Functioning Disabilities Health in the Community

ELEC 520 / PHSP 663

Department
Health Sciences Education and Pathology

Clinical or Non-Clinical Course
Clinical

Physician Assessed Patient Facing
No

Prerequisites
Completion of Pediatrics Clerkship and either Family Medicine or Internal Medicine Clerkship

Goal

This elective is designed to develop the skills of the M3 and M4 student in the management of a person with intellectual, developmental, or physical disability in the community health setting. It will provide a basic knowledge of common experiences and allow them to appreciate the unique environment of the community healthcare team providing care, disposition of patients and the multiple challenges that face patients trying to access care.

Guidelines for Paper
• Choose one intellectual, developmental, or physical disability of your choice and write a 2-3 page paper on one of the following topics (student’s choice):
o Illinois healthcare policy related to people living with the disability
o Funding of resources related to people living with the disability
o Limitations of available programs related to the disability
o How the needs will change over the lifespan for a person living with the disability, (include educational, psychological, healthcare, caregiver needs, etc.)
o Race and disability
o Gender identity and disability
o Wellness exams for people living with the disability
o You may also write the paper as a modified research proposal
o Other (to be approved by Course Director)
• The academic paper should be 2-3 pages in length not counting the title page and reference page.
• Please utilize APA format.
• A minimum of two references should be utilized to help the student achieve a better understanding of the chosen topic. At least one reference should be a scholarly article. Other references can be from websites, Illinois legislation, or professional organizations. (Examples include the National Alliance on Mental Illness or the National Black Disabilities Coalition.)

Required Reading
• Reading assigned prior to or during elective available from the Health Sciences Library in Peoria:
o Escude, C. (2019). Clinical pearls in IDD healthcare: For clinicians, by a clinician. HRSUsite.com.
 Required reading - Clinical Pearls 1-26
o Reynolds, Joel Michael. Three Things Clinicians Should Know About Disability. AMA journal of ethics 20.12. 2018. E1182-1188. https://journalofethics.ama-assn.org/article/three-things-clinicians-should-know-about-disability/2018-12
• Other articles and training modules assigned as needed and as available to enhance the student’s ability to meet the learning objectives.
• Additional resources can be found at the Stanford University Office of Accessible Education where they provide a comprehensive list of National Disability Organizations and Resources - https://oae.stanford.edu/students/advocacy-community/national-disability-organizations-and-resources

Objectives

At the end of this course, the student will be able to:

  1. Appraise personal comfort level and preparation to approach a patient with disability pre- and post-clerkship.
  2. Explain possible influences of disability on patient health and clinical encounters.
  3. Describe barriers to effective health care for individuals living with a disability.
  4. Apply a systematic and sensitive approach to medically examining patients with a disability.
  5. Discuss the meaning and manifestations of ableism in and beyond the health care context.
  6. Identify the ways in which ableism contributes to health and health care disparities.
  7. Describe solutions through which medical communities can address ableist norms and practices.
  8. Demonstrate physical assessment skills proficiency on people living with disabilities and complex medical problems.
  9. Demonstrate use of Hoyer lift and other assistive devices.

Method of Assessment

Standard Clinical 2wk Elective Evaluation - Satisfactory/Unsatisfactory

Additional Methods

1. Individual discussions with the student. a. One discussion with Ms. O’Bryant immediately prior to Elective (orientation) b. Business, funding, and services – with EP!C personnel c. Discussions with people who utilize the services – both facilities d. One discussion with Ms. O’Bryant at conclusion of Elective (debrief) 2. Implicit Bias Personal Survey on the Concept and Personhood of Disability pre- and post-clerkship. 3. History & Physical Assessment on one patient 4. Choose one intellectual, developmental, or physical disability of your choice and write a 2-3 page paper on a topic selected from the choices provided 5. Narrative reflection (approximately 1000 words) 6. Formative feedback of clinical and interviewing skills by site clinician or educator. 7. Standard Clinical Evaluation Form to be completed by the course director.

Course Director

Dr. Angela O'Bryant and Dr. Jessica Hanks, M.D.

Course Coordinator

Stephanie Thomas
smaho3@uic.edu
309-680-8641

Location
EP!C - Empowering People. Inspiring Capabilities(1913 W Townline Rd, Peoria), Apostolic Christian Lifepoints - Timber Ridge (2125 Veterans Rd, Morton)

Setting
Outpatient

Night Call

No

Laboratory
No

Weekends
No

House Staff

No

Number of Learners per Block

1

Duration
2 weeks

Who is this elective available to
M3s (in Phase 2)
M4s (in Phase 3)

Blocks Available
Upon Approval (Unavailable 1a, 3a, 3b, 4a, 8a, 8b, 12b)