PDF(Pubmed)
Abstract：
OBJECTIVE: Students who earn their medical doctorate (MD) in the U.S. must pass the United States Medical Licensing Exam (USMLE) Step-1. The application process for students with disabilities who seek Step-1 accommodations can be arduous, barrier-ridden, and can impose a significant burden that may have long-lasting effects. We sought to understand the experiences of medical students with Type-1 Diabetes (T1D) who applied for Step-1 accommodations.
METHODS: A Qualtrics survey was administered to students enrolled in Liaison Committee on Medical Education (LCME)-accredited MD programs who disclosed having a primary diagnosis of T1D. Basic counts and qualitative inductive analyses were conducted.
RESULTS: Of the 21 surveys sent, 16 (76.2%) participants responded. Of the 16 respondents, 11 (68.8%) applied for USMLE Step-1 accommodations, whereas 5 (31.2%) did not. Of the 11 who applied for accommodations, 7 (63.6%) received the accommodations requested, while 4 (36.4%) did not. Of those who received the accommodations requested, 5/7 (71.4%) experienced at least one diabetes-related barrier on exam day. Of those who did not apply for Step-1 accommodations, 4/5 (80%) participants reported experiencing at least one diabetes-related barrier on exam day. Overall, 11/16 (68.8%) students experienced barriers on exam day with or without accommodations. Qualitative analysis revealed themes among participants about their experience with the process: frustration, anger, stress, and some areas of general satisfaction.
CONCLUSIONS: This study reports the perceptions of students with T1D about barriers and inequities in the Step-1 accommodations application process. Students with and without accommodations encountered T1D-related obstacles on test day.
METHODS: A Qualtrics survey was administered to students enrolled in Liaison Committee on Medical Education (LCME)-accredited MD programs who disclosed having a primary diagnosis of T1D. Basic counts and qualitative inductive analyses were conducted.
RESULTS: Of the 21 surveys sent, 16 (76.2%) participants responded. Of the 16 respondents, 11 (68.8%) applied for USMLE Step-1 accommodations, whereas 5 (31.2%) did not. Of the 11 who applied for accommodations, 7 (63.6%) received the accommodations requested, while 4 (36.4%) did not. Of those who received the accommodations requested, 5/7 (71.4%) experienced at least one diabetes-related barrier on exam day. Of those who did not apply for Step-1 accommodations, 4/5 (80%) participants reported experiencing at least one diabetes-related barrier on exam day. Overall, 11/16 (68.8%) students experienced barriers on exam day with or without accommodations. Qualitative analysis revealed themes among participants about their experience with the process: frustration, anger, stress, and some areas of general satisfaction.
CONCLUSIONS: This study reports the perceptions of students with T1D about barriers and inequities in the Step-1 accommodations application process. Students with and without accommodations encountered T1D-related obstacles on test day.
摘要：
目标：在美国获得医学博士学位（MD）的学生必须通过美国医学执照考试（USMLE）步骤1。寻求第一步住宿的残疾学生的申请过程可能很艰巨，障碍缠身,并且可能会带来巨大的负担，可能会产生长期的影响。我们试图了解申请第1步住宿的1型糖尿病（T1D）医学生的经验。
方法：对在医学教育联络委员会（LCME）认可的MD计划中注册的学生进行了一项Qualtrics调查，这些学生被诊断为T1D。进行了基本计数和定性归纳分析。
结果：在发送的21项调查中，16名（76.2%）参与者回答。在16名受访者中，11人（68.8%）申请USMLEStep-1住宿，而5人（31.2%）没有。在申请住宿的11人中，7人(63.6%)收到了要求的住宿，而4人(36.4%)没有。在那些收到要求的住宿的人中，5/7（71.4％）在检查当天经历了至少一个与糖尿病相关的障碍。在那些没有申请第一步住宿的人中，4/5（80％）的参与者报告在检查当天经历了至少一个与糖尿病相关的障碍。总的来说,11/16（68.8％）的学生在考试当天有或没有住宿的障碍。定性分析揭示了参与者对这个过程的体验的主题：挫折，愤怒,压力，和一些普遍满意的领域。
结论：本研究报告了T1D学生对步骤1适应申请过程中的障碍和不平等的看法。有和没有住宿的学生在测试日遇到了与T1D相关的障碍。
方法：对在医学教育联络委员会（LCME）认可的MD计划中注册的学生进行了一项Qualtrics调查，这些学生被诊断为T1D。进行了基本计数和定性归纳分析。
结果：在发送的21项调查中，16名（76.2%）参与者回答。在16名受访者中，11人（68.8%）申请USMLEStep-1住宿，而5人（31.2%）没有。在申请住宿的11人中，7人(63.6%)收到了要求的住宿，而4人(36.4%)没有。在那些收到要求的住宿的人中，5/7（71.4％）在检查当天经历了至少一个与糖尿病相关的障碍。在那些没有申请第一步住宿的人中，4/5（80％）的参与者报告在检查当天经历了至少一个与糖尿病相关的障碍。总的来说,11/16（68.8％）的学生在考试当天有或没有住宿的障碍。定性分析揭示了参与者对这个过程的体验的主题：挫折，愤怒,压力，和一些普遍满意的领域。
结论：本研究报告了T1D学生对步骤1适应申请过程中的障碍和不平等的看法。有和没有住宿的学生在测试日遇到了与T1D相关的障碍。
