ArticleAcademic medicine : journal of the Association of American Medical Colleges2025
Perceptions of the Learning Environment Among Medical Students With Disabilities and the Impact of Program Access.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Medical students with specific learning disabilities: mixed-methods systematic review of the prevalence, academic performance, challenges, and perceived impact of support interventions.BMC medical education · 2026Pooled it
- Affects of ableism in medical education: happiness, resignation, and the disabled killjoy.Advances in health sciences education : theory and practice · 2026Article
- Disability Accommodation Access and Requests in US Internal Medicine Residents With Disabilities.JAMA network open · 2026Article
- USMLE Step 2 Clinical Knowledge performance by disability, race, and ethnicity in U.S. medical students: A multi-site study.PloS one · 2026Article
- Disability, Chronic Illness, and Belonging in Medical Training: A Scoping Review of Perceptions, Lived Experiences, and Inclusion.Advances in medical education and practice · 2026Review
- Twice Exceptional in Medicine: A Case Series of Neurodivergent Physicians.Case reports in psychiatry · 2026Article
- Discrimination Experiences Among Medical Students.JAMA network open · 2025Article
- Race and Disability Characteristics and Accommodation Disparities on the USMLE Step 1.JAMA network open · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNegative learning environment experiences may contribute to burnout for medical students with disabilities (MSWD). This study explores MSWD's perceptions of the learning environment and the effects of program access (having received or not needing accommodations).
methodThe authors analyzed the Association of American Medical Colleges Year Two Questionnaire data from 2019 and 2020, comparing nondisabled students, MSWD with program access, and MSWD without program access (having not received or requested an accommodation, despite a need). Three learning environment measures were examined: how schools fostered students' personal and professional development; a shortened Medical School Learning Environment Scale (MSLES); and subscales on emotional climate, student-faculty interactions, and student-student interactions. Responses were compared across the 3 groups using chi-square and ANOVA tests with post-hoc pairwise comparisons.
resultsOf the 23,898 respondents, 10.2% (2,438) self-reported a disability. Among those, 83.6% (2,039) reported program access, and 13.9% (340) reported lack of program access. Students without disabilities (21,008) reported higher agreement that their school fostered their development as a person (72.2%, 15,172) and physician (90.9%, 19,089) compared with MSWD with access (65.6%, 1,312 and 89.0%, 1,778, P < .001). MSWD without access reported lower agreement than both groups (43.7%, 149 and 80.1%, 273, P < .001). There were no differences regarding the MSLES statement about high-performance standards ( F (2, 23742) = 2.35, P = .095). For the 8 remaining MSLES statements and for all 3 subscales, nondisabled students reported significantly higher agreement than MSWD with and without access, and MSWD with access had higher agreement than those without.
conclusionsThis nationally representative study demonstrates that MSWD perceive the learning environment less favorably than their nondisabled peers. Program access partially mitigates these differences, underscoring the critical role of accommodations and the need to address structural barriers to access.
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