Disability, program access, empathy and burnout in US medical students: A national study.
Objective: The objective of this study is to investigate whether self‐disclosed disability and self‐reported program access are associated with measures of empathy and burnout in a national sample of US medical students. Methods: The authors obtained data from students who responded to the Associati...
| Publicado en: | Medical Education Vol. 57; no. 6; pp. 523 - 535 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163668452&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163668452 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Jun2023 vid: 57 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 163668452 160751722 163668452 163668452 10.1111/medu.14995 163668452 ppf: 523 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Disability, program access, empathy and burnout in US medical students: A national study. aug: au: Meeks, Lisa M. Pereira‐Lima, Karina Plegue, Melissa Jain, Neera R. Stergiopoulos, Erene Stauffer, Catherine Sheets, Zoie Swenor, Bonnelin K. Taylor, Nichole Addams, Amy N. Moreland, Christopher J. affil: Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor Michigan,, USA sug: subj: Students, Medical Psychosocial Factors Health Services Accessibility Evaluation Persons with Disabilities Self Report Empathy Burnout, Professional Human United States Male Female Questionnaires Multivariate Analysis Logistic Regression Confidence Intervals Funding Source Male Female ab: Objective: The objective of this study is to investigate whether self‐disclosed disability and self‐reported program access are associated with measures of empathy and burnout in a national sample of US medical students. Methods: The authors obtained data from students who responded to the Association of Medical Colleges (AAMC) Year 2 Questionnaire (Y2Q) in 2019 and 2020. Data included demographic characteristics, personal variables, learning environment indicators, measures of burnout (Oldenburg Burnout Inventory for Medical Students), empathy (Interpersonal Reactivity Index) and disability‐related questions, including self‐reported disability, disability category and program access. Associations between disability status, program access, empathy and burnout were assessed using multivariable logistic regression models accounting for YQ2 demographic, personal‐related and learning environment measures. Results: Overall, 23 898 (54.2%) provided disability data and were included. Of those, 2438 (10.2%) self‐reported a disability. Most medical students with disabilities (SWD) self‐reported having program access through accommodations (1215 [49.8%]) or that accommodations were not required for access (824 [33.8%]). Multivariable models identified that compared with students without disabilities, SWD with and without program access presented higher odds of high exhaustion (1.50 [95% CI, 1.34–1.69] and 2.59 [95% CI, 1.93–3.49], respectively) and lower odds of low empathy (0.75 [95% CI, 0.67–.85] and 0.68 [95% CI, 0.52–0.90], respectively). In contrast, multivariable models for disengagement identified that SWD reporting lack of program access presented higher odds of high disengagement compared to students without disabilities (1.43 [95% CI, 1.09–1.87], whereas SWD with program access did not (1.09 [95% CI, 0.97–1.22]). Conclusions: Despite higher odds of high exhaustion, SWD were less likely to present low empathy regardless of program access, and SWD with program access did not differ from students without disabilities in terms of disengagement. These findings add to our understanding of the characteristics and experiences of SWD including their contributions as empathic future physicians. Meeks et al. demonstrate that program access is essential for the wellbeing of students with disabilities while showing that they may be more empathic physicians. #DocsWithDisabilities pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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