Disability Accommodation Access and Requests in US Internal Medicine Residents With Disabilities

What demographic, training, and disability factors are associated with accommodation access and requests among internal medicine residents with disabilities?In this cross-sectional study of 1824 internal medicine residents who reported disability, residents with cognitive disabilities, women, Asian-identifying individuals, and residents from underrepresented racial or ethnic groups had lower odds of either receiving accommodations or not needing them. Among 699 residents coded as needing accommodations and providing classifiable responses, 200 did not request, most commonly citing fear of stigma or unclear institutional processes.These findings suggest that substantial inequities persist in accommodation access for residents and that institutions must implement disability inclusion policies.

Corresponding Author: Christopher J. Moreland, MD, MPH, Department of Internal Medicine, Dell Medical School, 1601 Trinity St, Bldg B, Stop Z0900, Austin, TX 78712 (chris.moreland@austin.utexas.edu).

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