Submission ID 77685
| Code | OA-3-2 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Other |
| Presenter Other | Assistant Professor |
| Title | Associations Between Program Access, Depressive Symptoms, and Medical Errors Among Resident Physicians with Disability: Results From the Intern Health Study |
| Background/Purpose | The rate of medical students disclosing disability is increasing, and the Accreditation Council for Graduate Medical Education (ACGME) has outlined new disability-focused regulations, making disability a new priority for residency programs. While data exist on the prevalence and characteristics of medical students and physicians with disabilities, little is known about residents with disabilities. We assessed the prevalence of self-reported disabilities, program access (i.e. receiving accommodations when residents perceived a need), and the association between program access, depressive symptoms, and self-reported medical errors in a large, multispecialty cohort of US intern physicians. |
| Methods | Interns from 282 institutions across 22 specialties completed a survey for the Intern Health Study 2 months prior to internship, and 1 year into internship, assessing depressive symptoms, disability status, access to program support, and self-reported medical errors. Survey data were analyzed using Mann-Whitney, χ2, Kruskal-Wallis and Dunn-Bonferroni tests for associations. |
| Results | Of 2472 survey respondents, 7.5% self-reported a disability. Most residents with disabilities self-reported program access through accommodations (32.3%) or that accommodations were not required (53.1%). Those reporting unmet program access needs demonstrated a statistically significantly greater increase in depressive symptoms compared to nondisabled residents. They were significantly more likely to self-report major medical errors compared with nondisabled residents and disabled residents whose access needs were met (p = .008). |
| Discussion | There is an association between a lack of accessibility supports and heightened risk for depression and self-reported medical errors during residency training. |
| Keyword 1 | Disability |
| Keyword 2 | Residency |
| Keyword 3 | Accommodations |
| Abstract content most relevant to: (check all that apply) | Residency Education |
| Abstract Track - First Choice | Equity, Diversity and Inclusion |
| Authors | Lisa Meeks Erene Stergiopolous Karina Pereira-Lima Melissa Plegue Elena Frank Katherine Ross Srijan Sen Lisa Meeks Erene Stergiopoulos |
