Your browser doesn't support javascript.
loading
Shared Decision-Making at the Intersection of Disability, Culture, and Language Accessibility: An Educational Session for Medical Students.
Ship, Hannah; Shankar, Sahana; Brosco, Jeffrey P; Baer, Shelly; Michalowski, Sheryl Eisenberg; Arana, Jairo; Gregory, Damian; Falcon, Ashley.
Afiliação
  • Ship H; Third-Year Medical Student, University of Miami Miller School of Medicine.
  • Shankar S; Fourth-Year Medical Student, University of Miami Miller School of Medicine.
  • Brosco JP; Professor, Department of Pediatrics, University of Miami Miller School of Medicine.
  • Baer S; Licensed Clinical Social Worker, Mailman Center for Child Development, University of Miami Miller School of Medicine.
  • Michalowski SE; Deaf Advocate, Eisenberg & Baum Law Center for Deaf and Hard of Hearing.
  • Arana J; Clinical Program Coordinator, Mailman Center for Child Development, University of Miami Miller School of Medicine.
  • Gregory D; Consultant, Mailman Center for Child Development, University of Miami Miller School of Medicine.
  • Falcon A; Associate Professor, School of Nursing and Health Sciences, University of Miami.
MedEdPORTAL ; 20: 11396, 2024.
Article em En | MEDLINE | ID: mdl-38722734
ABSTRACT

Introduction:

People with disabilities and those with non-English language preferences have worse health outcomes than their counterparts due to barriers to communication and poor continuity of care. As members of both groups, people who are Deaf users of American Sign Language have compounded health disparities. Provider discomfort with these specific demographics is a contributing factor, often stemming from insufficient training in medical programs. To help address these health disparities, we created a session on disability, language, and communication for undergraduate medical students.

Methods:

This 2-hour session was developed as a part of a 2020 curriculum shift for a total of 404 second-year medical student participants. We utilized a retrospective postsession survey to analyze learning objective achievement through a comparison of medians using the Wilcoxon signed rank test (α = .05) for the first 2 years of course implementation.

Results:

When assessing 158 students' self-perceived abilities to perform each of the learning objectives, students reported significantly higher confidence after the session compared to their retrospective presession confidence for all four learning objectives (ps < .001, respectively). Responses signifying learning objective achievement (scores of 4, probably yes, or 5, definitely yes), when averaged across the first 2 years of implementation, increased from 73% before the session to 98% after the session.

Discussion:

Our evaluation suggests medical students could benefit from increased educational initiatives on disability culture and health disparities caused by barriers to communication, to strengthen cultural humility, the delivery of health care, and, ultimately, health equity.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estudantes de Medicina / Pessoas com Deficiência / Currículo / Educação de Graduação em Medicina / Tomada de Decisão Compartilhada Limite: Female / Humans / Male Idioma: En Revista: MedEdPORTAL Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estudantes de Medicina / Pessoas com Deficiência / Currículo / Educação de Graduação em Medicina / Tomada de Decisão Compartilhada Limite: Female / Humans / Male Idioma: En Revista: MedEdPORTAL Ano de publicação: 2024 Tipo de documento: Article