Table 3.
Examples of the quotes that prompted framing of disability competencies expected from an Indian medical graduate in the role of a leader
| Leader and member of the healthcare team and system With capabilities to collect, analyze, synthesize, and communicate health data appropriately (Can be equated with ACGME competency of systems-based practice). | ||
|---|---|---|
| Exemplar quote | Disability Competency framed An IMG should be able to: |
|
| 2.1 | “Parents are not aware of the exact nature of the problem (disability). For example, in cerebral palsy, their only question is, “when will my child be able to walk?” (HPE) | Promote patient-centered, supported decision-making approach involving family members in delivering effective healthcare to patients with disabilities |
| 2.2 | “No nobody even bothered that I had some difficulty in getting to places and in working so was sometimes late. You are imposed on them, they think because you chose to take admission into the medical course.” (DwD) | Build an understanding of the concept and practical application of reasonable accommodation in healthcare, both in in-patient and in out-patient departments. |
| 2.3 | “I have meningomyelocele. [My teachers or seniors] could have guided me to some orthopedician if they knew that it could be corrected or some prosthesis could be given or physiotherapy could make my life easier. It was when I reached the final year and was posted in the orthopedic OPD that I realised that physiotherapy was possible. There is a lack of sensitization and awareness of this.” (DwD) | Engage healthcare staff and all members of an interprofessional team to collaborate towards multidisciplinary assessment and management of patients with disabilities to provide disability-inclusive compassionate care. |
| 2.4 | “He asked me again and again - although he had observed me during senior residency for 3 years - “will you be able to do all the work required of a doctor?” Despite my assurances, he wrote on my file, “Despite having disability he can do such and such work.” (DRA) | Advocate social inclusion by raising awareness of the human rights of persons with disabilities through training and the promulgation of ethical standards for public and private healthcare |