Evidence map›Paper›PMID 39020231›Full record

ArticleJournal of general internal medicine2025

Internal Medicine Program Directors' Perceptions About Accommodating Residents with Disabilities: A Qualitative Study.

Maggie Salinger, Mytien Nguyen, Christopher J Moreland, Anne N Thorndike, Lisa M Meeks

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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  12. Belonging as a Core Trait Within the Practice of Medicine.Journal of general internal medicine · 2025
    Article
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

5 authors.

Maggie SalingerDivision of General Internal Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. msalinger@lifespan.org.ORCID 0000-0002-7972-7071
Mytien NguyenYale School of Medicine, New Haven, CT, USA.ORCID 0000-0001-7343-6882
Christopher J MorelandDell Medical School, University of Texas at Austin, Austin, TX, USA.ORCID 0000-0002-2127-5404
Anne N ThorndikeDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-1096-9221
Lisa M MeeksDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-3647-3657

Funding

Mentorship in patient-oriented research on behavioral and social determinants of cardiometabolic healthK24HL163073 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Anne N Thorndike · 2023 to 2026
$504k
ACL HHS 90RTHF0005Ford Foundation 142636HRSA HHS T32HP32715NHLBI NIH HHS K24 HL163073Robert Wood Johnson Foundation 80317
6 · The paper itself

Abstract

backgroundWhile 26% of US adults are disabled, only 3.1 to 9.3% of practicing physicians report having a disability. Ableism within medical training and practice diminishes physician diversity and wellbeing and contributes to healthcare disparities.

objectiveExplore physician barriers to disability equity and inclusion by examining internal medicine (IM) program directors' (PD) perspectives about recruiting and accommodating residents with disabilities (RWD).

designQualitative study involving semi-structured virtual interviews (conducted December 2022-September 2023; analyzed through December 2023).

participantsPDs were recruited via email. Purposive sampling captured program diversity in size, location, and affiliations. Convenience sampling ensured PD diversity by gender, race/ethnicity, and age. APPROACH: Coders analyzed thematic and discursive content of interview transcripts to characterize PD perspectives about RWDs and accommodations. KEY

resultsOf the 15 programs represented, 4 had ≤ 49 and 8 had ≥ 100 total residents. Three were community-based; the rest had academic affiliations. On average, PDs had 17 (SD 8.2) years in practice. Most (11/15) identified as White race; 8/15 as female; and none as disabled. PDs characterized disability as a source of grit and empathy but also as an intrinsic deficit. They worried RWDs could have unpredictable absences and clinical incompetencies. Perceived accommodation challenges included inexperience, workload distribution, information asymmetry about accommodation needs or options, barriers to disclosure (e.g., discrimination concerns), and insufficient accommodation advertising. Perceived facilitators included advanced planning; clear, publicized processes; and access to expertise (e.g., occupational health, ombudsmen).

conclusionsPDs held contradictory views of RWDs. PD insights revealed opportunities to alleviate PD-RWD information asymmetry in recruitment/accommodation processes, which could help align needs and improve representation and inclusion.

Indexed as

Attitude of Health PersonnelInternal MedicineInternship and ResidencyPersons with DisabilitiesPhysician ExecutivesAdultFemaleHumansMaleMiddle AgedQualitative Researchdisabilitydiversitygraduate medical education

Identifiers

PMID39020231
PMCPMC11780235

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.