Evidence map›Paper›PMID 40529325›Full record

ArticleAEM education and training2025

Preparedness and attitudes of emergency medicine residents in caring for patients with disabilities: What do we know?

Richard W Sapp, Jason M Rotoli, Anika Backster, Derek L Monette, Daniel J Egan, Michael A Gisondi, Wendy C Coates, Cori M Poffenberger

Abstract read
In one paragraph

Article in AEM education and training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Richard W SappDepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-2381-0300
Jason M RotoliDepartment of Emergency Medicine University of Rochester Medical Center Rochester New York USA.ORCID https://orcid.org/0000-0002-1251-4469
Anika BacksterDepartment of Emergency Medicine Emory University Atlanta Georgia USA.
Derek L MonetteDepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.
Daniel J EganDepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.
Michael A GisondiDepartment of Emergency Medicine Stanford University School of Medicine Stanford California USA.ORCID https://orcid.org/0000-0002-6800-3932
Wendy C CoatesDepartment of Emergency Medicine David Geffen School of Medicine at UCLA Los Angeles California USA.ORCID https://orcid.org/0000-0002-3305-8802
Cori M PoffenbergerDepartment of Emergency Medicine University of New Mexico Albuquerque New Mexico USA.ORCID https://orcid.org/0000-0003-0461-1071

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although people with disabilities account for 40% of annual visits to U.S. emergency departments (EDs), physicians receive minimal training on caring for this population. The objective of this study was to explore emergency medicine (EM) resident preparedness and attitudes in caring for patients with disabilities and ease of providing accommodations in the ED. Methods: We developed and administered a cross-sectional 32-item survey to EM residents in the United States from November 2023 to January 2024. The primary outcomes were (1) self-reported preparedness in caring for patients with disabilities, (2) attitudes toward individuals with disabilities, and (3) ease of providing accommodations. Frequency distributions for each item and associations between personal demographics and survey responses are reported. Results: A total of 209 participants completed the survey. The majority were female (51%) and White (70%). A minority (9.5%) identified with having a disability. Residents felt prepared to care for patients with physical disabilities (77%) and chronic illnesses (93%) and less prepared with patients who are nonverbal (34%) or blind/visual impairment (45%). Most residents (99%) believed that patients with disabilities deserved equitable care; however, most thought patients with disabilities had a poor quality of life (75%). Residents reported difficulty providing accommodations to patients who are blind/visual impairment (54%) and Deaf/hard of hearing (45%). For those who encountered acute care plans/health care passports for accommodations, 88% found them useful. The majority of residents (80%) desired improved disability health education, specifically on sensory and intellectual/developmental disabilities, communication skills training, and resources for accommodations. Conclusions: EM residents report feeling less prepared to care for patients with sensory disabilities and intellectual/developmental disabilities and report difficulty obtaining histories, performing physical examinations, and providing accommodations to this population. Implementing curricula focusing on disability health may improve skills, reduce bias, and provide more equitable care.

Identifiers

PMID40529325
PMCPMC12168225

What OpenQuestion holds

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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.