Inclusion in Surgery: Case Study of a Deaf Surgical Resident in Otolaryngology

Kris Merrill , Duncan A Meiklejohn

Academic Medicine : Journal of the Association of American Medical Colleges +

|

June 23, 2025

View abstract on PubMed

Summary

This case study shows how personalized accommodations and adaptive technologies can successfully support deaf and hard-of-hearing (DHH) surgical trainees in graduate medical education (GME). These interventions improve communication, confidence, and inclusivity in surgical training programs.

Area Of Science

Medical Education
Surgical Training
Disability Inclusion

Background

Deaf and hard-of-hearing (DHH) individuals are underrepresented in graduate medical education (GME), particularly in surgical fields.
Limited data exists on the transition and support for DHH learners in GME programs.
Optimizing training environments is crucial for DHH trainees' success and diversity in medicine.

Purpose Of The Study

To describe the collaborative process of implementing communication strategies and adaptive technologies for a deaf surgical trainee.
To evaluate the impact of these interventions on the trainee's experience during the initial phase of GME.
To highlight best practices for supporting DHH learners in surgical residency.

Main Methods

A case study approach detailing collaboration between a deaf surgical trainee, program leadership, and disability services.
Implementation of personalized accommodations including proactive team education and specific communication strategies.
Utilizing adaptive technologies such as wireless microphones and background noise reduction in the operating room.

Main Results

Demonstrated improvements in communication effectiveness and team dynamics within the surgical setting.
Reported increased confidence and self-advocacy in the DHH surgical trainee.
Successful integration of adaptive technologies and personalized accommodations into the GME training environment.

Conclusions

Individualized accommodations and assistive technologies are vital for supporting DHH surgical trainees.
Collaboration and self-advocacy foster an inclusive culture in surgical GME.
This case study provides a model for enhancing diversity and support for DHH learners in surgical specialties.