| Desired Educational Outcomes of Disability-Related Training for the Generalist Physician: Knowledge, Attitudes, and Skills. | |
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MedLine Citation:
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PMID: 21785313 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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The problems adults with disabilities face obtaining quality primary care services are persistent and undermine national efforts to improve the health status of this group. Efforts to address this issue by providing disability-related training to physicians are hampered by limited information about what generalist physicians need to know to care for patients with disabilities. The authors consider the desired outcomes of disability-related training for generalists by exploring the contributions of the domains of knowledge, attitudes, and skills to patient-directed behavior and summarizing the empirical data.Because disability reflects a complex interplay among individual, interpersonal, institutional, community, and societal factors, generalist physicians can promote and protect the health of adults with disabilities by interventions at multiple levels. Thus, the authors use the social-ecological framework, an approach to health promotion that recognizes the complex relationships between individuals and their environments, to delineate the recommended knowledge, attitudes, and skills in the context of primary care. The importance of role models who demonstrate the three domains, the interactions among them, and issues in evaluation are also discussed. This clear delineation of the recommended educational outcomes of disability-related training in terms of knowledge, attitudes, and skills will support efforts to better prepare generalist physicians-in training and in practice-to care for adults with disabilities and to evaluate these training strategies. |
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Authors:
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Paula M Minihan; Kenneth L Robey; Linda M Long-Bellil; Catherine L Graham; Joan Earle Hahn; Laurie Woodard; Gary E Eddey; |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-7-21 |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: - ISSN: 1938-808X ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-7-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Dr. Minihan is assistant professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts. Dr. Robey is director, Matheny Institute for Research in Developmental Disabilities, Matheny Medical and Educational Center, Peapack, New Jersey, and assistant professor, Department of Psychiatry, UMDNJ-New Jersey Medical School, Newark, New Jersey. Dr. Long-Bellil is assistant professor, University of Massachusetts Medical School, Shrewsbury, Massachusetts. Ms. Graham is rehabilitation engineer, University of South Carolina School of Medicine Interagency Office of Disability and Health, Columbia, South Carolina. Dr. Hahn is associate professor, Department of Nursing, College of Health and Human Services, Durham, New Hampshire. Dr. Woodard is associate professor, Department of Family Medicine, University of South Florida College of Medicine, Tampa, Florida. Dr. Eddey is chief medical officer, Matheny Medical and Educational Center, Peapack, New Jersey, and clinical associate professor, Department of Pediatrics, UMDNJ-New Jersey Medical School, Newark, New Jersey. The Alliance for Disability in Health Care Education is a collaborative network of health care educators promoting the inclusion of disability-related experiences in health care curricula. |
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