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. 2020 May 14;4(4):450-462.
doi: 10.1002/aet2.10453. eCollection 2020 Oct.

Emergency Medicine Resident Education on Caring for Patients With Disabilities: A Call to Action

Jason Rotoli  1 , Anika Backster  2 , Richard W Sapp  3 , Zachery A Austin  2 , Czestochowa Francois  1 , Kunali Gurditta  1 , Carl Mirus 4th  1 , Cori McClure Poffenberger  3
Affiliations

Emergency Medicine Resident Education on Caring for Patients With Disabilities: A Call to Action

Jason Rotoli et al. AEM Educ Train. .

Abstract

People with disabilities constitute a marginalized population who experience significant health care disparities resulting from structural, socioeconomic, and attitudinal barriers to accessing health care. It has been reported that education on the care of marginalized groups helps to improve awareness, patient-provider rapport, and patient satisfaction. Yet, emergency medicine (EM) residency education on care for people with disabilities may be lacking. The goal of this paper is to review the current state of health care for patients with disabilities, review the current state of undergraduate and graduate medical education on the care of patients with disabilities, and provide suggestions for an improved EM residency curriculum that includes education on the care for patients with disabilities.

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Figures

Figure 1
Figure 1
Applications of the ICF framework. Body functions are physiological functions of body systems (including psychological functions). Body structures are anatomic parts of the body such as organs, limbs, and their components. Impairments are problems in body function or structure such as a significant deviation or loss. Activity is the execution of a task or action by an individual. Participation is involvement in a life situation. Activity limitations are difficulties an individual may have in executing activities. Participation restrictions are problems an individual may experience in involvement in life situations. Environmental factors make up the physical, social, and attitudinal environment in which people live and conduct their lives. © Copyright World Health Organization (WHO), 2020. All Rights Reserved. Image accessed on February 26, 2019: http://origin.who.int/hrh/news/2014/hrh_icf_framework/en/. ICF = International Classification of Functioning.
Figure 2
Figure 2
A concept analysis of cultural humility. 57 ICF = International Classification of Functioning. © 2015 by The Authors. Reprinted by Permission of SAGE Publications, Inc.
Figure 3
Figure 3
(A) Original EM Milestone 2. (B) EM Milestone 18. (C) Original EM Milestone 22. © 2012 The Accreditation Council for Graduate Medical Education and The American Board of Emergency Medicine. Reprinted with permission. 69
See this image and copyright information in PMC

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References

    1. Okoro CA, Hollis ND, Cyrus AC, Griffin‐Blake S. Prevalence of disabilities and health care access by disability status and type among adults—United States, 2016. Morb Mortal Wkly Rep 2018;67:882. - PMC - PubMed
    1. Office of the Surgeon General (US); Office on Disability (US) . The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities. Rockville, MD: Office of the Surgeon General (US); 2005. - PubMed
    1. Agaronnik N, Campbell EG, Ressalam J, Iezzoni LI. Exploring issues relating to disability cultural competence among practicing physicians. Disability Health J 2019;12:403–10. - PMC - PubMed
    1. Davis NA. Invisible disability. Ethics 2005; 116:153–213. - PubMed
    1. Krahn GL, Walker DK, Correa‐De‐Araujo R. Persons with disabilities as an unrecognized health disparity population. Am J Public Health 2015;105:S198–206. - PMC - PubMed