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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

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A Master Adaptive Learner Approach to Cognitive Disability Support in a U.S. Urology Residency.

Rebecca J Stetzer¹, Joshua Schammel², Brian Inouye³

¹Associate Professor of Family and Community Medicine, Assistant Dean for Competency Development, Albany Medical College, Albany, New York, USA.

Teaching and Learning in Medicine

|May 9, 2025

Summary

Medical education needs better disability support. A Master Adaptive Learner (MAL) approach helps identify challenges and provide tailored accommodations for struggling medical learners, reducing stigma.

Keywords:

Disability support in medical education disability as diversity master adaptive learner remediation for medical learners stigma and bias in medical education

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Area of Science:

Medical Education
Graduate Medical Education
Disability Support in Education

Background:

Growing need for disability support in medical education, especially for cognitive and psychiatric disabilities.
Barriers include uncertainty, lack of recognition, stigma, and inadequate institutional policies.
Many medical learners do not receive necessary accommodations.

Purpose of the Study:

To explore how a Master Adaptive Learner (MAL) approach can facilitate targeted remediation and disability support for medical residents.
To offer insights for medical educators on supporting struggling learners and creating inclusive environments.
To reduce stigma associated with learning challenges outside standard curricula.

Main Methods:

Case study of a urology resident in a U.S. training program.
Incorporated viewpoints from the resident, competency development coach, and program leadership.
Focused on identifying intertwined challenges and enabling targeted support.

Main Results:

The Master Adaptive Learner (MAL) approach enabled identification of multifaceted challenges.
Targeted remediation and disability support efforts were facilitated.
The case highlights the importance of early identification and tailored accommodations.

Conclusions:

Adopting a Master Adaptive Learner (MAL) approach can effectively support struggling medical learners.
Creating an inclusive learning environment and reducing stigma are crucial for learner success.
Shifting remediation to foster growth benefits both learners and educational programs.