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Medical Student Wheelchair User in an Obstetrics and Gynecology Clerkship

Bibliographic Data

ID21614529
AuthorsDiane Brown-Young (0000-0002-2727-068X, D. Brown-Young is assistant professor of obstetrics and gynecology and reproductive biology and director, Obstetrics and Gynecology Clerkship, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio ; [email protected]), Theresa A Papich (0000-0002-8622-8043, T.A. Papich is a medical student, Case Western Reserve University School of Medicine, Cleveland, Ohio ; [email protected]), Stacie Jhaveri (0009-0004-8894-8206, S. Jhaveri is associate program director, Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio ; [email protected]), Craig Nielsen (0009-0002-0369-5891, C. Nielsen is assistant dean of clinical education, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio ; [email protected]), Marcy Pardee (M. Pardee is director, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio ; [email protected]), Rylee Betchkal (0009-0003-6573-6043, R. Betchkal is a student, Teachers College, Columbia University, New York, New York ; [email protected] ; [email protected]), Eboni Porter (0009-0001-8930-0661, E. Porter is a disability resource professional, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio ; [email protected]), Lisa M Meeks (0000-0002-3647-3657, L.M. Meeks is associate professor of learning health sciences and family medicine, University of Michigan Medical School, and director, Docs With Disabilities Initiative, Ann Arbor, Michigan, corresponding author)
Year2024
Volume99
Issue8
Pages828-832
Publication date2024-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000005743
PMID38639603
OpenAlexW4394962432
LanguageEN
Citations received3
References cited17

Students with physical disabilities are underrepresented in medicine, driven in part by ableist beliefs about the ability of individuals with disabilities to complete procedure-based or surgically oriented clerkships, including obstetrics and gynecology (Ob/Gyn). There is a growing commitment to disability inclusion by medical and specialty training associations. Yet published case studies and accommodation protocols for medical student wheelchair users navigating an Ob/Gyn clerkship are absent in the literature. This article describes successful disability inclusion for an Ob/Gyn clerkship, including accommodations for medical student wheelchair users. The authors share mechanisms to address and combat ableist assumptions and facilitate access for future medical students by working collaboratively with student and key stakeholders to develop an inclusive and accessible training experience. These recommendations are shared through the story of a third-year medical student who rotated through the longitudinal clerkships at the Cleveland Clinic Lerner College of Medicine. The student, an individual with osteogenesis imperfecta who uses a power wheelchair with a seat elevator, completed third-year rotations and thrived in her clinical experiences. The authors describe her journey through a robust 4-week Ob/Gyn clerkship, in which she fulfilled the required clinical core conditions and observation skills with reasonable accommodation. Given the high acuity, surgery, and outpatient demands in Ob/Gyn—and the transferrable skills to other clerkships—the student’s experience is an excellent exemplar for demonstrating disability inclusion and reasonable accommodation. Ob/Gyn clerkship directors and clinical faculty can broadly use the recommended timelines and communication protocols to create accessible training environments. With student input, minor scheduling adjustments, ongoing communication, reasonable accommodations, and an open mind, medical students on the clinical wards who are wheelchair users can successfully navigate the required expectations of medical training

Accommodation · Clinical clerkship · Curriculum · Family medicine · Medical education · Obstetrics and gynaecology · Pedagogy · Pregnancy · Specialty · Wheelchair · Computer Science · Diversity and Career in Medicine · Global Health Workforce Issues · Healthcare Systems and Technology · Medicine · Psychology

  • From Policy to Practice

    Emily Green, Kelley A Volpe•Academic Medicine•2025

  • Promoting Disability Inclusion Through an Expanded Conceptual Framework of the Learning Environment

    Alexandra C P Theall, Joanne E Crandall et al.•Academic Medicine•2025

  • Acknowledging the Intersection of Physical Disabilities and Neurodivergence in Medical Education

    Open Access•Carl A Frizell•Academic Medicine•2025

  • Beyond Technical Standards

    Raymond H Curry, Lisa M Meeks et al.•Academic Medicine•2020

  • The Performance and Trajectory of Medical Students With Disabilities

    Open Access•Lisa M Meeks, Melissa Plegue et al.•Academic Medicine•2022

  • The Association of American Medical Colleges

    FRED C ZAPFFE•Academic Medicine•1938

  • Technical Standards and Deaf and Hard of Hearing Medical School Applicants and Students

    Open Access•Michael S Argenyi•The AMA Journal of Ethic•2016

  • Technical Standards and Lawsuits Involving Accommodations for Health Professions Students

    Open Access•Samuel R Bagenstos•The AMA Journal of Ethic•2016

Unique citing works3
Citations per year3
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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