Navigation Links
Are deaf and hard-of-hearing physicians getting the support they need?
Date:2/5/2013

(SACRAMENTO, Calif.) Deaf and hard of hearing (DHoH) people must overcome significant professional barriers, particularly in health care professions. A number of accommodations are available for hearing-impaired physicians, such as electronic stethoscopes and closed-captioning technologies, but are these approaches making a difference?

A team of researchers from the University of California, Davis, the University of Texas Health Science Center at San Antonio and the University of Michigan surveyed DHoH physicians and medical students to determine whether these and other accommodations enhance career satisfaction and their ability to provide care. This research has important implications for DHoH medical students, educators, employers and patients.

The article, titled "Deafness Among Physicians and Trainees: A National Survey," appears in the February 2013 issue of Academic Medicine.

"We found that many deaf and hard-of-hearing students and physicians are interested in primary care practice and have a special affinity with those who also have a hearing loss," said Darin Latimore, assistant dean for student and resident diversity at UC Davis School of Medicine and one of the study's coauthors. "By enhancing training for a diverse range of physicians, we can improve quality of care and access for underserved populations, especially individuals who are deaf or have a hearing loss."

The study showed that while DHoH physicians were aided by accommodations they spent significant amounts of personal time arranging for these tools. Institutional support was a critical lynchpin in determining job satisfaction among DHoH physicians and students. Prior to this study, little was known about DHoH physicians in the clinical workplace.

The team created an 89-question electronic survey that covered demographics, accommodations, job satisfaction and personal health. Recruitment was a big challenge, as there is no database for DHoH clinicians. To overcome it, the researchers adopted snowball sampling, in which participants recruit peers to take the survey. Ultimately, 86 medical students, residents and practicing physicians were recruited and 56 completed the survey.

Of the participants, 73 percent described their hearing loss as severe or profound; with all but one having bilateral loss, meaning both ears have a loss of hearing. The majority of the practicing physicians (68 percent) were in primary care, while 23 percent of trainees planned to enter primary care. On average, practicing physicians reported caring for DHoH patients 10 percent of the time. The majority of trainees were uncertain how many DHoH patients they would see.

"Our results confirm that DHoH medical students and physicians use a wide range of accommodations, implying that adapting accommodations to each individual's needs will be more successful than any single approach," said Christopher Moreland, assistant clinical professor at the University of Texas Health Science Center at San Antonio and the study's lead author.

The most common accommodation was amplified stethoscopes (89 percent). Participants also used auditory equipment (32 percent), computer-assisted real-time captioning (21 percent), signed interpretation (21 percent) and oral interpretation (14 percent). The survey also examined phone use, which can be problematic for hearing-impaired physicians, and found the majority (56 percent) used amplified phones.

At the UC Davis School of Medicine, for example, a third-year student on a surgical rotation used tablet technology to link the sounds in the operating room to an off-site medical transcriptionist. The student was able to "listen" -- in real time -- to every word uttered by the surgeon performing the operation. The transcriptionist, working like a court reporter, received audio from the operating room and simultaneously typed the surgeon's words, which the student then watched on an overhead monitor while also observing -- and even assisting when asked -- the surgeon.

The survey also found that DHoH physicians and trainees invested a great deal of personal time arranging accommodations: submitting requests or coordinating with captionists or interpreters. While most spent around two hours per week making these arrangements, two medical students estimated they spent 10 hours each week arranging accommodations. Overall, participants appeared satisfied with their accommodations.

"Successful accommodations may contribute to career satisfaction," added Moreland, who completed his medical residency at UC Davis and medical school at the University of Texas with the assistance of a sign-language interpreter. "This, combined with these physicians' relatively high interest in serving the DHoH community, suggests that recruiting and effectively training DHoH medical students may benefit the health of deaf and hard of hearing people."

In addition to being the second largest disabled group of Americans, the hearing-impaired face disparities in cancer screening and other care and have a higher incidence of depression, making their medical needs a high priority.

"This study highlights a little understood but clearly growing group of physicians who are demonstrating that hearing loss doesn't keep them from being a physician." said study co-author Philip Zazove, professor and the George A. Dean, M.D. Chair of Family Medicine at the University of Michigan. "These doctors connect with DHoH patients in a way that hearing physicians can't."


'/>"/>

Contact: Charles Casey
charles.casey@ucdmc.ucdavis.edu
916-734-9048
University of California - Davis Health System
Source:Eurekalert

Related medicine news :

1. Grant awarded to help improve problem-solving skills for deaf and hard-of-hearing students
2. Majority of primary care physicians prefer delivering radiology test results to patients themselves
3. Physicians brain scans indicate doctors can feel their patients pain -- and their relief
4. Subodh Verma wins Royal College of Physicians and Surgeons of Canada Gold Medal in Surgery
5. Corporate Whistle Blower Center Urges ER Physicians Or Hospital Staff To Turn In Hospitals Admitting Patients For Medicare Fraud For Huge Whistleblower Rewards
6. Complex spinal surgeries with 2 attending physicians, instead of 1, benefit patients
7. American College of Physicians calls for immunizations for all health care providers
8. COLA to offer lab quality program to American College of Physicians
9. Corporate Whistle Blower Center Now Urges Physicians Medical Device and Drug Industry Insiders To Step Up-If They Have Proof Of Serious Wrongdoing or Overbilling
10. Most physicians do not meet Medicare quality reporting requirements
11. Corporate Whistle Blower Center Now Urges Physicians to Become a Whistleblower if They Have Proof a Medical Device or a Drug Product was Defective-and it was Sold Anyway
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/9/2016)... ... December 09, 2016 , ... The American ... audiologists—to remain a critical part of public access to hearing aid technology. , ... announced this week that, starting immediately, it would no longer enforce the ...
(Date:12/9/2016)... (PRWEB) , ... December 09, 2016 , ... ... planning assistance from offices in Pasco and Richland, is initiating a charity drive ... serious injuries resulting from a recent automobile collision. , On October 29th ...
(Date:12/9/2016)... ... December 09, 2016 , ... Cellairis is a worldwide mobile device and ... iPhone , iPad and Samsung Galaxy devices with premium parts and accessories. ... to maximize convenience and accessibility for customers. While customers do their shopping, Cellairis can ...
(Date:12/9/2016)... ... December 09, 2016 , ... Flottman Company is a ... As a means of expanding capabilities Flottman has added a G&K Vijuk TTM ... professional inserts (PIs) and patient package inserts (PPIs) that will marry with all ...
(Date:12/9/2016)... PITTSBURGH, PA (PRWEB) , ... December 09, 2016 , ... ... Miami, Fla. "I used this old family recipe, which is meant to relieve gout ... and it gave me a 12-hour energy boost every time. It relieved what VA ...
Breaking Medicine News(10 mins):
(Date:12/9/2016)... CITY, Calif. , Dec. 9, 2016  Nevro ... device company that is providing innovative evidence-based solutions for ... Scientific (NYSE: BSX ) has filed a ... United States District Court for the District of ... Boston Scientific,s patents covering technology related to stimulation leads, ...
(Date:12/9/2016)... -- MSD, a nationally recognized supplier of technology enabled ... health care facilities, announced today that it has completed ... a privately held national distributor of medical supplies and ... segments. We would like to welcome First Choice to ... will deliver significant and immediate value to MSD,s customers ...
(Date:12/9/2016)... LONDON , December 9, 2016 ... ICD, Subcutaneous ICD, Single-Chamber ICD, Dual-Chamber ICD, Cardiac ... External Defibrillators, Wearable Cardioverter Defibrillators The ... grow at a CAGR of 5.3% from 2016-2020 ... is expected to grow at a CAGR of ...
Breaking Medicine Technology: