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Disclosing disabilities: Barriers for medical school applicants
Sarah Leah Solomon1, Aitan E Magence2, Harry Haran3
1Psychiatry Department, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States of America.
Medical schools need to improve communication about interview accommodations and technical standards for candidates with disabilities. Early information sharing and involving disability resource professionals enhance accessibility and outcomes for these applicants.
Area of Science:
- Medical Education
- Disability Studies
- Higher Education Accessibility
Background:
- Medical school admissions processes must be accessible to all qualified candidates, including those with disabilities.
- Ensuring clear communication regarding accommodation procedures and technical standards is crucial for equitable access.
- Previous research has highlighted variability in support services for candidates with disabilities in higher education.
Purpose of the Study:
- To assess the availability and accessibility of accommodation request procedures for medical school admissions interviews.
- To evaluate the accessibility of Technical Standards (TS) for candidates with disabilities (CWD) in LCME-accredited institutions.
- To identify communication gaps and best practices in supporting CWD during the medical school application process.
Main Methods:
- A cross-sectional study surveying Deans of Admissions and Disabilities Resource Professionals (DRP) at LCME-accredited institutions in the US and Canada.
- Data collected on interview formats, accommodation procedures, and TS accessibility for the 2018-2019 academic year.
- Response rate of 41.3% from 71 institutions, with a 56.3% survey completion rate.
Main Results:
- Only 38% of institutions informed CWD about accommodation procedures before interviews; updated procedures showed better applicant outcomes.
- Significant differences in applicant accommodations, interview grants, admissions, and matriculation were observed between institutions with updated procedures (p=0.005).
- Communication gaps were identified regarding admissions staff involvement in accommodation planning and documentation requirements for CWD.
Conclusions:
- Many medical institutions exhibit communication deficiencies regarding accommodation procedures and technical standards for CWD.
- Early notification of accommodation procedures and TS, along with utilizing DRPs as primary contacts, can enhance accessibility.
- Improving these processes is essential for fostering a more inclusive and equitable medical school admissions landscape.
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