Service Delivery

"In Medical School, You Get Far More Training on Medical Stuff than Developmental Stuff": Perspectives on ASD from Ontario Physicians.

Ghaderi et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Ontario family doctors think they know autism yet dodge treating it—so give them clear, actionable support when you refer.

✓ Read this if BCBAs who send medical referrals or sit on interdisciplinary teams.
✗ Skip if Clinicians working only in self-contained school classrooms with on-site nurses.

01Research in Context

01

What this study did

Ghaderi et al. (2019) talked to 28 family doctors across Ontario. They asked how ready the doctors felt to care for autistic patients.

The team used long interviews. They wanted honest stories, not check-box answers.

02

What they found

Most doctors said, "I know plenty about autism." Yet the same doctors said, "I don’t feel safe treating it."

They told the researchers autism work is "outside my scope." Many simply sent families elsewhere.

03

How this fits with other research

Richards et al. (2020) saw the same gap in police stations. Trained "appropriate adults" also rated their autism knowledge high, but still saw interviews go off track. Both studies shout for job-specific autism training.

Mulder et al. (2020) found the mirror image in schools. Teachers who scored high on the ASSET scale felt less stress and wrote better IEP goals. Confidence linked to action there, while Ontario doctors stayed frozen.

Kautz et al. (2020) showed confidence matters even at home. FASD caregivers who believed they could practice self-care had lower stress, no matter how often they actually did it. Belief drives behavior across roles.

04

Why it matters

Your referral packet may land in the lap of a doctor who feels unqualified. Add a one-page cheat sheet with red-flag symptoms, local autism-friendly clinics, and a number the doctor can call for quick advice. A tiny boost in comfort could keep families from bouncing between providers.

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→ Action — try this Monday

Attach a brief provider tip sheet to every medical referral you write this week.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
27
Population
not specified
Finding
not reported

03Original abstract

This study investigated the knowledge and perceived competence of Ontario physicians regarding the diagnosis and treatment of ASDs. Previous research demonstrates that many physicians would like more education regarding diagnosis and treatment of autism spectrum disorders (ASDs). Twenty-seven Ontario physicians filled out a questionnaire and participated in a semi-structured interview. Findings revealed that despite participants' high perceived knowledge regarding diagnosis and treatment of ASDs, they feel uncomfortable in providing care for this population. Furthermore, many participants stated diagnosing and treating ASDs is not within their scope of practice. Findings have implications for increasing physicians' knowledge of diagnosis and treatment of ASDs as well as what is required to enhance healthcare for individuals with ASDs and their families.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3742-3