Disabled Students in Health and Social Services Fieldwork: Perceptions of Canadian Fieldwork Educators and Academic Coordinators

Ensuring equitable access to professional education programs for learners who need accommodations is distinctly challenging when education moves beyond the classroom into clinical or fieldwork sites. Fieldwork educators and university academic coordinators who arrange fieldwork placements work with university accessibility services and students to arrange required accommodations, while preserving confidentiality, maintaining high learning standards, and ensuring attainment of professional competencies. This work is complicated by time pressures and heavy caseloads in fieldwork settings. Here we report on a subset of data from a cross-Canada online survey of fieldwork educators (<i>n</i> = 233) and academic coordinators (<i>n</i> = 54) in 10 health and social service professions. Using descriptive statistics, we analyze responses to two question series concerning perceptions of the capacity of disabled students to attain professional competencies, and overall perceptions of students who need accommodations. Respondents showed most concern about competency attainment for learners with cognitive or learning disabilities, followed by neurological and mental health issues. Thematic analysis of open-ended comments suggests doubt regarding the ability of institutional fieldwork sites to adequately implement accommodations. In their perception of learners who need accommodations, academic coordinators were somewhat more negative than fieldwork educators, in particular seeing students who need accommodations as a potential burden that could harm placement relationships with fieldwork sites. They tended to indicate that fieldwork success depended on student insight and self-advocacy. Struggles faced by disabled students in health and social service professions appear to be occasioned not only by disabling systems and institutions, but also by perceptions that they may have diminished competence.