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                  <text>Literary Representation of Doctors with Disabilities</text>
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                  <text>There have been very few accurate and meaningful representations of doctors with disabilities in fiction. There is a dearth of disabled doctors in literature to begin with and when they are present, the themes or disability in conjunction with their profession are not tackled productively or successfully. Through the artifacts provided in this collection, we see that even though there is great potential to set good examples of disabled doctors as part of literature and hence public imagination, the opportunities are made light of and lost when either the themes are not developed holistically or done in a fragmented manner.</text>
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                <text>&lt;em&gt;The Second Opinion&lt;/em&gt; by Michael Palmer (Macmillan Publishers, 2009)</text>
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                <text>&lt;em&gt;The Second Opinion&amp;nbsp;&lt;/em&gt;engages with the representation of disabled doctors in two ways, albiet in a problematic manner. In the first engagement, we see Dr Sperelakis so disabled after involved in a hit and run and being comatosed that he is literally unable to perform his role as a doctor, not giving us even the slightest chance to imagine him as disabled and as a doctor.&amp;nbsp;&lt;br /&gt;On the other hand, we see his daughter who has Asperger's stereotyped as a savant who though is a doctor and has great cognition and photographic memory but lacks social skills, leading her to give up work in an urban American setting and instead join Doctors without Borders. This makes it appear as if being disabled makes one have to choose between their work and social life and one cannot have both, fueling the negative stereotypes around disability, especially in the medical field.</text>
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                <text>Michael Palmer </text>
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                <text>https://us.macmillan.com/books/9781429920124/thesecondopinion</text>
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                <text>The &lt;em&gt;Docs with Disabilities&lt;/em&gt; podcast expanded into a collaboration with Stanford Medicine and Stanford Medicine Alliance for Disability Inclusion and Equity (SMADIE), previously known as Stanford Medicine Abilities Coalition (SMAC), in 2022. Dr. Peter Poullos, the founder of SMADIE, became a co-host on the podcast.&lt;br /&gt;&lt;br /&gt;Image description: &lt;span style="font-weight: 400;"&gt;Large white text on a navy blue ribbon at the top of the image says “Episode 27: Double Trouble” while white text on a red ribbon at the bottom says “Introducing the Stanford Series.” On the right is a photo of a white woman with blonde hair looking directly at the camera with a slightly mischievous and friendly subtle smile. On the right is a photo of a white man with light brown hair looking at the camera and smiling with teeth exposed and the collar of a white doctor’s coat visible. Text in the center of the image between the ribbons and pictures reads, “Subscribe to the #DocsWithDisabilities Podcast with hosts: Drs. Lisa Meeks &amp;amp; Peter Poullos.” The sponsoring entities are listed below this text: Medical School University of MIchigan Family Medicine, Stanford Medicine, and Stanford Medicine Abilities Coalition.&lt;/span&gt;</text>
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                <text>&lt;i&gt;&lt;span style="font-weight: 400;"&gt;Episode 27: Double Trouble image&lt;/span&gt;&lt;/i&gt;&lt;span style="font-weight: 400;"&gt;. &lt;/span&gt;&lt;a href="https://medicine.umich.edu/dept/family-medicine/programs/mdisability/transforming-medical-education/docs-disabilities-podcast/docswithdisabilities-podcast-ep-27-double-trouble-introducing-stanford-series"&gt;&lt;span style="font-weight: 400;"&gt;https://medicine.umich.edu/dept/family-medicine/programs/mdisability/transforming-medical-education/docs-disabilities-podcast/docswithdisabilities-podcast-ep-27-double-trouble-introducing-stanford-series&lt;/span&gt;&lt;/a&gt;&lt;span style="font-weight: 400;"&gt;. Accessed &lt;/span&gt;&lt;span style="font-weight: 400;" data-rich-links="{&amp;quot;dat_df&amp;quot;:{&amp;quot;fres_frt&amp;quot;:1,&amp;quot;dfie_ts&amp;quot;:{&amp;quot;tv&amp;quot;:{&amp;quot;tv_s&amp;quot;:1651147200,&amp;quot;tv_n&amp;quot;:0}},&amp;quot;dfie_l&amp;quot;:&amp;quot;en&amp;quot;,&amp;quot;dfie_p&amp;quot;:{&amp;quot;fres_frt&amp;quot;:0,&amp;quot;tres_tv&amp;quot;:&amp;quot;MMM d, y&amp;quot;},&amp;quot;dfie_dt&amp;quot;:&amp;quot;Apr 28, 2022&amp;quot;,&amp;quot;dfie_pt&amp;quot;:3},&amp;quot;type&amp;quot;:&amp;quot;date&amp;quot;}"&gt;Apr 28, 2022&lt;/span&gt;&lt;span style="font-weight: 400;"&gt;.&lt;/span&gt;</text>
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                <text>Image description: The front cover of a book titled "Equal Access for Students with Disabilities: The Guide for Health Science and Professional Education." Text towards the bottom of the cover list the editors: Lisa M. Meeks, Neera R. Jain, and Elisa Laird.</text>
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                <text>&lt;i&gt;&lt;span style="font-weight: 400;"&gt;Equal Access for Students with Disabilities book cover&lt;/span&gt;&lt;/i&gt;&lt;span style="font-weight: 400;"&gt;. 2020. &lt;/span&gt;&lt;a href="https://www.springerpub.com/equal-access-for-students-with-disabilities-9780826182227.html"&gt;&lt;span style="font-weight: 400;"&gt;https://www.springerpub.com/equal-access-for-students-with-disabilities-9780826182227.html&lt;/span&gt;&lt;/a&gt;&lt;span style="font-weight: 400;"&gt;. Accessed&amp;nbsp;&lt;/span&gt;&lt;span style="font-weight: 400;" data-rich-links="{&amp;quot;dat_df&amp;quot;:{&amp;quot;fres_frt&amp;quot;:1,&amp;quot;dfie_ts&amp;quot;:{&amp;quot;tv&amp;quot;:{&amp;quot;tv_s&amp;quot;:1651147200,&amp;quot;tv_n&amp;quot;:0}},&amp;quot;dfie_l&amp;quot;:&amp;quot;en&amp;quot;,&amp;quot;dfie_p&amp;quot;:{&amp;quot;fres_frt&amp;quot;:0,&amp;quot;tres_tv&amp;quot;:&amp;quot;MMM d, y&amp;quot;},&amp;quot;dfie_dt&amp;quot;:&amp;quot;Apr 28, 2022&amp;quot;,&amp;quot;dfie_pt&amp;quot;:3},&amp;quot;type&amp;quot;:&amp;quot;date&amp;quot;}"&gt;Apr 28, 2022&lt;/span&gt;</text>
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                  <text>Literary Representation of Doctors with Disabilities</text>
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                  <text>There have been very few accurate and meaningful representations of doctors with disabilities in fiction. There is a dearth of disabled doctors in literature to begin with and when they are present, the themes or disability in conjunction with their profession are not tackled productively or successfully. Through the artifacts provided in this collection, we see that even though there is great potential to set good examples of disabled doctors as part of literature and hence public imagination, the opportunities are made light of and lost when either the themes are not developed holistically or done in a fragmented manner.</text>
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                <text>&lt;em&gt;Sea Glass Island&lt;/em&gt; by Sherryl Woods (MIRA Books, 2013)</text>
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                <text>In the novel &lt;em&gt;Sea Glass Island&lt;/em&gt;, we encounter the love interest of the protaonist who has some makings of a good disabled doctor representation in literature but it still has a long way to go. The doctor, who was disabled in a war zone is kind and generous and works tirelessly for disabled children but is closed off emotionally due to his disability and associated trauma. As a result, even though we see some multidimensionality here, it still plays on tropes of disabled person as saint and disabled person as tortured by their disability.&amp;nbsp;</text>
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                <text>Sherryl Woods </text>
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                <text>https://sherrylwoods.com/book/sea-glass-island/</text>
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                <text>Mahvish Nazar </text>
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                  <text>Attitudinal Barriers Around Doctors with Disabilities </text>
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                  <text>When medical students and doctors with disabilities do make it to workplaces after jumping through various hoops and democratic processes, they find themsleves facing attitudinal barriers from their colleagues and other personel which makes it difficult for them to achieve maximum integration into their environment and impede theire success in the workplace and beyond. The artifacts included in this collection illuminate these barriers succintly.</text>
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                  <text>Mahvish Nazar </text>
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                <text>&lt;p&gt;One of the reasons why disabled medical students and doctors have failed to gain complete access to their environments is attitudinal barriers. These attitudinal barriers either fall under the presumption that doctors cannot be disabled or that if they are asking for accommodations, they are taking advantage of services they do not actually need. This can be seen in the following interviews conducted with disabled doctors:&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;I think attitudinal for me is always the hardest [barrier] to overcome, because it’s the one that you have the least control over, if that makes sense. You can’t really control other people’s unconscious bias.... It’s not just the people running the school. It’s patients. It’s nurses. I had a lot of that. I had a nurse in the emergency room be like, “Why are you playing in that wheelchair?” I was like, “What are you talking about?” She was like, “Whose wheelchair did you take?” and I was like, “It’s mine.” She was like, “But you’re a doctor,” and I was like, “Yes. Yes, and you’re a nurse.” To have a nurse still have that attitude is very frustrating. &lt;/strong&gt;&lt;strong&gt;— Student discussing unconscious bias among colleagues in the clinic &lt;/strong&gt;(Meeks &amp;amp; Jain, 2018)&lt;/p&gt;&#13;
&lt;p&gt;Talking about disabled physician Diana Cejas, Wendy Lu of Huffpost says:&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;When she asked for dictation software to help her with note-taking, which she often spent hours into the night catching up on, an administrator brushed her off and told her she just needed to work harder. She learned that some of her colleagues — even those who knew what she’d just gone through — were gossiping behind her back and assumed that she just wanted special treatment, even when she had to leave work to get follow-up scans and bloodwork. &lt;/strong&gt;(Lu, 2021)&lt;/p&gt;</text>
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                <text>Wendy Lu, Lisa Meeks, Neera Jain</text>
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                <text>Lu, W. (2021, July 22). Disabled Doctors Were Called Too ‘Weak’ To Be In Medicine. It’s Hurting The Entire System. From Huffpost: https://www.huffpost.com/entry/disabled-doctors-medicine-ableism_n_60f86967e4b0ca689fa560dc &lt;br /&gt;&lt;br /&gt;Meeks, L., &amp;amp; Jain, N. (2018). Accessibility, Inclusion and Action in Medical Education: Lived Experiences of Learners and Physicians With Disabilities . Association of American Medical Colleges.</text>
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                  <text>When medical students and doctors with disabilities do make it to workplaces after jumping through various hoops and democratic processes, they find themsleves facing attitudinal barriers from their colleagues and other personel which makes it difficult for them to achieve maximum integration into their environment and impede theire success in the workplace and beyond. The artifacts included in this collection illuminate these barriers succintly.</text>
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                <text>&lt;p&gt;Systems of oppression are pervasive, interlocking and inform one another in all fields of life. Similarly, doctors who have more than one marginalized identity also faced greater barriers and discrimination. For example, Diana Cejas, who is a Black and Latina disabled physician has said in an interview:&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;“For a lot of physicians of color, and trainees and medical students, the bar is so high. We have to be perfect. People already expect that you don’t know what you know, they expect you only got in for affirmative action. So you’re having to prove you can do the work, you’re intelligent, you know what you’re saying and doing.” &lt;/strong&gt;(Lu, 2021)&lt;/p&gt;&#13;
&lt;p&gt;&amp;nbsp;This shows that even though there are systems in place to support and forward the rights of people who are marginalized such as affirmative action, intersecting marginalized identities can make it extremely difficult to access these systems holistically. Another example of such an instance can be seen in the tweets of Black disabled doctor Justin Bollock who is an Internal Medicine Resident and lives with bi-polar disorder. Talking about the Physician Well Being Committee/Fitness for Duty Process(FFD)which is supposed to be in place to support doctors, they had to say the following about it:&lt;/p&gt;</text>
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                <text>Lu, W. (2021, July 22). Disabled Doctors Were Called Too ‘Weak’ To Be In Medicine. It’s Hurting The Entire System. From Huffpost: https://www.huffpost.com/entry/disabled-doctors-medicine-ableism_n_60f86967e4b0ca689fa560dc &#13;
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                <text>&lt;blockquote class="twitter-tweet"&gt;&#13;
&lt;p lang="en" dir="ltr"&gt;Update re: Physician Well Being Committee/Fitness for Duty Process(FFD)! Some powers that be thought they were sending me to get support; institution now seems to acknowledge that that was NOT the case and is trying to improve that for others...A THREAD/1&lt;a href="https://t.co/uhj5lLdan4"&gt;https://t.co/uhj5lLdan4&lt;/a&gt;&lt;/p&gt;&#13;
— Justin Bullock (@jbullockruns) &lt;a href="https://twitter.com/jbullockruns/status/1312196080960897024?ref_src=twsrc%5Etfw"&gt;October 3, 2020&lt;/a&gt;&lt;/blockquote&gt;&#13;
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&lt;p lang="en" dir="ltr"&gt;There have been lawyers involved (from the institution but not me). FFD is inherently a very legal process: one can lose their ability to practice medicine. An excessively intrusive evaluation ended where it began: I have active bipolar disorder. I am not a risk when I work. /2&lt;/p&gt;&#13;
— Justin Bullock (@jbullockruns) &lt;a href="https://twitter.com/jbullockruns/status/1312197206112231424?ref_src=twsrc%5Etfw"&gt;October 3, 2020&lt;/a&gt;&lt;/blockquote&gt;&#13;
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&lt;p lang="en" dir="ltr"&gt;Despite this, I must have regular check ins with a faculty 'mentor', a case manager (whom I call my parole officer), I continue to meet with my own psychiatrist &amp;amp; therapist (as I was before all this). My institution was fixated on me doing a very specific type of therapy: DBT. /3&lt;/p&gt;&#13;
— Justin Bullock (@jbullockruns) &lt;a href="https://twitter.com/jbullockruns/status/1312197908897296384?ref_src=twsrc%5Etfw"&gt;October 3, 2020&lt;/a&gt;&lt;/blockquote&gt;&#13;
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&lt;p lang="en" dir="ltr"&gt;I asked what would happen if I did not sign the contract of agreement. I was told by a co-chair of the committee I could not work. The institution has confirmed that statement was NOT true. Once I am determined to be safe &amp;amp; patients are safe, I could've worked sans contract. /4&lt;/p&gt;&#13;
— Justin Bullock (@jbullockruns) &lt;a href="https://twitter.com/jbullockruns/status/1312199085294673920?ref_src=twsrc%5Etfw"&gt;October 3, 2020&lt;/a&gt;&lt;/blockquote&gt;&#13;
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&lt;p&gt;&lt;span&gt;The lack of disability awareness in schools coupled with unrealistic expectations to be “superhuman” in clinical settings create a rat race that doctors say is untenable — for everyone. For those who finish medical school and postgraduate training, the belief is that if they managed to do it, everyone else should be expected to as well.&lt;br /&gt;&lt;/span&gt;During Cejas’s neurology training program, a now disabled physician, there were several months when she was required to work a 14-hour shift for six consecutive nights. This can be seen in the picture attached below.&lt;/p&gt;&#13;
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&lt;p&gt;&lt;span&gt;&lt;strong&gt;“It’s impossible to live up to that standard, whether you are disabled or not,” she said. “I’m thinking about how one of my friends in residency who got a kidney stone because she was holding her urine for too long. That’s something that happens all the time.” &lt;/strong&gt;(Lu, 2021)&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;&#13;
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                <text>Lu, W. (2021, July 22). Disabled Doctors Were Called Too ‘Weak’ To Be In Medicine. It’s Hurting The Entire System. From Huffpost: https://www.huffpost.com/entry/disabled-doctors-medicine-ableism_n_60f86967e4b0ca689fa560dc </text>
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                  <text>There are a number of books published to advocate for doctors with disabilities but we see that there is a dearth of material addressed to the students themselves, giving them the tools for advocacy and the empowerment of asking for accommodations. As we will see, there is just one such book which was published in 2018. For other books, we see some good work being done directed towards medical school administrations but again this work is vague and begs to question how effective it is in creating actual change.&amp;nbsp;</text>
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                <text>&lt;em&gt;Medical Students with Disabilities: A Generation of Practice&lt;/em&gt; by AAMC (2005) and &lt;em&gt;Medical Students with Disabilities: Resources to Enhance Accessibility&lt;/em&gt; by AAMC (2005)</text>
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                <text>Published by AAMC, both these books are a guide for educators on how to effectively teach and engage with disabled medical students and specifically talks about the role of assistive devices in this interaction and education. There is some ambiguity as to which book speaks to which sections but they both are said to be excellent insights on the current resources available in medical schools for disabled students.</text>
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                <text>&lt;em&gt;The "Disabled" Doctor: A Guide for Medical Students with Disabilities on Self Advocation, Obtaining Accommodations, and More&lt;/em&gt; by Patrik Janik M.D. (2018)</text>
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                <text>&lt;em&gt;Disability as Diversity: A Guidebook for Inclusion in Medicine, Nursing, and the Health Professions&lt;/em&gt; Editors: Meeks, Lisa M., Neal-Boylan, Leslie (2020)</text>
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                <text>This book is written for stakeholders such as deans, program directors, faculty, student affairs and disability resource professionals housed in medical programs so that they can engage effectively and efficiently with incoming medical students with disabilities. By providing best practices based on rigorous research, the book aims to educate stakeholders on how to take a nuanced approach to access and accommodations in a medical education context.</text>
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                <text>Springer </text>
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                <text>Springer </text>
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