Evidence map›Paper›PMID 41838886›Full record

ArticleJMIR research protocols2026

Strengthening Undergraduate Medical Education for Inclusive Health Care for People With Down Syndrome and Intellectual and Developmental Disabilities in Medical Schools: Protocol for a Scoping Review.

Isabela Amaral de Almeida Bistafa, Marco Antonio Ribeiro Filho, Ana Caroline Dos Santos Costa, Ana Flávia Pimenta Saad, Rauer Ferreira Franco, Janaína Aparecida de Sales Floriano, Emerson Roberto Dos Santos, João Daniel de Souza Menezes, Matheus Querino da Silva, Daniele Nunes Longhi Aleixo and 14 more

Abstract read
In one paragraph

Article in JMIR research protocols, 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

24 authors.

Isabela Amaral de Almeida BistafaCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0003-8425-615X
Marco Antonio Ribeiro FilhoCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0001-9152-6750
Ana Caroline Dos Santos CostaCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0007-6779-2670
Ana Flávia Pimenta SaadCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0002-0001-9134
Rauer Ferreira FrancoCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0005-1178-2233
Janaína Aparecida de Sales FlorianoCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0008-7090-2268
Emerson Roberto Dos SantosCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0002-9513-1083
João Daniel de Souza MenezesCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0001-8767-7556
Matheus Querino da SilvaCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0003-4569-2808
Daniele Nunes Longhi AleixoCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0004-8716-1292
Eliana Fazuoli ChubaciCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0003-3968-3411
Andressa Karina StefaniCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0002-4029-4950
William Donegá MartinezCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0001-9506-6376
Pedro Belchior da Silveira JuniorCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0004-1684-1792
Ana Mirtes ZecchinCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0004-5648-2077
Nathalia Bavaresco Gonçalves CristóvãoCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0002-1148-6654
Alex Bertolazzo QuitérioCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0009-0004-1613-5126
Renato Mendonça RibeiroRibeirão Preto School of Nursing, Av. Dr. Enéas de Carvalho Aguiar, 419, Brazil.ORCID 0000-0002-0585-7367
Denise Cristina Móz Vaz OlianiUniversity Hospital Center Cova da Beira, University of Beira Interior, Covilhã, Portugal.ORCID 0000-0002-8282-3718
Antônio Hélio OlianiUniversity Hospital Center Cova da Beira, University of Beira Interior, Covilhã, Portugal.ORCID 0000-0003-1242-4364
Maysa Alahmar BianchinCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0002-8313-8675
Luís Cesar Fava SpessotoFaculdade de Medicina de São José do Rio Preto, Sao Jose do Rio Preto, Brazil.ORCID 0000-0002-4697-5757
Rita de Cássia Helú Mendonça RibeiroFaculdade de Medicina de São José do Rio Preto, Sao Jose do Rio Preto, Brazil.ORCID 0000-0002-1016-0484
Júlio César AndréCenter for Studies and Development of Health Education - CEDES, Avenida Brigadeiro Faria Lima, São Jose do Rio Preto, São Paulo, 5416, Brazil, 55 996140498.ORCID 0000-0002-0549-4527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Health inequities represent a persistent and multifaceted challenge, particularly pronounced for individuals with intellectual and developmental disabilities (IDDs), including Down syndrome (DS). This population frequently faces systemic barriers to care and is at higher risk of adverse health outcomes. Despite advances, gaps persist in health care professionals' training for caring for this population. Undergraduate medical education constitutes a crucial component in addressing these disparities and promoting inclusive care, especially through practical experiences for future physicians. Objective: This study aims to map and synthesize evidence regarding undergraduate medical education for the care of individuals with DS and other IDDs in medical schools, identifying gaps and opportunities for enhancement in curricula and educational programs, including pedagogical strategies and experiential learning opportunities. Methods: A scoping review following the methodological frameworks by Arksey and O'Malley, Levac et al, and the Joanna Briggs Institute will be conducted. The search will be performed in electronic databases and gray literature sources using descriptors in English, Portuguese, and Spanish. Study selection will involve undergraduate medical students as the target population. Two independent reviewers will perform study selection following predefined inclusion and exclusion criteria. Data will be extracted using a standardized form and synthesized narratively, with qualitative (thematic) and descriptive quantitative analyses where appropriate. This protocol has been registered with the Open Science Framework and will adhere to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Results: A comprehensive overview of current undergraduate medical education regarding the care of individuals with DS and other IDDs will be provided, informing the development of more effective and inclusive interventions and yielding insights into existing pedagogical strategies, practical learning opportunities, and medical students' knowledge and attitudes toward this population, providing a foundation for evidence-based recommendations. Conclusions: This review will address an important gap in the literature, providing insights for the improvement of undergraduate medical education and clinical practice in caring for individuals with DS and other IDDs, contributing to the development of more capable and empathetic professionals. By systematically mapping the current landscape and identifying specific needs, this protocol lays the groundwork for transformative changes in medical curricula worldwide, ultimately enhancing health outcomes for this vulnerable population.

Indexed as

Developmental DisabilitiesDown SyndromeEducation, Medical, UndergraduateIntellectual DisabilityCurriculumHumansSchools, MedicalScoping Reviews as Topicdevelopmental disabilityDown syndromeintellectual disabilitymedical educationscoping review protocol

Identifiers

PMID41838886
PMCPMC12991187

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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.