability-competent health care workforce. Disabil Health J. 2020;13(4):1-5. https://doi.org/10.1016/j.dhjo.2020.100941 DOI: https://doi.org/10.1016/j.dhjo.2020.100941
Long-Bellil LM, Robey KL, Graham CL, et al. Teaching medical students about disability: the use of standardized patients. Acad Med. 2011;86:1163-1170. https://doi.org/10.1097/ACM.0b013e318226b5dc DOI: https://doi.org/10.1097/ACM.0b013e318226b5dc
Castro SS, Rowe M, Andrade LF, Cyrino EG. Developing competencies among health professions students related to the care of people with disabilities: a pilot study. Interface. 2017;22:551-563. https://doi.org/10.1590/1807-57622016.0684 DOI: https://doi.org/10.1590/1807-57622016.0684
Crotty M, Finucane P, Ahern M. Teaching medical students about disability and rehabilitation: methods and student feedback. Med Educ. 2000;34:659-664. https://doi.org/10.1046/j.1365-2923.2000.00621.x DOI: https://doi.org/10.1046/j.1365-2923.2000.00621.x
Galil A, Glick S, Flusser H, et al. Teaching medical students about disability: A community-based approach. Med Teach. 1996;18:333-337. https://doi.org/10.3109/01421599609034187 DOI: https://doi.org/10.3109/01421599609034187
Sarmiento C, Miller SR, Chang E, Zazove P, Kumagai AK. From impairment to empowerment: a longitudinal medical school curriculum on disabilities. Acad Med. 2016;91:954-957. https://doi.org/10.1097/ACM.0000000000000935 DOI: https://doi.org/10.1097/ACM.0000000000000935
Symons AB, Morley CP, McGuigan D, Akl EA. A curriculum on care for people with disabilities: effects on medical student self-reported attitudes and comfort level. Disabil Health J. 2014;7:88-95. https://doi.org/10.1016/j.dhjo.2013.08.006 DOI: https://doi.org/10.1016/j.dhjo.2013.08.006
Sheppard ME, Vitalone-Raccaro N, Kaari JM, Ajumobi TT. Using a flipped classroom and the perspective of families to teach medical students about children with disabilities and special education. Disabil Health J. 2017;10:552-558. https://doi.org/10.1016/j.dhjo.2017.03.012 DOI: https://doi.org/10.1016/j.dhjo.2017.03.012
Rogers JM, Morris MA, Hook CC, Havyer RD. Introduction to disability and health for preclinical medical students: Didactic and disability panel discussion. MedEdPORTAL. 2016;12:1-5. https://doi.org/10.15766/mep_2374-8265.10429 DOI: https://doi.org/10.15766/mep_2374-8265.10429
Marshall J, Haines A, Chamberlain MA. Undergraduate medical education on disability and rehabilitation in the UK. Clin Rehabil. 1991;5:251-254. https://doi.org/10.1177/026921559100500312 DOI: https://doi.org/10.1177/026921559100500312
Wells TPE, Byron MA, McMullen SHP, Birchall MA. Disability teaching for medical students: disabled people contribute to curriculum development: letters to the editor. Med Educ. 2002;36:788-790. https://doi.org/10.1046/j.1365-2923.2002.01264_1.x DOI: https://doi.org/10.1046/j.1365-2923.2002.01264_1.x
Medina-Walpole A, Mooney CJ, Lyness JM, Lambert DR, Lurie SJ. Medical student attitudes toward patients in diverse care settings: the impact of a patient evaluation course. Teach Learn Med. 2012;24:117-121. https://doi.org/10.1080/10401334.2012.664533 DOI: https://doi.org/10.1080/10401334.2012.664533
Tracy J, Graves P. Medical students and people with disabilities: A teaching unit for medical students exploring the impact of disability on the individual and the family. Med Teach. 1996;18:119-124. https://doi.org/10.3109/01421599609034145 DOI: https://doi.org/10.3109/01421599609034145
Graham CL, Brown RS, Zhen H, McDermott S. Teaching medical students about disability in family medicine. Fam Med. 2009;41:542-544.
Ankam NS, Bosques G, Sauter C, et al. Competency-based curriculum development to meet the needs of people with disabilities: a call to action. Acad Med. 2019;94:781-788. https://doi.org/10.1097/ACM.0000000000002686 DOI: https://doi.org/10.1097/ACM.0000000000002686
Jones P, Donald M. Teaching medical students about children with disabilities in a rural setting in a school. BMC Med Educ. 2007;7:1-5. https://doi.org/10.1186/1472-6920-7-12 DOI: https://doi.org/10.1186/1472-6920-7-12
Havercamp SM, Macho PN. What undergraduate and graduate students should know about disability. In: Rubin IL, Merrick J, Greydanus DE, Patel DR.editors. Health care for people with intellectual and developmental disabilities across the lifespan. USA: Springer, Cham; 2016.p.2125-2131. https://doi.org/10.1007/978-3-319-18096-0_160 DOI: https://doi.org/10.1007/978-3-319-18096-0_160
Saketkoo L, Anderson D, Rice J, Rogan A, Lazarus CJ. Effects of a disability awareness and skills training workshop on senior medical students as assessed with self-ratings and performance on a standardized patient case. Teach Learn Med. 2004;16:345-354. https://doi.org/10.1207/s15328015tlm1604_7 DOI: https://doi.org/10.1207/s15328015tlm1604_7
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Abdinasir Ali, Julie Nguyen, Liz Dennett, Helly Goez, Marghalara Rashid
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Submission of an original manuscript to the Canadian Medical Education Journal will be taken to mean that it represents original work not previously published, that it is not being considered elsewhere for publication. If accepted for publication, it will be published online and it will not be published elsewhere in the same form, for commercial purposes, in any language, without the consent of the publisher.
Authors who publish in the Canadian Medical Education Journal agree to release their articles under the Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 Canada Licence. This licence allows anyone to copy and distribute the article for non-commercial purposes provided that appropriate attribution is given. For details of the rights an author grants users of their work, please see the licence summary and the full licence.