203377 Medical students meet patients with disability for the first time: Working to build a better doctor–patient partnership

Sunday, November 8, 2009

Kiyoshi Yamaki, PhD , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Carla Cox, MPH, CHES , Office of Health Promotion, Illinois Department of Public Health, Springfield, IL
Maureen Gecht-Silver, OTR/L, MPH , Department of Family Medicine, University of Illinois at Chicago, Chicago, IL
Marsha Kaye, RN, MSN , Feinberg School of Medicine, Office of Medical Education and Faculty Development, Northwestern University, Chicago, IL
The relationship between a health service provider and a patient has shifted from limited interaction within an examination room focusing on “cure” to long-lasting partnership focusing on prevention and management of illness within the context of patient's daily life. Lack of awareness about difficulties persons with disability are facing in their daily life and improper communication styles (e.g., speaking to a patient's attendant/interpreter rather than the patient, not using people first language) of some health service providers are noted as barriers in developing such relationships by persons with disability. In attempting to reduce these barriers, the Illinois Disability and Health Program collaborated with two medical schools to create opportunities for new medical students to participate in innovative hands-on workshops with persons with disabilities. Persons with disability were recruited from local Centers for Independent Living, community-based advocacy organizations, to serve as a “patient” in one of the required clinical education workshops for the first year medical students in each of the two medical schools. In the workshop, each student, learning about the patient encounter, performed a clinical interview with the “patient.” After the interview, the “patient” provided feedback to each student regarding his/her interview skills. Further, the “patient” was encouraged to share his/her own life experiences which may help students to grasp the full range of unique needs the “patient” has. In this presentation, we focus on the developmental process of the project, and the patient-student encounter in the context of the medical school curriculum.

Learning Objectives:
1.Explain two barriers experienced by patients with disability in developing a partnership with their health service providers. 2. Identify opportunities to better prepare future health service providers in developing a partnership with patients with disability. 3. Explain how persons with disability and medical students benefit from participating in clinical training that involves a patient with disability.

Keywords: Disability, Access to Health Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD in Public Health and have been working to promote health of persons with disability for the past six years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Disability and Access to Care I
See more of: Disability