Evidence map›Paper›PMID 39815131›Full record

ArticleJournal of general internal medicine2025

"The Forgotten Minority": Perpetuation of Ableism in Medical Education.

Carol Haywood, Tara Lagu, Maggie Salinger, Roberto López-Rosado, Christene DeJong, Lisa I Iezzoni

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
  5. 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

6 authors.

Carol HaywoodDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. carol.haywood@northwestern.edu.ORCID 0000-0002-1068-3031
Tara LaguCenter for Health Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0001-6155-5796
Maggie SalingerDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.ORCID 0000-0002-7972-7071
Roberto López-RosadoDepartment of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Christene DeJongCenter for Health Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Lisa I IezzoniDepartment of Medicine, Harvard Medical School, Boston, MA, USA.

Funding

Surveying Physicians to Understand Health Care Disparities Affecting Persons with Disability and Identify Approaches to Improve Their CareR01HD091211 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I. · 2018 to 2020
$1.7M
National Institute of Child Health and Human Development R01HD091211-01A1NICHD NIH HHS R01 HD091211
6 · The paper itself

Abstract

backgroundAccounting for approximately 1 in 4 community-dwelling adults in the United States (US), people with disabilities (PWD) experience significant disparities in health care quality, access, and outcomes. At the same time, US physicians have reported feeling unprepared to care for PWD and have revealed significant negative bias about this population.

objectiveTo understand how physicians are trained to care for PWD in US medical schools.

designQualitative, critical theory paradigm.

participantsUS medical school faculty (n = 8) and students (n = 9) were purposively sampled for knowledge of disability-related training based on known engagement in activities to advance disability-related medical education. Inclusion was limited to English language proficiency.

interventionsn/a. APPROACH: Data were collected through focus groups, hosted virtually with separate groups for faculty and medical students between September 2021 and February 2022. Each meeting was recorded, transcribed, and de-identified. Deductive and inductive coding schemes were applied by multiple coders until reaching thematic saturation. KEY

resultsProminent themes revealed critical shortfalls in medical education, including (1) disability being omitted from standard curricula; (2) disability being framed as a problem within individuals; (3) pervasive discrimination against PWD in medicine; and (4) over-reliance on ad hoc faculty and student-led efforts to cultivate curricular change. Data also revealed multifactorial barriers to including disability training as part of US medical education, such as avoidance of personal and institutional responsibility, and permeations of ableism across social and training contexts.

conclusionsMedical education may perpetuate negative bias about disability through a hidden curriculum. Insufficient support from institutional and licensing authorities has stymied efforts to expand and improve disability-related training such that disability is not included in existing curricula focused on mitigating health care disparities - despite known vulnerabilities for PWD. Without improvements to disability-related curricular content, physicians will remain ill-equipped to care for the nation's largest minority group.

Indexed as

Education, MedicalMinority GroupsPersons with DisabilitiesStudents, MedicalAdultDisability DiscriminationFaculty, MedicalFemaleFocus GroupsHumansMaleQualitative ResearchUnited States

Identifiers

PMID39815131
PMCPMC12045842

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.