Evidence map›Paper›PMID 32958040›Full record

ArticleBMC medical education2020

Has teaching about intellectual disability healthcare in Australian medical schools improved? A 20-year comparison of curricula audits.

Julian N Trollor, Claire Eagleson, Beth Ruffell, Jane Tracy, Jennifer J Torr, Seeta Durvasula, Teresa Iacono, Rachael C Cvejic, Nicholas Lennox

Abstract read
In one paragraph

Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Article
  7. Disability and narrative medicine: Challenges and opportunities.Developmental medicine and child neurology · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Julian N TrollorDepartment of Developmental Disability Neuropsychiatry (3DN), UNSW Sydney, 34 Botany Street, Sydney, NSW, 2052, Australia. j.trollor@unsw.edu.au.ORCID http://orcid.org/0000-0002-7685-2977
Claire EaglesonDepartment of Developmental Disability Neuropsychiatry (3DN), UNSW Sydney, 34 Botany Street, Sydney, NSW, 2052, Australia.
Beth RuffellDepartment of Developmental Disability Neuropsychiatry (3DN), UNSW Sydney, 34 Botany Street, Sydney, NSW, 2052, Australia.
Jane TracyCentre for Developmental Disability Health Victoria (CDDHV), Monash Health, 122 Thomas Street, Dandenong, VIC, 3175, Australia.
Jennifer J TorrDepartment of Psychiatry, School of Clinical Sciences, Monash University, Monash Medical Centre, Block P, Level 3 246 Clayton Rd, Clayton, VIC, 3168, Australia.
Seeta DurvasulaCentre for Disability Studies, The University of Sydney School of Medicine, Faculty of Medicine and Health, Level 1, Medical Foundation Building, 92-94 Parramatta Road, Camperdown, NSW, 2050, Australia.
Teresa IaconoLa Trobe Rural Health School & Living with Disability Research Centre, La Trobe University, 102 Arnold Street, Bendigo, VIC, 3550, Australia.
Rachael C CvejicDepartment of Developmental Disability Neuropsychiatry (3DN), UNSW Sydney, 34 Botany Street, Sydney, NSW, 2052, Australia.
Nicholas LennoxQueensland Centre for Intellectual and Developmental Disability (QCIDD), Mater Research Institute (MRI-UQ), The University of Queensland, Level 2 Aubigny Place, Mater Hospitals, South Brisbane, QLD, 4101, Australia.

Funding

NSW Family and Community Services, Department of Ageing, Disability and Home Care No corresponding award number
6 · The paper itself

Abstract

backgroundPeople with intellectual disability (ID) have multiple and complex health needs, more frequent healthcare episodes, and experience poorer health outcomes. Research conducted two decades ago showed that medical professionals were lacking in the knowledge and skills required to address the complex needs of this patient group. The aim of the current study was to determine whether Australian undergraduate medical schools that offer ID health education content had changed the amount and nature of such teaching over this period.

methodsIdentical or equivalent questionnaire items were compared across eight Australian medical schools that participated in curricula audits conducted in 1995 (referred to as T1) and 2013/14 (T2). The audits were of the nature of the ID content, methods used to teach it, and who taught it.

resultsThere was no significant difference in the number of hours of compulsory ID content offered to medical students at T2 (total = 158.3 h; median = 2.8 h per ID unit) compared with T1 (total = 171 h; median = 2.5 h). At T2 compared with T1, units with ID content taught in the area of general practice had increased (2 units; 3.6% to 7 units; 16.3%), while decreases were seen in paediatrics (22 units; 40.0% to 10 units; 23.3%) and psychiatry (10 units; 18.2% to 4 units; 9.3%). The number of schools using problem- and/or enquiry-based learning rose to six at T2 from one at T1. Inclusive teaching practices (people with ID develop or deliver content) in compulsory/elective units had increased at T2 (10 units; 23.3%) compared with T1 (6 units; 10.9%), but direct clinical contact with people with ID had decreased (29 units; 52.7% to 11 units; 25.6%).

conclusionsOverall, little progress has been made to address the gaps in ID education for medical students identified from an audit conducted in 1995. Renewal of ID content in medical curricula is indicated as a key element in efforts to improve workforce capacity in this area and reduce barriers to care, with the aim of reversing the poor health outcomes currently seen for this group.

Indexed as

Education, Medical, UndergraduateIntellectual DisabilityAustraliaChildCurriculumDelivery of Health CareHumansSchools, MedicalAudit comparisonCurriculumHealth inequalitiesIntellectual disabilityMedical educationMedical training

Identifiers

PMID32958040
PMCPMC7507627

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.