Evidence map›Paper›PMID 41672092›Full record

ArticleMedical education online2026

Integrating disability and language access education in undergraduate medical training: a curriculum mapping study at a rural medical school.

Lesley Cottrell, Scott Cottrell, Isabela Negrin, Anna Schuster, Megann Boone, Norman Ferrari

Abstract read
In one paragraph

Article in Medical education online, 2026. 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

6 authors.

Lesley CottrellDepartment of Pediatrics, School of Medicine & Center for Excellence in Disabilities, West Virginia University, Morgantown, WV, USA.
Scott CottrellDepartment of Medical Education, School of Medicine, West Virginia University, Morgantown, WV, USA.
Isabela NegrinDepartment of Pediatrics, School of Medicine, West Virginia University, Morgantown, WV, USA.
Anna SchusterSchool of Medicine, West Virginia University, Morgantown, WV, USA.
Megann BooneDepartment of Pediatrics, School of Medicine & Center for Excellence in Disabilities, West Virginia University, Morgantown, WV, USA.
Norman FerrariDepartment of Medical Education, School of Medicine, West Virginia University, Morgantown, WV, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study offers a detailed analysis of how disability and English as a Second Language (ESL) competencies are incorporated into undergraduate medical curricula. Using systematic curriculum mapping at a rural LCME-accredited medical school, the research quantifies the hours dedicated to these areas-approximately 202 hours for disability-related topics and 177 hours for ESL-distributed across all four years. The curriculum emphasizes foundational knowledge in social determinants of health, cultural humility, communication strategies, and health disparities, with increasing clinical application throughout training. Early stages focus on core concepts, such as understanding disability definitions and culturally sensitive communication, which are reinforced during clinical rotations involving rural health, pediatrics, and internal medicine. The curriculum aims to develop skills gradually, culminating in leadership and advocacy roles by the final year. The analysis highlights the importance of longitudinal reinforcement and integration to ensure sustained competency development and effective application in clinical settings. Despite the comprehensive overview, the study's limitations include its focus on a single institution and reliance on quantitative data, without assessing actual student competency or exploring extracurricular learning experiences. The findings underscore that a developmental, interconnected approach-combining knowledge, skills, and application-is essential to prepare physicians to deliver equitable, culturally competent care to diverse populations. Such curriculum design can help address health disparities, improve patient outcomes, and promote health equity. The study advocates for ongoing curriculum refinement that emphasizes continuous reinforcement and integration of disability and ESL-related competencies throughout medical training, ensuring future clinicians are equipped to meet the needs of increasingly diverse patient populations.

Indexed as

Communication BarriersCurriculumEducation, Medical, UndergraduateMultilingualismPersons with DisabilitiesCultural CompetencyHumansSchools, MedicalSocial Determinants of Healthcompetency developmentcultural competencedisability careEnglish as a second languageMedical educationpatient care

Identifiers

PMID41672092
PMCPMC12895876

What OpenQuestion holds

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LicenceCC BY
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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.