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Competency-Based Curriculum Development to Meet the Needs of People With Disabilities: A Call to Action
Journal article   Open access   Peer reviewed

Competency-Based Curriculum Development to Meet the Needs of People With Disabilities: A Call to Action

Nethra S. Ankam, Glendaliz Bosques, Carley Sauter, Steven Stiens, Maya Therattil, Faren H. Williams, Caleb C. Atkins and R. Samuel Mayer
Academic medicine, v 94(6), pp 781-788
01 Jun 2019
PMID: 30844926
url
https://doi.org/10.1097/acm.0000000000002686View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Education & Educational Research Education, Scientific Disciplines Health Care Sciences & Services Life Sciences & Biomedicine Science & Technology Social Sciences
People with disabilities constitute 22.2% of the population in the United States, and virtually all physicians have people with disabilities in their clinical practice across a wide range of diagnostic groups. However, studies demonstrate that people with disabilities are inadequately served by the health care system, leading to high costs and poor outcomes. The authors argue that one cause of this discrepancy is that medical students receive limited training in the care of people with disabilities and may therefore not be able to adequately meet the competencies that underlie the Core Entrustable Professional Activities for Entering Residency. To address these gaps, the authors present practical examples of integrating concepts of disability into the curriculum with minimal additional time requirements. A comprehensive disability curriculum is suggested to include active classroom learning, clinical, and community-based experiences. At institutions that do not have a comprehensive curriculum, the authors recommend adding disability-related knowledge and skill acquisition to existing curricula through modifications to current case-based learning, simulated patients, and objective structured clinical examinations. To facilitate curriculum development, they recommend that the World Health Organization International Classification of Functioning, Disability, and Health be used as a tool to build disability concepts into active learning. The goal of these recommended curricular changes is to enhance student performance in the clinical management of people with disabilities and to better train all future physicians in the care of this population.

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78 citations in Scopus

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Collaboration types
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Web of Science research areas
Education, Scientific Disciplines
Health Care Sciences & Services
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