A survey of internal and family medicine residents: Assessment of disability-specific education and knowledge.

Disability training Graduate medical education Health care for people with disabilities Undergraduate medical education

Journal

Disability and health journal
ISSN: 1876-7583
Titre abrégé: Disabil Health J
Pays: United States
ID NLM: 101306633

Informations de publication

Date de publication:
04 2021
Historique:
received: 24 07 2020
revised: 24 09 2020
accepted: 30 09 2020
pubmed: 13 10 2020
medline: 25 8 2021
entrez: 12 10 2020
Statut: ppublish

Résumé

The literature suggests that primary care physicians are inadequately educated in the care of people with disabilities. No study to date has evaluated whether internal medicine (IM) and family medicine (FM) residents have received disability-specific education or their level of comfort in caring for people with physical disabilities. To assess IM and FM residents' receipt of disability-specific education during medical school and residency; to evaluate their self-reported comfort in managing secondary conditions associated with physical disabilities and in coordinating therapies and services for individuals with disabilities; to gauge their interest in receiving disability-specific education. An on-line survey distributed to residents at a convenience sample of ten academic IM and FM residency programs in the northeastern United States. Participants (n = 176) were asked about their socio-demographic and training-specific characteristics and their self-assessed ability to manage secondary conditions associated with physical disabilities and coordinate care and services for individuals with disabilities. Chi Square tests were used to compare participant characteristics and outcomes. Few participants had received disability-specific education during medical school or residency (34.6% and 11.2%, respectively), and nearly all (96.0%) expressed interest in receiving more. Small minorities reported feeling comfortable managing common secondary conditions or in coordinating therapies and services for individuals with disabilities. Although one-fifth of adult Americans have a disability, few of our participating IM and FM residents had received disability-specific education or felt comfortable managing the care of people living with disabilities. Our results indicate a need to develop and disseminate disability-specific curricula.

Sections du résumé

BACKGROUND
The literature suggests that primary care physicians are inadequately educated in the care of people with disabilities. No study to date has evaluated whether internal medicine (IM) and family medicine (FM) residents have received disability-specific education or their level of comfort in caring for people with physical disabilities.
OBJECTIVES
To assess IM and FM residents' receipt of disability-specific education during medical school and residency; to evaluate their self-reported comfort in managing secondary conditions associated with physical disabilities and in coordinating therapies and services for individuals with disabilities; to gauge their interest in receiving disability-specific education.
METHODS
An on-line survey distributed to residents at a convenience sample of ten academic IM and FM residency programs in the northeastern United States. Participants (n = 176) were asked about their socio-demographic and training-specific characteristics and their self-assessed ability to manage secondary conditions associated with physical disabilities and coordinate care and services for individuals with disabilities. Chi Square tests were used to compare participant characteristics and outcomes.
RESULTS
Few participants had received disability-specific education during medical school or residency (34.6% and 11.2%, respectively), and nearly all (96.0%) expressed interest in receiving more. Small minorities reported feeling comfortable managing common secondary conditions or in coordinating therapies and services for individuals with disabilities.
CONCLUSION
Although one-fifth of adult Americans have a disability, few of our participating IM and FM residents had received disability-specific education or felt comfortable managing the care of people living with disabilities. Our results indicate a need to develop and disseminate disability-specific curricula.

Identifiants

pubmed: 33041247
pii: S1936-6574(20)30143-6
doi: 10.1016/j.dhjo.2020.101011
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101011

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest None of the authors has financial support related to this project or manuscript. None of the authors has a conflict of interest.

Auteurs

Michael D Stillman (MD)

Department of Internal Medicine, Sidney Kimmel Medical College, 1100 Walnut Street, Suite 601, Philadelphia, PA, 19107, USA; Department of Rehabilitation Medicine, Sidney Kimmel Medical College, 25 South 9th Street, Philadelphia, PA, 19107, USA. Electronic address: Michael.stillman@jefferson.edu.

Nethra Ankam (N)

Department of Rehabilitation Medicine, Sidney Kimmel Medical College, 25 South 9th Street, Philadelphia, PA, 19107, USA. Electronic address: nethra.ankam@jefferson.edu.

Michael Mallow (M)

Department of Rehabilitation Medicine, Sidney Kimmel Medical College, 25 South 9th Street, Philadelphia, PA, 19107, USA. Electronic address: michael.mallow@jefferson.edu.

Maclain Capron (M)

Department of Rehabilitation Medicine, Sidney Kimmel Medical College, 25 South 9th Street, Philadelphia, PA, 19107, USA. Electronic address: maclain.capron@jefferson.edu.

Steve Williams (S)

Department of Rehabilitation Medicine, Sidney Kimmel Medical College, 25 South 9th Street, Philadelphia, PA, 19107, USA. Electronic address: steve.r.williams@jefferson.edu.

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