Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

15-09-2018 | Original Paper

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

Auteurs: Golnaz Ghaderi, Shelley L. Watson

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 2/2019

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.

vorige artikel Distractor Inhibition in Autism Spectrum Disorder: Evidence of a Selective Impairment for Individuals with Co-occurring Motor Difficulties

volgende artikel Self-Focused Attention and Depressive Symptoms in Adults with Autistic Spectrum Disorder (ASD)

American Psychological Association. (2018). Autism. Retrieved from http://www.apa.org/topics/autism/index.aspx.

Anagnostou, E., Zwaigenbaum, L., Szatmari, P., Fombonne, E., Fernandez, B. A., Woodbury-Smith, M., et al. (2014). Autism spectrum disorder: Advances in evidence-based practice. Canadian Medical Association Journal, 186(7), 509–519.CrossRefPubMed

Autism Speaks. (2015). Autism prevalence. Retrieved January 20, 2015, from http://www.autismspeaks.org/what-autism/prevalence.

Baron-Cohen, S., Scott, F. J., Allison, C., Williams, J., Bolton, P., Matthews, F. E., & Brayne, C. (2009). Prevalence of autism-spectrum conditions: UK school-based population study. British Journal of Psychiatry, 194, 500–509.CrossRefPubMed

Boyd, B. A., Odom, S. L., Humphreys, B. P., & Sam, A. M. (2010). Infants and toddlers with autism spectrum disorder: Early identification and early intervention. Journal of Early Intervention, 32(2), 75–98.CrossRef

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef

Canadian Paediatric Society. (2016). Behavioural and general developmental screening tools. Retrieved from https://www.cps.ca/en/tools-outils/behavioural-and-general-developmental-screening-tools.

Carbone, P. S., Behl, D. D., Azor, V., & Murphy, N. A. (2010). The medical home for children with autism spectrum disorders: Parent and pediatrician perspectives. Journal of Autism and Developmental Disorders, 40(3), 317–324.CrossRefPubMed

Centers for Disease Control and Prevention. (2018). Autism prevalence slightly higher in CDC’s ADDM Network. Retrieved from https://www.cdc.gov/media/releases/2018/p0426-autism-prevalence.html.

Crais, E. R., Mccomish, C. S., Humphreys, B. P., Watson, L. R., Baranek, G. T., Reznick, J. S., et al. (2014). Pediatric healthcare professionals’ views on autism spectrum disorder screening at 12–18 months. Journal of Autism and Developmental Disorders, 44(9), 2311–2328.CrossRefPubMed

Creswell, J., & Tashakkori, A. (2007). Developing publishable mixed methods manuscripts. Journal of Mixed Methods Research, 1(2), 107–111.CrossRef

Daniels, A. M., Halladay, A. K., Shih, A., Elder, L. M., & Dawson, G. (2014). Approaches to enhancing the early detection of autism spectrum disorders: A systematic review of the literature. Journal of the American Academy of Child & Adolescent Psychiatry, 53(2), 141–152.CrossRef

Finke, E. H., Drager, K. D. R., & Ash, S. (2010). Paediatricians’ perspectives on identification and diagnosis of Autism Spectrum Disorders. Journal of Early Childhood Research, 8(3), 254–268.CrossRef

Gordon-Lipkin, E., Foster, J., & Peacock, G. (2016). Whittling down the wait time: Exploring models to minimize the delay from initial concern to diagnosis and treatment of Autism Spectrum Disorder. Pediatric Clinics of North America, 63(5), 851–859.CrossRefPubMedPubMedCentral

Harrington, J. W., Rosen, L., Garnecho, A., & Patrick, P. A. (2006). Parental perceptions and use of complementary and alternative medicine practices for children with autistic spectrum disorders in private practice. Journal of Developmental and Behavioral Pediatrics, 27, S156–S161.CrossRefPubMed

Harris, S., & Handleman, J. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30, 137–142.CrossRefPubMed

Havercamp, S. M., Ratliff-Schaub, K., Macho, P. N., Johnson, C. N., Bush, K. L., & Souders, H. T. (2016). Preparing tomorrow’s doctors to care for patients with autism spectrum disorder. Intellectual and Developmental Disabilities, 54(3), 202–216.CrossRefPubMed

Isaacs, B., Minnes, P., Burbidge, J., Loh, A., & Versnel, J. (2012). Comparison of medical, nursing and allied healthcare students’ training in developmental disabilities. April 2012: Poster presented at the Ontario Association on Developmental Disabilities Research Special Interest Group Meeting, Kingston, Ontario.

Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.

Keenan, M., Dillenburger, K., Doherty, A., Byrne, T., & Gallagher, S. (2010). The experiences of parents during diagnosis and forward planning for children with autism spectrum disorder. Journal of Applied Research in Intellectual Disabilities, 23(4), 390–397.CrossRef

Liptak, G. S., Orlando, M., Yingling, J. T., Theurer-Kaufman, K. L., Malay, D. P., Tompkins, L. A., et al. (2006). Satisfaction with primary health care received by families of children with developmental disabilities. Journal of Pediatric Health Care, 20(4), 245–252.CrossRefPubMed

McMorris, C. A., Cox, E., Hudson, M., Liu, X., & Bebko, J. M. (2013). The diagnostic process of children with autism spectrum disorder: Implications for early identification and intervention. Journal on Developmental Disabilities, 19(2), 42–49.

McPartland, J. C., Reichow, B., & Volkmar, F. R. (2012). Sensitivity and specificity of proposed DSM-5 diagnostic criteria for autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(4), 368–383.CrossRef

Minnes, P., Isaacs, B., Burbidge, J., Loh, A., & Versnel, J. (2012). Predictors of healthcare students perceived competence working with individuals with developmental disabilities. Ontario 2012: Poster presented at the Ontario Association on Developmental Disabilities Research Special Interest Group Meeting, Kingston.

Nah, Y., Young, R. L., Brewer, N., & Berlingeri, G. (2014). Autism detection in early childhood (ADEC): Reliability and validity data for a level 2 screening tool for autistic disorder. Psychological Assessment, 26(1), 215–226.CrossRefPubMed

Rhoades, R. A., Scarpe, A., & Salley, B. (2007). The importance of physician knowledge of autism spectrum disorder: Results of a parent survey. BMC Pediatrics, 7(37), 1–10.

Rice, C., Nicholas, J., Baio, J., Pettygrove, S., Lee, L. C., Braun, K. V. N., et al. (2010). Changes in autism spectrum disorder prevalence in 4 areas of the United States. Disability and Health Journal, 3(3), 186–201.CrossRefPubMed

Self, T. L., Parham, D. F., & Rajagopalan, J. (2015). Autism spectrum disorder early screening practices: A survey of physicians. Communication Disorders Quarterly, 36(4), 195–207.CrossRef

Skuse, D. H. (2012). DSM-5’s conceptualization of autistic disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(4), 344–346.CrossRef

Steiner, A. M., Goldsmith, T. R., Snow, A. V., & Chawarska, K. (2012). Practitioner’s guide to assessment of autism spectrum disorders in infants and toddlers. Journal of Autism and Developmental Disorders, 42, 1183–1196.CrossRefPubMedPubMedCentral

Tsai, L. Y., & Ghaziuddin, M. (2014). DSM-5 ASD moves forward into the past. Journal of Autism and Developmental Disorders, 44(2), 321–330.CrossRefPubMed

Woodard, L. J., Havercamp, S. M., Zwygart, K. K., & Perkins, E. A. (2012). An innovative clerkship module focused on patients with disabilities. Academic Medicine, 87, 537–542.CrossRefPubMed

Titel: “In Medical School, You Get Far More Training on Medical Stuff than Developmental Stuff”: Perspectives on ASD from Ontario Physicians
Auteurs: Golnaz Ghaderi
Shelley L. Watson
Publicatiedatum: 15-09-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 2/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-018-3742-3

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2019

Exploring Traits of Autism and Their Impact on Functional Disability in Children with Somatic Symptom Disorder

Contrasting the Effects of Task Difficulty and Perceptual Load on Auditory Detection Sensitivity in Individuals with Autism

Toddlers with Autism Spectrum Disorder Can Use Language to Update Their Expectations About the World

Characteristics of Young Adults with Autism Spectrum Disorder Performing Different Daytime Activities

Task Dependency When Evaluating Association Between Facial Emotion Recognition and Facial Emotion Expression in Children with ASD

A Randomised Controlled Trial of an Information Communication Technology Delivered Intervention for Children with Autism Spectrum Disorder Living in Regional Australia