4.5 Article

Experiences of disabled students in undergraduate medical education

Journal

MEDICAL TEACHER
Volume 44, Issue 3, Pages 294-299

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/0142159X.2021.1985098

Keywords

Undergraduate medical education; disabled persons; inclusive education; qualitative research

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The authors conducted a qualitative research with students with disabilities from a medical school in Brazil to identify barriers and facilitators to inclusion. The students highlighted the importance of peer and teacher acceptance in inclusion, and expressed doubts about their ability to practice medicine.
Purpose Since people with disabilities (PwD) are underrepresented in medical education, the authors of this article conducted a qualitative research in the form of an in-depth interview with students with disabilities from a medical school in Brazil, to characterize their experiences in medical education and identify barriers and facilitators to inclusion. Materials and Methods Participants were recruited by snowball sampling, signed an informed consent form, and completed a socioeconomic questionnaire. They were interviewed individually with open-ended questions so that they could develop narratives. Results The students identified some barriers to inclusion - teachers' lack of knowledge about students' special needs, students' own lack of knowledge about their needs during the medical course, underestimation of the disability by teachers and classmates, difficult access to college buildings - and facilitators, such as acceptance of the disability by professors and colleagues, proactivity of professors and colleagues in adapting practical learning scenarios. Conclusion Students identified peer and teacher acceptance as an important determinant of inclusion, which is in line with the biopsychosocial view of disability. They also reported doubts about their ability to practice medicine, which dialogues with literature research that points to a medical culture that expects nothing less than perfection from students.

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