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Applying to medical school with undiagnosed dyslexia: a collaborative autoethnography.
Advances in Health Sciences Education ( IF 4 ) Pub Date : 2023-07-10 , DOI: 10.1007/s10459-023-10258-3
Megan Cornwell 1 , Sebastian Charles Keith Shaw 2
Affiliation  

Recent statistics found the prevalence of dyslexia in UK medical schools to be 7%, sitting below the national prevalence of 10%. The factors contributing to this discrepancy are currently unknown, but may result from an interplay of individual and systemic barriers to entering medicine. This collaborative, analytic autoethnography aimed to use the experiences of 'Meg', a fourth-year medical student who was diagnosed as dyslexic whilst at medical school, to explore how the lack of a diagnosis during the admissions process may have impacted her journey into medicine. The data were collected using reflective writing and an interview before conducting a thematic analysis. Our analysis resulted in the construction of two meta-themes, relating to the negative emotional impact of not having a diagnosis and feelings of inferiority. Seven themes were also constructed. Some explored how Meg's personal experience of undiagnosed dyslexia acted as a barrier to entering medicine. Others explored the impact of external factors, such as socio-economic background and the provision of support, on an individual's chance of successfully applying to medical school. Finally, we explored the inadvertent impact undiagnosed (and unrecognised) dyslexia had on Meg's life course, including how medicine-specific aptitude tests, such as the BMAT and UKCAT, may have contributed to this. These results provide a unique window into the culture of applying to medical school as an undiagnosed dyslexic person, whilst discussing the need for medical schools to consider how their admissions processes may inadvertently disadvantage undiagnosed dyslexic applicants.

中文翻译:

申请患有未确诊的阅读障碍的医学院:协作性自我民族志。

最近的统计数据发现,英国医学院的阅读障碍患病率为 7%,低于全国 10% 的患病率。造成这种差异的因素目前尚不清楚,但可能是由于进入医学领域的个体和系统障碍的相互作用造成的。这项合作性、分析性的自体民族志旨在利用“梅格”(一名在医学院就读时被诊断为诵读困难症的四年级医学生)的经历,探讨在招生过程中缺乏诊断可能如何影响她的医学之旅。在进行主题分析之前,通过反思性写作和访谈收集数据。我们的分析导致构建了两个元主题,与没有诊断的负面情绪影响和自卑感有关。还构建了七个主题。一些人探讨了梅格未确诊的阅读障碍的个人经历如何成为进入医学界的障碍。其他人探讨了外部因素(例如社会经济背景和提供的支持)对个人成功申请医学院的机会的影响。最后,我们探讨了未诊断(和未识别)的阅读障碍对 Meg 生命历程的无意影响,包括 BMAT 和 UKCAT 等医学特定能力倾向测试可能如何促成这一影响。这些结果为了解作为未确诊的阅读障碍者申请医学院的文化提供了一个独特的窗口,同时讨论了医学院需要考虑其招生过程可能会无意中使未诊断的阅读障碍申请人处于不利地位。一些人探讨了梅格未确诊的阅读障碍的个人经历如何成为进入医学界的障碍。其他人探讨了外部因素(例如社会经济背景和提供的支持)对个人成功申请医学院的机会的影响。最后,我们探讨了未诊断(和未识别)的阅读障碍对 Meg 生命历程的无意影响,包括 BMAT 和 UKCAT 等医学特定能力倾向测试可能如何促成这一影响。这些结果为了解作为未确诊的阅读障碍者申请医学院的文化提供了一个独特的窗口,同时讨论了医学院需要考虑其招生过程可能会无意中使未诊断的阅读障碍申请人处于不利地位。一些人探讨了梅格未确诊的阅读障碍的个人经历如何成为进入医学界的障碍。其他人探讨了外部因素(例如社会经济背景和提供的支持)对个人成功申请医学院的机会的影响。最后,我们探讨了未诊断(和未识别)的阅读障碍对 Meg 生命历程的无意影响,包括 BMAT 和 UKCAT 等医学特定能力倾向测试可能如何促成这一影响。这些结果为了解作为未确诊的阅读障碍者申请医学院的文化提供了一个独特的窗口,同时讨论了医学院需要考虑其招生过程可能会无意中使未诊断的阅读障碍申请人处于不利地位。
更新日期:2023-07-10
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