Title of Featured Article: Addressing Ableism in Physician Well-Being Planning

Citation:

Quon, Michael. 2024. "Addressing Ableism in Physician Well-Being Planning." JAMA 332 (4): 275–76. https://doi.org/10.1001/jama.2024.7736.

Authors: Michael Quon

Transcript:

https://docs.google.com/document/d/1rm5hiHNrxW0Gbs141BmLIPm48xvR_l9d/edit?usp=drive_link&ouid=107682871199975293144&rtpof=true&sd=true

Summary:

Research and Resource Rounds episode 20 discusses Dr. Michael Quon's thoughtful assessment of the National Academy of Medicine's National Plan for Health Workforce Well-Being. At the plan's core is a contradiction: while the plan aims to combat physician burnout and promote wellness, it systematically ignores the needs of disabled physicians. Quon identifies a pattern of structural ableism throughout the plan's recommendations. Disability is treated as a temporary problem requiring management rather than an ongoing aspect of professional diversity requiring sustained workplace accommodations; temporary injury and short-term accommodations are forefronted in the plan while long-term accommodations that facilitate disabled doctors' enduring career of medical practice are overlooked. Quon advocates for fundamental shifts: accommodation policies that don't require disclosure, improved licensing processes, integration of disability experts into leadership, and recognition that disabled physicians bring unique value to patient care through their lived experiences.

Keywords:

Well-being, Ableism, Medical Education, Implicit bias, Explicit bias, Disability, medicine, medical training, National Academy of Medicine, physicians with disabilities, accommodations

Producer: Zoey Martin Lockhart, Lisa Meeks

Audio Engineer: Jacob Feeman

Release: July 2025

Episode 19: AMA Organizational Strategic Plan to Advance Health Equity

Collection IV: policies towards disability inclusivity in the health sciences.

Article or Publication discussed: AMA's

Authors: AMA (2024-2025)

Citation: "AMA Organizational Strategic Plan to Advance Health Equity 2024-2025." 2024. American Medical Association. June, 2024. https://www.ama-assn.org/about/leadership/ama-s-2024-2025-strategic-plan-advance-health-equity.

Description: Research and Resource Rounds Episode 19 launches Collection IV: policies towards disability inclusivity in the health sciences. The episode examines how the AMA's 2024-2025 Organizational Strategic Plan to Advance Health Equity integrates disability consciousness into its vision for healthcare transformation. The 2024 Plan builds on the foundation laid by AMA's (original) 2021 Strategic Plan. Both plans explicitly name ableism and racism as interconnected systems of oppression. The episode provides an overview of the 2024 strategic plan, including of the five strategic approaches towards health equity identified in the plans: embed equity, build alliances and share power, ensure equity in innovation, push upstream, and foster pathways. The AMA's plan and associated resources show notable progress since 2021, including the establishment of a disability employee resource group, educational partnerships including disability-focused modules on the AMA Ed Hub by the Docs With Disabilities Initiative, and policy adoption on organ transplant equity and barriers in medical education for disabled trainees.

Producer: Zoey Martin Lockhart, Lisa Meeks

Audio Engineer: Jacob Feeman

Transcript: https://docs.google.com/document/d/1xWcJBRtUFh4HIncv3ITe6TAk8ym8GMyd/edit

Release: June 2025

Episode 18: "Physicians' Perceptions Of People With Disability And Their Health Care."

Collection III: Disability in health sciences: the need for and benefits of inclusion

This collection features studies and testimonials that examine the current state of disability representation among health sciences students and professionals and that demonstrate how the presence of disabled healthcare practitioners and trainees benefits both patients and clinicians/trainees.

Key works in this emerging literature are gathered in this cluster that includes qualitative studies, the results of quantitative data analyses, and personal testimonials.

Title of Featured Article: "Physicians' Perceptions Of People With Disability And Their Health Care.

Authors: Lisa I. Iezzoni, Sowmya R. Rao, Julie Ressalam, Dragana Bolcic-Jankovic, Nicole D. Agaronnik, Karen Donelan, Tara Lagu, and Eric G. Campbell

Link: https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.01452

Description: In their pioneering study, the authors' project sought to understand physicians' attitudes on people with disability, including physicians' comfort treating these patients or welcoming them into their practices. Results show that many physicians lack confidence in providing equivalent quality care to disabled patients and non-disabled patients and that a vast majority (82.4%) of doctors believed that significantly disabled people have a worse quality of life–a sentiment contrary to the experiences and responses of many disabled people. Yet, encouragingly, nearly 80% of physician respondents also expressed the importance of understanding disabled patients. The authors suggest that the substantial explicit disability bias expressed by respondents is rooted in inadequate and inaccurate education about disability and disabled people in medical education and argue for improved training and evaluation of biases among key triage teams and medical decision-makers.

Producer: Zoey Martin Lockhart, Lisa Meeks

Audio Engineer: Jacob Feeman

Transcript link: https://docs.google.com/document/d/1rk1Kk5oJ4tetma1pumYmobiFuHrS8ERs5qxK7o9dkAA/edit?usp=sharing

Keywords: Patients with Disability / disabled patients, Ableism

Medical Education, Implicit bias, Disability attitudes, DocsWithDisabilities, Disability

Patient Care