Practitioner Development

Providing Care to People With Intellectual and Developmental Disabilities in Medical Education.

Lunsky et al. (2024) · American journal on intellectual and developmental disabilities 2024
★ The Verdict

A virtual exam with IDD patient-educators quickly makes medical students feel ready to treat this population.

✓ Read this if BCBAs who train hospital staff or university partners
✗ Skip if Clinicians looking for direct client-intervention data

01Research in Context

01

What this study did

Lunsky et al. (2024) ran a virtual exam for medical students. People with intellectual and developmental disabilities played the patients.

Before and after the online test, students rated how ready they felt to care for these patients.

02

What they found

After the virtual exam, students said they felt much more able and comfortable caring for people with IDD.

03

How this fits with other research

Callahan et al. (2022) already showed adults with NDD can learn Zoom skills through group BST. Olivia’s team flips the camera: the same tech now trains the doctors, not the patients.

Zhao et al. (2024) proved teachers in Taiwan can master DTT through remote train-the-trainer lessons. Olivia adds medical students to the list of helpers who can gain skill without flying to a classroom.

Anonymous (2021) used two-hour online modules to lift direct-care staff knowledge about palliative care. Olivia mirrors the short, web-based format, but swaps topic from end-of-life care to everyday clinical exams.

04

Why it matters

You can borrow the virtual OSCE model for your own staff training. Record adults with IDD acting as mock clients. Have staff practice rapport, plain-language explanations, and consent steps on Zoom. A one-hour session can boost confidence before real clients arrive.

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Film three short role-play clips with your adult IDD clients; use them in your next staff Zoom to rehearse respectful intake questions.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
25
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

Medical professionals commonly report having inadequate training providing care for individuals with intellectual and developmental disabilities (IDD). This pilot study aimed to address this gap through a virtual Objective Structured Clinical Examinations (OSCE) with individuals with IDD as patient educators for 25 first- and second-year medical students (OSCE participants). Quantitative data through the Prediger competency scale and qualitative data through a semistructured interview were analyzed. OSCE participants reported a significant increase (p < 0.05) in self-perceived competency scores when comparing pre- and post-OSCE scores. Qualitative analysis yielded themes corresponding to improving skills, practice considerations, and perspectives and biases changes. These results suggested that this virtual OSCE promoted the development of self-perceived clinical competency and comfort providing care for individuals with IDD.

American journal on intellectual and developmental disabilities, 2024 · doi:10.1352/1944-7558-129.6.476