Best Practices in Descriptive Medical Nomenclature: The Campaign to End the “R” Word
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Best Practices in Descriptive Medical Nomenclature: The Campaign to End the “R” Word
Rick Rader, MD Seth Keller, MD Board of Directors Board of Directors
American Academy of Developmental Medicine and DentistryCommittee’s on Public Policy, External Affairs, Education, and
Student Chapters
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• Eloquent, descriptive, often cryptic nosology • Dynamic, Progressive, Evolving• Changes over time• Transacts within the context of mainstream society
The Practice of Medicine:
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Medicine’s terminology and nomenclature evolves along with its beliefs, practices and procedures.
Even the name “medicine” is a progressive adaptation from the original word “physic”.
Doctor of Physic circa 1540
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La Grippe: influenza
Screws: arthritis
Ague: malaria
Bursten: hernia
Coryza: a cold
Mormal: gangrene
Discarded Archaic Medical Terms
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The term “Monsters” has been replaced with “teratogenic defects”
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Twenty years ago pediatricians would readily describe this child as a FLK
(funny looking kid).
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The disciplines of neurolinguistics and psycholinguistics suggest that language shapes our attitudes
Language May Help Create, Not Just Convey, Thoughts and Feelings
Oludamini Ogunnaike, Yarrow Dunham, Mahzarin R. Banaji. The language of implicit preferences. Journal of Experimental Social Psychology, 2010; 46 (6) 999
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When called upon to describe individuals with suboptimal intelligence physicians responded
with a litany of descriptive terms…
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Moron
• A clinical descriptive term relating to an individuals cognitive status.
• Reassigned by society to become a negative, stigmatizing pejorative term
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Idiot
• A clinical descriptive term relating to an individuals cognitive status.
• Reassigned by society to become a negative, stigmatizing pejorative term
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Feeble Minded
• A clinical descriptive term relating to an individuals cognitive status.
• Reassigned by society to become a negative, stigmatizing pejorative term
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Imbeciles
• A clinical descriptive term relating to an individuals cognitive status.
• Reassigned by society to become a negative, stigmatizing pejorative term
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Retard
• A clinical descriptive term relating to an individuals cognitive status.
• Reassigned by society to become a negative, stigmatizing pejorative term
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Rosa’s Law
President Obama signs bill S.2781 (October 2010) Removing the terms “Mental Retardation” and “Mental Retarded” from federal health, education and labor policy. “Individual with an intellectual disability” and “intellectual disability” become preferred terms
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Resolution 805-10
Eliminates “mental retardation” from their documents; replaces “intellectual disability” as preferred term. 2011
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“Mental Retardation” dropped
May, 2013“Mental Retardation” eliminated in favor of “Intellectual Disabilities”
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“Mental Retardation” dropped
American Academy of Developmental Medicine and Dentistry declares “Mental Retardation” no longer represents a valid medical diagnosis; “Intellectual Disability” proposed as the preferred term.
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Special Olympics Initiative
Pledge your support to eliminate the demeaning use of the r-word
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Best Practice Recommendations
Eliminate “retarded” and “mental
• Conversations• Presentations• Case Notes• Referral Letters
retardation” in:
• Death Certificates• Research Articles• Public Health Reports• Teaching Rounds and Lectures
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“I’m not my name. My name is something I wear, like a shirt. It gets
worn. I outgrow it, I change it.” -Jerry Spinelli