The first Examination Bulletin for 2018 is now available. The issue looks at accommodating trainee numbers at the OSCE, the new model OSCE from 2018.1, new video resources, recent enhancements to examination processes, and more https://t.co/AV1lMaBwWd#emergencymedicine#meded
T1 #meded I have worked with both types of #medstudents with disabilities....the invisible and the apparent. Both present challenges about how to best help them succeed in their quest to become physicians.
When you stare at the Mona Lisa, she stares back into you-- love reading #medtwitter's diagnoses & noticing what they might reveal about the diagnostician!
#FOAMed#MedEd
T1 #MedEd The number Of students with disabilities in general, and with invisible disabilities in particular, is growing and enhancing the field by adding to the diversity of those who are being trained in the field of medicine
T1 : sadly it has been after the learner has struggled. The experience, though, also provided the opportunity to offer help, outline resources, and promotion of #physicianwellness#meded
T1 #meded I understand how they are enhancing the field....but how do you best help them overcome #stigma of opening up about the disability? Some students I've worked with stay silent until their academic performance puts them in jeopardy.
T1 #MedEd Education of students faculty and staff is key to normalizing the opportunities for students from all backgrounds to receive an education. If the school can partner with the other offices to promote disability as a part of who a person is, The stigma may be reduced.
A 64 year old man presents for fever and altered mental status. Vitals signs are: 39.2 degrees C, HR 133, BP 96/43, RR 26, O2Sat 91% on room air. What is the next best step in management? Answer: https://t.co/xXzyVxznj9#FOAMed#FOAMcc#MedEd
Medical students with disabilities are looking to connect with others who can offer guidance, give useful advice, and serve as positive examples. This is needed at local and national levels. #meded
Tuning into the #meded chat tonight — talking about supporting students with disabilities in medical school. First off, want to acknowledge some of the superstars and mentors in this area that I've had the privilege to meet or listen to — @MeeksLisa@PamLiaoMD@Okanlami@herzerk
T1 #MedEd Also, consulting with others to ensure full accessibility will decrease the need although it may not eliminate the need for those with disabilities visible or invisible to disclose
T1 #meded How can we as educators know how best to help #medstudents if our own disability office isn't transparent about the needs? It almost creates an artificial umbrella of shame (maybe not best word choice) about acknowledging the disability.
T1: Working with medical learners who are veterans, many have invisible disabilities associated with their service. I’ve learned remaining open & nonjudgmental is key. Learners may not disclose their disabilities right away...being a trusted person lets them know it’s ok! #MedEd
T1 #meded Do you think that would be helpful? Many of the #medstudents I've worked with have unique cases and policies have to be left really broad to allow for individual attention.
T1 #meded. Agreed! As a med student (& co-founder of @msan_uoft) it's also so important to ensure the process of disclosing & accessing support is transparent & easy to access. Sometimes students don't know what's out there re: accommodations — especially in clinical settings.
In reply to
@cpparis1, @GLBDallaghan, @MedEdChat, @MSAN_UofT
#MedEd not to sound like a broken record but again education is the key —-formal as well as informal. We learn from each other, we learn from our students, and we learn through forums and opportunities like this.
Students with disabilities often have experiences with the medical system that gives them a unique and valuable perspective. We need to figure out how to create the safe space to bring this into learning activities in #meded
Medical students with disabilities are looking to connect with others who can offer guidance, give useful advice, and serve as positive examples. This is needed at local and national levels. #meded
Topic 2: What, if any, difference (be it positive or negative) is there in how you approach the informal support you provide to a student who has a non-apparent or invisible disability? #meded
Med student with “invisible” disabilities here also tuning in to the #MedEd chat tonight. Wonderful to see faculty & admin open to talking about how we can continue to improve! #MedEd
Tuning into the #meded chat tonight — talking about supporting students with disabilities in medical school. First off, want to acknowledge some of the superstars and mentors in this area that I've had the privilege to meet or listen to — @MeeksLisa@PamLiaoMD@Okanlami@herzerk
#MedEd thinking outside of the box is crucial. As disability service providers we don’t always have the answer; we count on you and your expertise in your field to work together with us to ensure all students — with or without disabilities have access to their education
T2 #meded I recently had a conversation with a student & bluntly asked about the invisible disability. I prefaced by letting the student know it was none of my business....but was wanting to ensure the med school was providing the best accommodations.
Transparency is great but ideally schools would follow one best practice and a uniform approach to serving #Students and #DocsWithDisabilities so that learners are assured #EqualAccess in all #MedEd programs!
A well-qualified DS provider balances #NeedToKnow with #Privacy focusing on functional limitations and barriers-not labels or Dx. This should be a team approach to #Access in #MedEd
T1 #meded How can we as educators know how best to help #medstudents if our own disability office isn't transparent about the needs? It almost creates an artificial umbrella of shame (maybe not best word choice) about acknowledging the disability.
T1 #meded I have to admit there have been times it's felt like a game of whack a mole where the DS provider is trying to make us guess how to help the student. Nobody benefits then
T2 #MedEd in doing this it’s very important to be sure and offer the student a variety of resources not just disability services and also to focus on the students behavior for example
#MedEd—you may ask the student about an observable behavior like loss of focus and mention both counseling and disability services, or seemingly under performance—in that case you may refer the student to tutoring as well as counseling and disability services.
I agree. In #meded I try to normalize in all convos I have rather than making them feel “different” again. Support will be specific to each student, but letting them know that all students may require various levels & types of support is important
Informal support for med trainees with disabilities comes in many forms — some of the most powerful were when clinical preceptors disclosed their own experience with disability or illness to me. The clinical hierarchy breaks down, leaving shared lived experience (T2) #meded
T2: #meded Not an approach, but a comment. I’ve been accused of being lazy/non-engaged as a med student when needing to occasionally sit. Never sat during rounds, only those “standing around” times. Because I’m “too young to be tired.” (Not tired, just need to sit for 2 minutes)
A well-qualified #MedEd DS provider is an essential member of the team and isn’t guessing. They are adjusting, adapting and innovating-all qualifications to serve in this role. Are there PD dollars to train? Are they included in the team?
T1 #meded I have to admit there have been times it's felt like a game of whack a mole where the DS provider is trying to make us guess how to help the student. Nobody benefits then
T2 #meded Know of a great former clerkship director who truly kept it real with #medstudents about her own struggles & they loved her for it @COMSEPediatrics
#MedEd As a student with a disability who hasn’t always been provided the best accommodations, I’ve benefitted from attendings focusing on collaboratively problem solving specific clinical tasks I struggled in. I appreciated not having to disclose my disability in these cases.
#MedEd “ disabled by their environment“ refers to the point that a student may have a particular impairment but this does not have to be disabling, if all environments or as many as possible are fully accessible Or as accessible as possible
T3 #meded This topic lends itself to further guidance from the primary required clerkships. It may be a project @Alliance4ClinEd could undertake for clinical training settings.
In this video, Jacques Pepin talks about trying to achieve a uniform outcome, but the process can be unique each time - feels like that with disabilities, too: we need to agree on uniform outcomes, and figure out unique approaches for each student. #mededhttps://t.co/HC8LfnN39b
I’m honest about the physical/structural limitations they may encounter in #meded. However many ppl w disabilities are some of the most innovative ppl I’ve met, & innovation is an important skill to be successful for all, even moreso for ppl w disabilities
Review considerations in the @AAMCtoday report on disability. Invite your DS provider to shadow in clinic and on wards. Treat them as an essential member of the team. Increased knowledge of #MedEd improves service, helps identify barriers and predict needs!
T3 #meded One of my colleagues is legally blind and he's been a godsend in helping students with similar visual limitations navigate caring for patients....identifying creative solutions and accepting limitations.
Review considerations in the @AAMCtoday report on disability. Invite your DS provider to shadow in clinic and on wards. Treat them as an essential member of the team. Increased knowledge of #MedEd improves service, helps identify barriers and predict needs!
Add: limitations are not static, technology outpaces us all! A limitation today could be a pathway to invention tomorrow. Necessity is the father of invention in #MedEd and in life! #DocsWithDisabilities@Okanlami@umfamilymed
T3 #meded One of my colleagues is legally blind and he's been a godsend in helping students with similar visual limitations navigate caring for patients....identifying creative solutions and accepting limitations.
Add: limitations are not static, technology outpaces us all! A limitation today could be a pathway to invention tomorrow. Necessity is the father of invention in #MedEd and in life! #DocsWithDisabilities@Okanlami@umfamilymed
T3 #meded One of my colleagues is legally blind and he's been a godsend in helping students with similar visual limitations navigate caring for patients....identifying creative solutions and accepting limitations.
#meded Final thought... @meekslisa gave a great idea....have the DS provider round with students. See their world to offer best guidance. So simple but so meaningful!
Piping in to talk about the hidden curriculum around disability support: while policies promote wellness & accommodations, what's the reality students face? We still get rewarded for staying overtime post-call, impress our preceptors when we can function without breaks. #meded
#MedEd Ideally, student should only have to disclose the accommodations needed, and not details abt their disability.
This communication guide for students by @NeeraRenee@MeeksLisa provides helpful info and examples re: disclosure & professionalism:
https://t.co/wbPdy1I7B2
In reply to
@GLBDallaghan, @cpparis1, @MedEdChat, @NeeraRenee, @MeeksLisa
#MedEd and DS providers must be partners in providing access to students. I learned that from #Lisa Meeks, and a great deal of OJT— and I’m certainly still learning
Diversity benefits everyone in #MedEd, educate yourself on the topic. Resources exist, guidance is available and #DocsWithDisabilities are making an invaluable contribution to the physician workforce, reducing health care disparities for PWD.
