Teaching Future Physician Assistants to Provide ADEPT-CARE to Disabled Patients: A Novel Application of Disability Curriculum.

Journal

The journal of physician assistant education : the official journal of the Physician Assistant Education Association
ISSN: 1941-9449
Titre abrégé: J Physician Assist Educ
Pays: United States
ID NLM: 101298201

Informations de publication

Date de publication:
19 Apr 2024
Historique:
medline: 23 4 2024
pubmed: 23 4 2024
entrez: 22 4 2024
Statut: aheadofprint

Résumé

Physician assistant (PA) students will be certain to provide care to patients with disabilities in their future careers. However, there is a dearth of literature on disability-related education in PA training. This curriculum sought to fill this need. The specific aims of this study were to (1) evaluate the implementation of a 3-part disability-focused education curriculum in PA education, (2) assess changes in PA students' self-perceived confidence and attitudes toward patients with disabilities, and (3) assess students' attitudes toward ADEPT-CARE. A 3-part disability curriculum was implemented into the first-year PA curriculum at a single Mid-Atlantic institution. Students could voluntarily complete pre and post-surveys which assessed their self-perceived confidence and attitudes toward people with disabilities, perception of the curriculum, and attitudes toward ADEPT-CARE and disability health. Thirty students participated in the study, with a 100% survey response rate. Nearly all participants agreed or strongly agreed that this curriculum enhanced their medical education (n = 28, 96.6%, frequency missing n = 1). After curriculum completion, there was a statistically significant improvement in participants' confidence in their ability to assess patients with disability (46.7%-93.3%, P < 0.001), ability to provide the same quality of care to patients with disability as those without disability (80.0%-96.7%, P = 0.025), and perception of quality of life of persons with disabilities (P = 0.030). This curriculum was well received by PA students and improved their attitudes toward patients with disabilities, thereby fulfilling a critical need for PA educators.

Identifiants

DOI: 10.1097/JPA.0000000000000583 PMID: 38648617
pubmed: 38648617
doi: 10.1097/JPA.0000000000000583
pii: 01367895-990000000-00135
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Alliance for Disability in Health Care Education

Informations de copyright

Copyright © 2024 PA Education Association.

Références

Varadaraj V, Deal JA, Campanile J, Reed NS, Swenor BK. National prevalence of disability and disability types among adults in the US, 2019. JAMA Netw Open. 2021;4(10):e2130358.
Force C-OCRT. Competencies for the PA Profession; 2021.
Roux G, VanderMolen JK, Christensen PJ. Evaluation of disability education and emergency preparedness curricula of physician assistant programs. Disaster Med Public Health Prep. 2023;17:e122.
Pérez-Stable EJ, Valdez RO. Announcement of Decision to Designate People with Disabilities as a Population with Health Disparities; 2023. https://nimhd.nih.gov/about/directors-corner/messages/health-disparities-population-designation.html. Accessed December 13, 2023.
Reynolds JM. Three things clinicians should know about disability. AMA J Ethics. 2018;20(12):E1182-E1188.
Kleinert HL, Fisher SB, Sanders CL, Boyd S. Improving physician assistant students' competencies in developmental disabilities using virtual patient modules. J Physician Assistant Educ. 2007;18(2):33-40.
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(7):577-599.
Smeltz L, Carpenter S, Benedetto L, et al. ADEPT-CARE: a pilot, student-led initiative to improve care for persons with disabilities via a novel teaching tool. Disabil Health J. 2023;16:101462.
Smeltz L, Carpenter S, Benedetto L, et al. Introduction to disability and anti-Ableist healthcare: a pilot, student-led module for preclinical medical students. Am J Phys Med Rehabil. 2024. doi. 10.1097/PHM.0000000000002399
doi: 10.1097/PHM.0000000000002399
Smeltz L, Sacks J, DeWaters A. From the “Backburner” to the forefront: qualitative analysis of medical and physician assistant students' reflections on Crip camp. JGIM [under review].
Smeltz L, Havercamp S, Meeks L. Aspiring to disability consciousness in medical training. AMA J Ethics. 2024;26(1):E54-E61.
Doebrich A, Quirici M, Lunsford C. COVID-19 and the need for disability conscious medical education, training, and practice. J Pediatr Rehabil Med. 2020;13(3):393-404.

Auteurs

Lydia Smeltz (L)

Lydia Smeltz, BA, is a medical student, Penn State College of Medicine, Hershey, Pennsylvania.
Larissa Whitney, DBA, MHS, PA-C, is an associate dean, program director & assistant professor, Penn State College of Medicine Physician Assistant Program, Hershey, Pennsylvania.
Tonya King, MS, PhD, is an adjunct professor, Department of Public Health Sciences at Penn State College of Medicine, Hershey, Pennsylvania.
Nora Newcomb, BA, is a medical student, University of South Florida Morsani College of Medicine, Tampa, Florida.
Ami L. DeWaters, MD, MSc, is an associate professor of Medicine, Director Health Systems Science at Penn State College of Medicine, Hershey, Pennsylvania.
ORCID: 0000-0002-4704-935

Larissa Whitney (L)

Lydia Smeltz, BA, is a medical student, Penn State College of Medicine, Hershey, Pennsylvania.
Larissa Whitney, DBA, MHS, PA-C, is an associate dean, program director & assistant professor, Penn State College of Medicine Physician Assistant Program, Hershey, Pennsylvania.
Tonya King, MS, PhD, is an adjunct professor, Department of Public Health Sciences at Penn State College of Medicine, Hershey, Pennsylvania.
Nora Newcomb, BA, is a medical student, University of South Florida Morsani College of Medicine, Tampa, Florida.
Ami L. DeWaters, MD, MSc, is an associate professor of Medicine, Director Health Systems Science at Penn State College of Medicine, Hershey, Pennsylvania.

Tonya King (T)

Lydia Smeltz, BA, is a medical student, Penn State College of Medicine, Hershey, Pennsylvania.
Larissa Whitney, DBA, MHS, PA-C, is an associate dean, program director & assistant professor, Penn State College of Medicine Physician Assistant Program, Hershey, Pennsylvania.
Tonya King, MS, PhD, is an adjunct professor, Department of Public Health Sciences at Penn State College of Medicine, Hershey, Pennsylvania.
Nora Newcomb, BA, is a medical student, University of South Florida Morsani College of Medicine, Tampa, Florida.
Ami L. DeWaters, MD, MSc, is an associate professor of Medicine, Director Health Systems Science at Penn State College of Medicine, Hershey, Pennsylvania.

Nora Newcomb (N)

Lydia Smeltz, BA, is a medical student, Penn State College of Medicine, Hershey, Pennsylvania.
Larissa Whitney, DBA, MHS, PA-C, is an associate dean, program director & assistant professor, Penn State College of Medicine Physician Assistant Program, Hershey, Pennsylvania.
Tonya King, MS, PhD, is an adjunct professor, Department of Public Health Sciences at Penn State College of Medicine, Hershey, Pennsylvania.
Nora Newcomb, BA, is a medical student, University of South Florida Morsani College of Medicine, Tampa, Florida.
Ami L. DeWaters, MD, MSc, is an associate professor of Medicine, Director Health Systems Science at Penn State College of Medicine, Hershey, Pennsylvania.

Ami L DeWaters (AL)

Lydia Smeltz, BA, is a medical student, Penn State College of Medicine, Hershey, Pennsylvania.
Larissa Whitney, DBA, MHS, PA-C, is an associate dean, program director & assistant professor, Penn State College of Medicine Physician Assistant Program, Hershey, Pennsylvania.
Tonya King, MS, PhD, is an adjunct professor, Department of Public Health Sciences at Penn State College of Medicine, Hershey, Pennsylvania.
Nora Newcomb, BA, is a medical student, University of South Florida Morsani College of Medicine, Tampa, Florida.
Ami L. DeWaters, MD, MSc, is an associate professor of Medicine, Director Health Systems Science at Penn State College of Medicine, Hershey, Pennsylvania.

Classifications MeSH