你有什么经验?双人民族志对话,推动医学教育中的残疾包容。

IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Medical Education Pub Date : 2025-01-01 Epub Date: 2024-06-07 DOI:10.1111/medu.15450
Neera R Jain, Lulu Alwazzan
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引用次数: 0

摘要

背景:尽管国际上对医学教育中的残疾包容越来越感兴趣,但有关这一主题的学术研究和政策建议主要来自美国、加拿大、澳大利亚和英国。现有的学术研究虽然呼吁医学教育要实现与残疾相关的文化和态度转变,但尚未举例说明教育者如何批判性地审视自己的理解:作为两位医学教育者和研究者(一位在新西兰,另一位在沙特阿拉伯),我们采用了双人人种学方法来探讨医学教育中有关残疾和残疾包容的紧张关系、可能性和假设。通过长达一年的同步和异步对话,我们结合批判性残疾研究和医学教育中的残疾包容文献,研究了我们的经验:我们介绍了对话中反复出现的主题。我们思考了残疾的含义,探索了我们所处环境中残疾的定义和模式,以及我们的残疾生活课程。我们探讨了残疾融入实践的跨国适用性。我们探讨在没有明确路线图的情况下支持无障碍环境的复杂性,同时认识到教育工作者在这项工作中的潜力。最后,我们认识到,如果残疾是一种关系,那么我们就有权力和责任解决医学教育中的能力主义问题。在整个过程中,我们再次强调了与残疾人(学习者、医生)进行本地磋商的重要性,以便更好地了解服务的方向:双人叙事学对话是与他人一起批判性地审视对残疾的理解的一种富有成效的方法,也是教育工作中寻求促进公正的必要开端。我们分享了在对话之外推进工作的可能行动,并建议读者在自己的环境中与他人开展此类对话。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What's your experience?: A duoethnographic dialogue to advance disability inclusion in medical education.

Background: Although disability inclusion in medical education is gaining interest internationally, scholarship and policy recommendations on this topic largely hail from the US, Canada, Australia and the UK. Existing scholarship, while calling for medical education to enact cultural and attitudinal change related to disability, has yet to exemplify how educators might critically examine their understandings.

Approach: As two medical educators and researchers, one based in New Zealand and the other based in Saudi Arabia, we took a duoethnographic approach to explore tensions, possibilities and assumptions regarding disability and disability inclusion in medical education. Through a year-long synchronous and asynchronous dialogue, we examined our experiences in relation to literature from critical disability studies and disability inclusion in medical education.

Findings: We present recurrent themes from our dialogue. We consider what disability means, explore definitions and models of disability in our contexts, as well as our lived curriculum of disability. We grapple with the applicability of disability inclusion practices across borders. We explore the complexity of supporting access without a clear roadmap, while recognising educators' potential in this work. Finally, we recognise that, if disability is relational, we have the power and responsibility to address ableism in medical education. Throughout, we return to the importance of local consultation with disabled people (learners, physicians) to better understand how services ought to be oriented.

Conclusion: Duoethnographic dialogue is a fruitful approach to critically examine understandings of disability with others and represents a necessary start to work in education that seeks to advance justice. We share possible actions to take the work forward beyond dialogue and suggest that readers engage in such dialogues with others in their own contexts.

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来源期刊
Medical Education
Medical Education 医学-卫生保健
CiteScore
8.40
自引率
10.00%
发文量
279
审稿时长
4-8 weeks
期刊介绍: Medical Education seeks to be the pre-eminent journal in the field of education for health care professionals, and publishes material of the highest quality, reflecting world wide or provocative issues and perspectives. The journal welcomes high quality papers on all aspects of health professional education including; -undergraduate education -postgraduate training -continuing professional development -interprofessional education
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