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Do Medical Students With Disabilities Face Discrimination?
Do Medical Students With Disabilities Face Discrimination?

Medscape

time14 hours ago

  • Health
  • Medscape

Do Medical Students With Disabilities Face Discrimination?

TOPLINE: Disability-based discrimination was reported by 12.4% of medical students with disabilities in the US, with the highest rates being reported by those with chronic illnesses and multiple disabilities. Clinical clerkship faculty and residents were frequently cited as sources of discrimination. METHODOLOGY: Researchers analyzed data from the 2024 Association of American Medical Colleges (AAMC) Graduation Questionnaire, completed by 80% of graduates, to understand the prevalence and sources of disability-based discrimination among 1800 students with disabilities. Disability status was self-reported and categorized as nondisabled, learning disabilities, psychological issues, motor or sensory disabilities, chronic illness, multiple types, and other. The questionnaire assessed the sources and frequency of discrimination on the basis of experiences such as being denied opportunities for training, receiving poorer evaluations, and facing offensive remarks related to disabilities. Multiple experiences of discrimination were coded as two or more types, such as denied opportunities and offensive remarks. TAKEAWAY: Overall, 12.4% of students with disabilities reported experiencing discrimination, with those having chronic illnesses, motor or sensory disabilities, and multiple disabilities reporting the highest rates of discrimination (P < .001 for all). Clinical clerkship faculty and residents were the most frequently cited sources of discrimination, affecting evaluations (74.8% and 36.5%, respectively) and opportunities (58.9% and 28.9%, respectively). The most commonly cited sources of offensive remarks were clinical clerkship faculty (51.6%), residents (30.6%), and students (19.8%). IN PRACTICE: 'To address these issues, programs should foster an inclusive clinical educational culture, where students are empowered to report discrimination without fear of retaliation, train faculty and residents on disability awareness and inclusive teaching strategies, and learning happens in universally designed settings,' the authors of the study wrote. 'Ensuring that faculty understand the concept and goals of reasonable accommodations is important; resources offered by the AAMC can assist in these efforts. Involving medical students and faculty with disabilities and chronic disease in these efforts is essential and underscores the value of disability representation in medicine,' experts wrote in an invited commentary. SOURCE: The study was led by Mytien Nguyen, MS, of the Department of Immunobiology at the Yale University School of Medicine in New Haven, Connecticut. It was published online on July 28, 2025, in JAMA Internal Medicine. LIMITATIONS: The self-reported and cross-sectional data may have led to an underestimation of how often discrimination occurred and uncertainty about the exact causes of discriminatory experiences. DISCLOSURES: This work was supported by grants from the Ford Foundation; the National Institute on Disability, Independent Living, and Rehabilitation Research; the Robert Wood Johnson Foundation; the National Institute of General Medical Sciences; and the National Institute of Allergy and Infectious Diseases. One author reported receiving personal fees from Docs With Disabilities, and two authors reported receiving grants from the National Institutes of Health during the conduct of the study. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

'Financially devastated' 18 months after St Leonards landslip
'Financially devastated' 18 months after St Leonards landslip

BBC News

time15 hours ago

  • General
  • BBC News

'Financially devastated' 18 months after St Leonards landslip

Residents in Hastings say they have been financially "devastated" by a landslip that has left them unable to live in their homes for almost 18 landslide happened in February 2024 in Old Roar Gill, damaging the gardens of nearby Ralitsa Hiteva, who owns one of the affected homes, said the local authority was not doing enough to Borough Council said it was seeking to resolve the matter, which was being handled by its insurers, and was unable to provide any further comment. The landslip led to part of Dr Hiteva's garden and swimming pool falling into a ravine behind her of her garden are now covered by white tarpaulin to help protect from further slippages."We're in exactly the same situation we were when the landslide happened," she said. "Eighteen months on nothing much has changed, we cannot live in our property. "It's hard to imagine that we would be able to safely go back." Dr Hiteva is now renting a property in Bexhill with her partner, a Ukrainian refugee and her two still has to pay her mortgage on the St Leonards property, as well as pay for experts and October, the council also voted to ask residents to help fund investigation works."It's not just the financial impact, the devastation has pretty much touched every aspect of our live," she added. 'Psychological trauma' Hastings Borough Council said it knew the number of landslips was the site of another on St Leonard's seafront in November 2023, a group of neighbours have formed a Community Interest Company to use the expertise of locals to work on the and co-ordinator Ben Ramsden believes they are "working with what the reality is"."We need to fix the cliff," he said. "It's created an unknown psychological trauma for all of the residents because we don't know what's going to happen next."The council hasn't got the money to fix the cliff, we have the skills in our community…so by working with the council, the MPs, with our community, we can fix the cliff." Hastings Borough Council said it was "grateful to the residents for the time and effort they have put into this process and are keen to continue to push this work forward to benefit all residents of Hastings".

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