Evidence map›Paper›PMID 33149832›Full record

ArticleJournal of graduate medical education2020

The Unexamined Diversity: Disability Policies and Practices in US Graduate Medical Education Programs.

Lisa M Meeks, Nichole Taylor, Ben Case, Erene Stergiopoulos, Philip Zazove, Lisa Graves, Michael McKee, Bonnielin K Swenor, Anah Salgat, Caroline Cerilli and 2 more

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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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

12 authors.

Lisa M Meeks
Nichole Taylor
Ben Case
Erene Stergiopoulos
Philip Zazove
Lisa Graves
Michael McKee
Bonnielin K Swenor
Anah Salgat
Caroline Cerilli
Heidi Joshi
Christopher J Moreland

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGraduate medical education (GME) institutions must ensure equal access for trainees with disabilities through appropriate and reasonable accommodations and policies. To date, no comprehensive review of the availability and inclusiveness of GME policies for residents with disabilities exists.

objectiveWe examined institutions' compliance with Accreditation Council for Graduate Medical Education (ACGME) requirements and alignment with Association of American Medical Colleges (AAMC) policy considerations.

methodsBetween June and August 2019, we conducted a directed content analysis of GME institutional policies using the AAMC report on disability considerations and the ACGME institutional requirements as a framework.

resultsOf the 47 GME handbooks available for review, 32 (68%) included a disability policy. Forty-one of the 47 (87%) handbooks maintained a nondiscrimination statement that included disability. Twelve of the 32 (38%) handbooks included a specific disability policy and language that encouraged disclosure, and 17 (53%) included a statement about the confidential documentation used to determine reasonable accommodations. Nineteen of the 32 (59%) maintained a clear procedure for disclosing disabilities and requesting accommodations.

conclusionsWhile disability policies are present in many of the largest GME institutions, it is not yet a standardized practice. For institutions maintaining a disability policy, many lack key elements identified as best practices in the AAMC considerations.

Indexed as

Persons with DisabilitiesDisclosureEducation, Medical, GraduateHumansInternship and ResidencyOrganizational Policy

Identifiers

PMID33149832
PMCPMC7594787

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.