A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education

Abstract Background Despite the increasing global population of individuals with intellectual and developmental disabilities (IDD), this population remains especially vulnerable to health disparities through several factors such as a lack of access to sufficient medical care and poor determinants of...

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Main Authors: Lisa Vi, Muhammad Irfan Jiwa, Yona Lunsky, Anupam Thakur
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04259-4
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author Lisa Vi
Muhammad Irfan Jiwa
Yona Lunsky
Anupam Thakur
author_facet Lisa Vi
Muhammad Irfan Jiwa
Yona Lunsky
Anupam Thakur
author_sort Lisa Vi
collection DOAJ
description Abstract Background Despite the increasing global population of individuals with intellectual and developmental disabilities (IDD), this population remains especially vulnerable to health disparities through several factors such as a lack of access to sufficient medical care and poor determinants of health. To add, numerous studies have shown that healthcare professionals are still insufficiently prepared to support this population of patients. This review synthesizes the literature on current pre-graduate IDD training programs across healthcare professions with the goal of informing the creation of evidence-based curricula. Methods Four major databases were searched for current pre-graduate IDD training interventions for healthcare professionals. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis flow diagram and the Best Evidence Medical Educations systematic review guide were used to frame our collection and analysis. Results Of the 8601 studies screened, 32 studies were identified, with most studies involving medical students (50%). Of note, 35% of studies were interprofessional. Most interventions utilized multiple pedagogical methods with a majority including clinical experiences (63%) followed by theoretical teaching (59%). Kirkpatrick levels showed 9% were level 0, 6% were level 1, 31% were level 2A, 31% were level 2B, 19% were level 3, 3% were level 4A, and none were level 4B. Conclusions There is a paucity of formally evaluated studies in pre-graduate health professional IDD education. As well, there are a lack of longitudinal learning opportunities and integration into formal curriculum. Strengths identified were the use of multimodal approaches to teaching, including interprofessional approaches to optimize team competencies.
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spelling doaj.art-3daa2007fd3845d6b48dc139d4ae4a972023-05-14T11:20:04ZengBMCBMC Medical Education1472-69202023-05-0123111710.1186/s12909-023-04259-4A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional educationLisa Vi0Muhammad Irfan Jiwa1Yona Lunsky2Anupam Thakur3University of Toronto, Temerty Faculty of MedicineCampbell Family Mental Health Research Institute, Centre for Addiction and Mental HealthCampbell Family Mental Health Research Institute, Centre for Addiction and Mental HealthUniversity of Toronto, Temerty Faculty of MedicineAbstract Background Despite the increasing global population of individuals with intellectual and developmental disabilities (IDD), this population remains especially vulnerable to health disparities through several factors such as a lack of access to sufficient medical care and poor determinants of health. To add, numerous studies have shown that healthcare professionals are still insufficiently prepared to support this population of patients. This review synthesizes the literature on current pre-graduate IDD training programs across healthcare professions with the goal of informing the creation of evidence-based curricula. Methods Four major databases were searched for current pre-graduate IDD training interventions for healthcare professionals. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis flow diagram and the Best Evidence Medical Educations systematic review guide were used to frame our collection and analysis. Results Of the 8601 studies screened, 32 studies were identified, with most studies involving medical students (50%). Of note, 35% of studies were interprofessional. Most interventions utilized multiple pedagogical methods with a majority including clinical experiences (63%) followed by theoretical teaching (59%). Kirkpatrick levels showed 9% were level 0, 6% were level 1, 31% were level 2A, 31% were level 2B, 19% were level 3, 3% were level 4A, and none were level 4B. Conclusions There is a paucity of formally evaluated studies in pre-graduate health professional IDD education. As well, there are a lack of longitudinal learning opportunities and integration into formal curriculum. Strengths identified were the use of multimodal approaches to teaching, including interprofessional approaches to optimize team competencies.https://doi.org/10.1186/s12909-023-04259-4Intellectual and developmental disabilityDevelopmental disabilityIntellectual disabilityEducationMedical educationHealth professional
spellingShingle Lisa Vi
Muhammad Irfan Jiwa
Yona Lunsky
Anupam Thakur
A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education
BMC Medical Education
Intellectual and developmental disability
Developmental disability
Intellectual disability
Education
Medical education
Health professional
title A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education
title_full A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education
title_fullStr A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education
title_full_unstemmed A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education
title_short A systematic review of intellectual and developmental disability curriculum in international pre-graduate health professional education
title_sort systematic review of intellectual and developmental disability curriculum in international pre graduate health professional education
topic Intellectual and developmental disability
Developmental disability
Intellectual disability
Education
Medical education
Health professional
url https://doi.org/10.1186/s12909-023-04259-4
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