Submission ID 78300

Code OG-3-1
At the end of this workshop, participants will be able to:
Category Medical Education
Type Oral
Will the presenter be a: Fellow
Title Assessment of Institutionally Reported Disability Prevalence and Accommodation Use in Us Allopathic Medical Schools From 2015-2022: Changes Under Covid Conditions
Background/Purpose Changes to curriculum delivery carry potential consequences for students with disabilities including changing the need for, and delivery of, accommodation. Collecting disability related data under these unique circumstances allows us to evaluate change in disability disclosure and accommodation utilization with remote and hybrid learning.
Methods Differences in the proportions of students with disabilities and by disability category were compared using identical items across years using all responders who provided full data on disability. Prevalence of each accommodation provided among students disclosing disability were also compared across years. Proportions of disabilities and accommodations were done using z-tests, specifying a significance level of 0.05.
Results There was a continued and significant increase over time [ 2015 (2.8%, 95% CI: 2.63, 2.89) and 2019 (4.6%, 95% CI: 4.44, 4.80), p-value<0.001]. Psychological disabilities, attention deficit hyperactivity disorder, and chronic health disabilities were the most frequently disclosed disabilities; while disclosure of learning disabilities declined significantly during the 2021 COVID year collection (from 22.4% [95% CI: 20.4, 24.6] in 2015 to 11.6% [95% CI: 10.3, 12.9] in 2021, p-value<0.001).
Discussion A decrease in disclosure of learning disabilities and parallel decrease in testing-related accommodation may suggest that with the transition to online and hybrid curricular delivery, students are better able to create an effective learning environment, reduce test-related anxieties, and reduce overall dependence on accommodation as a means of access to the examination. Unintended use of universal design during the pandemic may mitigate he need for reasonable adjustment for students with learning disabilities who often require extended testing time.
Keyword 1 Accommodations
Keyword 2 Disability
Keyword 3 Covid-19
Abstract content most relevant to: (check all that apply) Undergraduate Medical Education
Abstract Track - First Choice Curriculum
Curriculum General
Authors Karina Pereira-Lima
Lisa Meeks
Melissa Plegue
Ben Case
Bonnelin Swenor
Kurt Herzer
Rylee Betchkal
Karina Pereira-Lima
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