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  1. Article ; Online: Deaf women and pregnancy and perinatal health: Creating systems for communication access.

    Moreland, Christopher J / Earhart, Angela

    BJOG : an international journal of obstetrics and gynaecology

    2022  Volume 130, Issue 5, Page(s) 522–523

    MeSH term(s) Pregnancy ; Humans ; Female ; Communication ; Parturition ; Health Services Accessibility
    Language English
    Publishing date 2022-12-21
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2000931-8
    ISSN 1471-0528 ; 0306-5456 ; 1470-0328
    ISSN (online) 1471-0528
    ISSN 0306-5456 ; 1470-0328
    DOI 10.1111/1471-0528.17362
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  2. Article ; Online: The Reply.

    Machen, Julie L / Gandhi, Saurin M / Moreland, Christopher J / Salib, Sherine

    The American journal of medicine

    2023  Volume 137, Issue 3, Page(s) e63

    Language English
    Publishing date 2023-12-16
    Publishing country United States
    Document type Letter
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2023.11.010
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  3. Article ; Online: Promoting Equity in Letters of Recommendation: Recognizing and Overcoming Bias.

    Machen, Julie L / Gandhi, Saurin M / Moreland, Christopher J / Salib, Sherine

    The American journal of medicine

    2023  Volume 136, Issue 12, Page(s) 1216–1221

    MeSH term(s) Humans ; Personnel Selection ; Sexism ; Bias ; Internship and Residency
    Language English
    Publishing date 2023-08-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2023.08.002
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  4. Article ; Online: Equitable Access to Telehealth and Other Services for Deaf People During the COVID-19 Pandemic.

    Moreland, Christopher J / Rao, Sowmya R / Jacobs, Katja / Kushalnagar, Poorna

    Health equity

    2023  Volume 7, Issue 1, Page(s) 126–136

    Abstract: Introduction: Deaf people who use American Sign Language (ASL) with low self-perceived ability to understand spoken information face inequitable access to health care due to systemic barriers.: Methods: We conducted interviews with 266 deaf ASL users ...

    Abstract Introduction: Deaf people who use American Sign Language (ASL) with low self-perceived ability to understand spoken information face inequitable access to health care due to systemic barriers.
    Methods: We conducted interviews with 266 deaf ASL users at baseline (May-Aug 2020) and 244 deaf ASL users at follow-up (3 months). Questions addressed (1) access to interpretation during in-person visits; (2) whether they visited clinics (3) or emergency departments (EDs); and (4) telehealth use. Analyses involved univariate and multivariable logistic regressions across levels of perceived ability to understand spoken language.
    Results: Less than a third were aged >65 (22.8%); Black, Indigenous, People of Color (28.6%), or LGBTQ+ (31.1%); and had no college degree (30.6%). More respondents reported outpatient visits at follow-up (63.9%) than at baseline (42.3%). Ten more respondents reported going to urgent care or an ED at follow-up than at baseline. At follow-up interviews, 57% of deaf ASL respondents with high perceived ability to understand spoken language reported receiving interpretation at clinic visits compared to 32% of ASL respondents with low perceived ability to understand spoken language (
    Discussion: Our study is the first to explore deaf ASL users' access to telehealth and outpatient encounters over time during the pandemic. The U.S. health care system is designed for people who have high perceived ability to understand spoken information. Systemic access to health care, including telehealth and clinics, must be made consistently equitable for deaf people who require accessible communication.
    Language English
    Publishing date 2023-02-28
    Publishing country United States
    Document type Journal Article
    ISSN 2473-1242
    ISSN (online) 2473-1242
    DOI 10.1089/heq.2022.0115
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  5. Article ; Online: Burnout Among Physicians With Disabilities.

    Meeks, Lisa M / Conrad, Sarah S / Nouri, Zakia / Moreland, Christopher J / Sheets, Zoie C / Hu, Xiaochu / Dill, Michael J

    JAMA network open

    2024  Volume 7, Issue 5, Page(s) e2410701

    MeSH term(s) Humans ; Burnout, Professional/psychology ; Burnout, Professional/epidemiology ; Male ; Female ; Disabled Persons/psychology ; Disabled Persons/statistics & numerical data ; Physicians/psychology ; Middle Aged ; Adult ; Cross-Sectional Studies ; Surveys and Questionnaires
    Language English
    Publishing date 2024-05-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2024.10701
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  6. Article ; Online: Medical Student Burnout by Race, Ethnicity, and Multiple Disability Status.

    Nguyen, Mytien / Meeks, Lisa M / Pereira-Lima, Karina / Bullock, Justin L / Addams, Amy N / Moreland, Christopher J / Boatright, Dowin B

    JAMA network open

    2024  Volume 7, Issue 1, Page(s) e2351046

    MeSH term(s) Humans ; Ethnicity ; Students, Medical ; Burnout, Psychological ; Burnout, Professional
    Language English
    Publishing date 2024-01-02
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.51046
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  7. Article ; Online: Outcomes of the Main Residency Match for Applicants With Disability.

    Nguyen, Mytien / Meeks, Lisa M / Sheets, Zoie C / Betchkal, Rylee / Pereira-Lima, Karina / Moreland, Christopher J / Boatright, Dowin H

    JAMA

    2024  Volume 331, Issue 18, Page(s) 1590–1592

    MeSH term(s) Female ; Humans ; Male ; Disabled Persons/statistics & numerical data ; Internship and Residency/statistics & numerical data ; Personnel Selection/statistics & numerical data ; United States/epidemiology ; Medicine/statistics & numerical data ; Students, Medical/statistics & numerical data
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2024.5000
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  8. Article: Technical Standards from Newly Established Medical Schools: A Review of Disability Inclusive Practices.

    Stauffer, Catherine / Case, Ben / Moreland, Christopher J / Meeks, Lisa M

    Journal of medical education and curricular development

    2022  Volume 9, Page(s) 23821205211072763

    Abstract: Introduction: Technical standards document US medical school's nonacademic criteria necessary for admission, persistence, and graduation and communicate the school's commitment to disability inclusion and accommodation but are considered one of the ... ...

    Abstract Introduction: Technical standards document US medical school's nonacademic criteria necessary for admission, persistence, and graduation and communicate the school's commitment to disability inclusion and accommodation but are considered one of the largest barriers for students with disabilities. Calls for more inclusive technical standards have increased in recent years, yet the impact of this work on changing technical standards has not been measured.The establishment of 15 new US MD- and DO-granting medical schools between 2017 to 2020 offered a unique opportunity to evaluate differences in the inclusive nature of newly developed technical standards.
    Method: We conducted a document analysis of 15 newly formed medical schools' technical standards to determine the availability and inclusive nature of the standards as they pertain to students with sensory and mobility disabilities. Technical standards were coded for: ease of obtaining technical standards, the school's stated willingness to provide reasonable accommodations, the origin of responsibility for accommodation request and implementation, and the school's openness to intermediaries or auxiliary aids.
    Results: Of the 15 schools, 73% of the technical standards were not easy to locate online. Few (13%) included language that support disability accommodations. Most (73%) used language that was coded as 'restrictive' for students with physical or sensory disabilities. Coding of the newly accredited US MD and DO medical schools suggests that newly created technical standards are more restrictive than those in previous studies.
    Conclusions: Efforts to create more inclusive technical standards have not yet been realized. Newly formed US MD- and DO-granting medical schools may perpetuate historically restrictive technical standards that serve as barriers to applicants with disabilities. Future research should evaluate the role of medical school accrediting bodies to go beyond simply requiring technical standards to ensuring that the standards are readily available and appropriately convey the availability of reasonable accommodations for students with disabilities.
    Language English
    Publishing date 2022-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2798123-X
    ISSN 2382-1205
    ISSN 2382-1205
    DOI 10.1177/23821205211072763
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  9. Article ; Online: Technical Standards from Newly Established Medical Schools

    Catherine Stauffer / Ben Case / Christopher J. Moreland / Lisa M. Meeks

    Journal of Medical Education and Curricular Development, Vol

    A Review of Disability Inclusive Practices

    2022  Volume 9

    Abstract: Introduction Technical standards document US medical school's nonacademic criteria necessary for admission, persistence, and graduation and communicate the school's commitment to disability inclusion and accommodation but are considered one of the ... ...

    Abstract Introduction Technical standards document US medical school's nonacademic criteria necessary for admission, persistence, and graduation and communicate the school's commitment to disability inclusion and accommodation but are considered one of the largest barriers for students with disabilities. Calls for more inclusive technical standards have increased in recent years, yet the impact of this work on changing technical standards has not been measured. The establishment of 15 new US MD- and DO-granting medical schools between 2017 to 2020 offered a unique opportunity to evaluate differences in the inclusive nature of newly developed technical standards. Method We conducted a document analysis of 15 newly formed medical schools’ technical standards to determine the availability and inclusive nature of the standards as they pertain to students with sensory and mobility disabilities. Technical standards were coded for: ease of obtaining technical standards, the school's stated willingness to provide reasonable accommodations, the origin of responsibility for accommodation request and implementation, and the school's openness to intermediaries or auxiliary aids. Results Of the 15 schools, 73% of the technical standards were not easy to locate online. Few (13%) included language that support disability accommodations. Most (73%) used language that was coded as ‘restrictive’ for students with physical or sensory disabilities. Coding of the newly accredited US MD and DO medical schools suggests that newly created technical standards are more restrictive than those in previous studies. Conclusions Efforts to create more inclusive technical standards have not yet been realized. Newly formed US MD- and DO-granting medical schools may perpetuate historically restrictive technical standards that serve as barriers to applicants with disabilities. Future research should evaluate the role of medical school accrediting bodies to go beyond simply requiring technical standards to ensuring that the standards are readily available ...
    Keywords Special aspects of education ; LC8-6691 ; Medicine (General) ; R5-920
    Subject code 370
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: A Review of Difficult-to-Treat Rheumatoid Arthritis: Definition, Clinical Presentation, and Management.

    Conran, Carly / Kolfenbach, Jason / Kuhn, Kristine / Striebich, Christopher / Moreland, Larry

    Current rheumatology reports

    2023  Volume 25, Issue 12, Page(s) 285–294

    Abstract: Purpose of review: A subset of patients with rheumatoid arthritis (RA) who fail multiple biologic therapies are deemed to have "difficult-to-treat" (D2T) RA. In 2021, a European Alliance of Associations for Rheumatology (EULAR) task force proposed a ... ...

    Abstract Purpose of review: A subset of patients with rheumatoid arthritis (RA) who fail multiple biologic therapies are deemed to have "difficult-to-treat" (D2T) RA. In 2021, a European Alliance of Associations for Rheumatology (EULAR) task force proposed a clinical definition of D2T RA. Here we review RA phenotypes and clinical assessment of RA, propose a different definition of D2T RA, discuss possible D2T RA risk factors, and summarize existing literature on the management of D2T RA.
    Recent findings: High disease activity at the time of diagnosis or prior to treatment with a biologic is associated with the development of D2T RA. Prolonged time from diagnosis to beginning treatment has been consistently associated with the development of D2T RA. Other clinical factors such as burden of disease, extraarticular disease, obesity, smoking, pain, fatigue, and psychological conditions have inconsistent associations with D2T RA according to current literature. D2T RA is a relatively new concept that represents an area of great need for research regarding the characterization of those with the disease as well as how best to treat the disease. With this gained knowledge, rheumatologists will be able to better identify patients at the time of diagnosis that are likely to develop D2T RA to help guide management.
    MeSH term(s) Humans ; Antirheumatic Agents/therapeutic use ; Arthritis, Rheumatoid/diagnosis ; Arthritis, Rheumatoid/drug therapy ; Arthritis, Rheumatoid/psychology ; Rheumatology ; Rheumatologists ; Risk Factors
    Chemical Substances Antirheumatic Agents
    Language English
    Publishing date 2023-09-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057357-1
    ISSN 1534-6307 ; 1523-3774
    ISSN (online) 1534-6307
    ISSN 1523-3774
    DOI 10.1007/s11926-023-01117-6
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