Impact of physical and sensory disabilities in doctors on the level of trust among colleagues.

Introduction: Brazilian national policy prioritizes the inclusion of people with disabilities. Considering that there are medical professionals with disabilities and that there are CFM (Federal Council of Medicine) regulations that guarantee equality and inclusion of physicians with disabilities in medical practice, it is essential to analyze how interpersonal relationships are established in the workplace. In particular, it is necessary to verify the degree of trust of the medical team in relation to physicians with physical and sensory disabilities, since a lack of trust denotes prejudice. Objective: To identify, categorize, and summarize the evidence on the impact of physical disability on physicians' trust and interpersonal relationships, including prejudice, discrimination, and mistreatment, and on the role of assistive technologies in promoting inclusion. Methods: Scoping review in the Cochrane Library (via Wiley), EMBASE (via Elsevier), Medical Literature Analysis and Retrieval System Online (MEDLINE, via PubMed), and Lilacs databases. The organization of the research results will be based on four topics: trust, assistive technologies, prejudice, and barriers encountered in the practice of medicine. This scoping review will be developed following the methodological recommendations of the Joanna Briggs Institute Handbook, and the reporting recommendations according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - extension for scoping reviews (PRISMA). The research question will be: ‘What evidence describes the impact of physicians' physical disabilities on the degree of trust among colleagues, and what factors (age, years of experience, type of disability, use of assistive technologies) influence this level of trust?’ Eligibility Criteria: Population - physicians (residents, specialists, and faculty). Concept - degree of professional trust and interpersonal relationships (including manifestations of prejudice, discrimination, mistreatment), as well as influencing factors (age, years of experience, type of disability) and the use/impact of assistive technologies. Context - health services or systems such as hospitals, clinics, community services, and academic settings. In summary, the scoping review will include studies that meet the following criteria: primary studies, with a qualitative, quantitative, or mixed approach; studies that address physicians with physical and/or sensory disabilities, or that discuss disability in the practice of medicine; studies that analyze interpersonal relationships, level of trust, prejudice, discrimination, stigma, or professional barriers in the context of medicine; studies that address the use of assistive technologies related to medical practice or professional inclusion; publications available in full text; studies published without restriction of period or language; studies conducted in healthcare service settings, academic institutions, or medical practice environments. Expected Results: The main expected outcome of this project is to highlight the impact of physician disabilities on the level of trust among colleagues in their work in a southern Brazilian state, as well as to foster discussion on this topic among academics, physicians, and managers, so that they can become multipliers of a culture of inclusion within healthcare institutions. Secondary results that this study seeks to present include: the influence of the participating physician's age on the level of trust attributed; the influence of professional experience on the level of trust; the influence of the type of physical or sensory disability on the perception of trust; and the influence of the use of assistive technologies on the level of trust attributed.