Practitioner Development

Medical Student Choices Regarding Ventilator Allocation for People With Disabilities.

Muller et al. (2021) · Intellectual and developmental disabilities 2021
★ The Verdict

Medical students wrote ventilator rationales that did not mention disability, but hidden bias may still lurk.

✓ Read this if BCBAs who train or co-supervise medical, nursing, or PA students.
✗ Skip if Clinicians who only work with fully licensed staff.

01Research in Context

01

What this study did

Researchers asked first-year medical students to choose who would get a ventilator during a COVID-19 shortage.

Students wrote short reasons for each choice. No real patients were involved; it was a classroom exercise.

The team then read the answers to see if students openly used disability as a reason to deny care.

02

What they found

The students never said, “This person should not get the machine because they have a disability.”

Instead they talked about life expectancy, other illnesses, and “social worth.”

So the study found no clear disability bias in the written answers.

03

How this fits with other research

Hoang et al. (2023) go one step further. They used remote BST to teach students how to calm and examine patients with neurodevelopmental disabilities. Skills went up and stayed up two weeks later.

Sullivan et al. (2014) also moved past attitudes. Four swim practices with teammates who had disabilities raised college students’ comfort scores in a real RCT.

Werner et al. (2011) looked at 512 health students and found that positive attitudes and peer pressure predicted who planned to work with people with intellectual disabilities. Carly et al. (2021) did not ask about future plans, so the new data extend the 2011 picture.

Perrot et al. (2021) show the flip side: in schools, White and richer families get more autism services. That real-world gap makes the “no bias” ventilator result surprising, but the two settings are very different.

04

Why it matters

You teach future nurses, doctors, or RBTs. Knowing that students can hide bias in writing means you need to watch what they do, not just what they say. Add live role-plays like Hoang’s virtual BST. Pair students with clients who have disabilities early and often, as in the unified-sports study. These steps turn polite answers into real skills and fair treatment.

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Run a five-minute role-play where students must calm a client with IDD before a routine exam, then give immediate feedback.

02At a glance

Intervention
not applicable
Design
other
Population
not specified
Finding
not reported

03Original abstract

In the COVID-19 pandemic, concerns exist that ventilator triage policies may lead to discrimination against people with disabilities. This study evaluates whether preclinical medical students demonstrate bias towards people with disabilities during an educational ventilator-allocation exercise. Written student responses to a triage simulation activity were analyzed to describe ventilator priority rankings and to identify themes regarding disability. Disability status was not cited as a reason to withhold a ventilator. Key themes observed in ventilator triage decisions included life expectancy, comorbidities, and social worth. Although disability discrimination has historically been perpetuated by health care professionals, it is encouraging that preclinical medical students did not demonstrate explicit bias against people with disabilities in ventilator triage scenarios.

Intellectual and developmental disabilities, 2021 · doi:10.1352/1934-9556-59.6.441