Title

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

UMMS Affiliation

Department of Orthopedics and Physical Rehabilitation

Publication Date

2019-06-01

Document Type

Article

Disciplines

Medical Education

Abstract

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.

Keywords

physicians, medical education, people with disabilities

DOI of Published Version

10.1097/ACM.0000000000002686

Source

Acad Med. 2019 Jun;94(6):781-788. doi: 10.1097/ACM.0000000000002686. Link to article on publisher's site

Journal/Book/Conference Title

Academic medicine : journal of the Association of American Medical Colleges

Related Resources

Link to Article in PubMed

PubMed ID

30844926

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