The experiences of autistic medical students in relation to seeking and receiving online support: A phenomenological study

Cooper, S., Doherty, M., & Shaw, S. C. K. (2026). The experiences of autistic medical students in relation to seeking and receiving online support: A phenomenological study. PLOS One, 21(3), e0345156. https://doi.org/10.1371/journal.pone.0345156

Publication date: 20 Mar 2026 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
3
Publication authors identified as autistic
2 / 3 (66.7%)

Abstract

BACKGROUND: Previous studies have reported that autistic medical students experienced specific challenges throughout their medical studies, including isolation, bullying, and discrimination from their institutions - alongside receiving minimal support. Despite this, it has been argued that many autistic characteristics are well aligned with practising medicine, bringing key benefits to patient care. 'Autistic Medical Students' (AMS) is an online international support group, containing over 200 members - a sub-group of Autistic Doctors International. This study aims to explore the experiences of AMS membership and if membership has any wider impacts on medical studies or wellbeing. Within this, it aims to explore the experiences that led to seeking this support. METHODS: This was a qualitative study. Five participants from AMS were recruited. Semi-structured, 1:1 interviews were conducted via Zoom. These were audio recorded, transcribed verbatim, and analysed using interpretive phenomenological analysis. RESULTS: Group experiential themes included: medical culture, belonging, safety, ability to thrive, internalised optimism for the future, and real modelling. Participants experienced systemic ableism and weaponised professionalism, which led to a sense of helplessness for their futures. AMS had a positive impact on participants. They experienced a sense of belonging, alongside an improved ability to both recognise their own needs and implement accommodations. They also felt better able to advocate for support. 'Real modelling' from peers and autistic doctors motivated participants in their wider medical studies. Of particular benefit was that AMS uniquely encompassed both being autistic and a medical student, making its specific support invaluable. DISCUSSION: Findings were in keeping with previous research. Autistic peer-to-peer communication enabled development of social relationships and self-identity. Autistic medical students and doctors exhibit traits that make them assets to medicine. This study highlights the need for knowledge, acceptance and representation of autism within medical education - to enable autistic medical students to thrive.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Bibliography inclusion overview

These indicators describe the cited bibliography imported for this publication. Cited-reference metrics use the cited-reference total as denominator. Cited-author metrics state whether they use all cited-author occurrences or only occurrences linked to authors already integrated in the AutiHub database. They use cached links between cited authors and authors integrated in the AutiHub database. Last computed: 16 Aug 2026 11:31.

Cited references
57
Total cited references integrated for this publication.
Cited references with an identified autistic author
23 / 57 (40.4%)
Cited author occurrences identified as autistic
50 / 228 (21.9%)
Among occurrences linked to AutiHub author records: 50 / 123 (40.7%). Distinct cited authors identified as autistic: 17 / 180 (9.4%).
Cited author occurrences linked to AutiHub author records
123 / 228 (53.9%)
Distinct linked cited authors: 75 / 180 (41.7%)
Linked cited-author occurrences not identified as autistic
73 / 123 (59.3%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 73 / 228 (32.0%). Distinct linked cited authors not identified as autistic: 58 / 75 (77.3%).
  1. Kay A. Lopez , Danny G. Willis (2004). Descriptive Versus Interpretive Phenomenology: Their Contributions to Nursing Knowledge . Qualitative Health Research, 14(5), 726-735. SAGE Publications.
    Crossref OpenAlex
  2. Steven K. Kapp *Autistic author. Learn more… (2020). Introduction . In Autistic community and the neurodiversity movement (pp. 1-19). Springer Singapore.
    Crossref OpenAlex
  3. Tatja Hirvikoski , Ellenor Mittendorfer-Rutz , Marcus Boman , Henrik Larsson , Paul Lichtenstein , Sven Bölte (2016). Premature mortality in autism spectrum disorder . British Journal of Psychiatry, 208(3), 232-238. Royal College of Psychiatrists.
    Crossref OpenAlex
  4. James H. Lee (2017). The Weaponization of Medical Professionalism . Academic Medicine, 92(5), 579-580. Oxford University Press (OUP).
    Crossref OpenAlex
  5. Lauren Bishop-Fitzpatrick , Amy J. H. Kind (2017). A Scoping Review of Health Disparities in Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 47(11), 3380-3391. Springer Science and Business Media LLC.
    Crossref OpenAlex
  6. Jinan Zeidan , Éric Fombonne , Julie Scorah , Alaa T. Ibrahim , Maureen S. Durkin , Shekhar Saxena et al. (2022). Global prevalence of autism: A systematic review update . Autism Research, 15(5), 778-790. Wiley.
    Type: Article DOI: 10.1002/aur.2696 OpenAlex: https://openalex.org/W4214849391
    Crossref OpenAlex
  7. Sebastian Charles Keith Shaw *Autistic author. Learn more… (2018). Role conflict within medical education . The Clinical Teacher, 15(4), 344-345. Wiley.
    Crossref OpenAlex
  8. Elizabeth O’Nions , Irene Petersen , Joshua E.J. Buckman , Rebecca A. Charlton , Claudia Cooper , Anne Corbett et al. (2023). Autism in England: assessing underdiagnosis in a population-based cohort study of prospectively collected primary care data . The Lancet Regional Health - Europe, 29, 100626. Elsevier BV.
    Crossref OpenAlex
  9. Sebastian Charles Keith Shaw *Autistic author. Learn more… , John L. Anderson (2018). Phenomenological Research in Medical Education: An Overview of Its Philosophy, Approaches, and Conduct . SAGE Publications Ltd.
    Crossref OpenAlex
  10. (2020). pone. 0345156.ref007
    Type: Other
    Crossref
  11. Sebastian Charles Keith Shaw *Autistic author. Learn more… (2018). Learned helplessness in doctors with dyslexia: Time for a change in discourse? Nurse Education in Practice, 32, 99-100. Elsevier BV.
    Crossref OpenAlex
  12. Theo Bakker , Lydia Krabbendam , Sandjai Bhulai , Martijn Meeter , Sander Begeer (2023). Study progression and degree completion of autistic students in higher education: a longitudinal study . Higher Education, 85(1), 1-26. Springer Science and Business Media LLC.
    Crossref OpenAlex
  13. Alison Nuske , Fiona Rillotta , Michelle Bellon , Amanda L. Richdale (2019). Transition to higher education for students with autism: A systematic literature review. Journal of Diversity in Higher Education, 12(3), 280-295. American Psychological Association (APA).
    Crossref OpenAlex
  14. Chiara Horlin , Katie Almond , Alex Bowen , Ashley Robertson (2024). Thriving… or Just Surviving? Autistic Journeys in Higher Education . Current Psychiatry Reports, 26(12), 771-776. Springer Science and Business Media LLC.
    Crossref OpenAlex
  15. Elisa Back , Ellie Main , Phoebe Schur , Ifigeneia Manitsa , Katharine Clifford , Fiona Barlow-Brown et al. (2025). The Benefits of an Autism Peer Network in Higher Education . Neurodiversity, 3. SAGE Publications.
    Crossref OpenAlex
  16. Rosalind Cooper , Kate Cooper , Ailsa Russell , Laura G. E. Smith (2021). “I’m Proud to be a Little Bit Different”: The Effects of Autistic Individuals’ Perceptions of Autism and Autism Social Identity on Their Collective Self-esteem . Journal of Autism and Developmental Disorders, 51(2), 704-714. Springer Science and Business Media LLC.
    Crossref OpenAlex
  17. Meghan G. Blaskowitz , Alia M. Pustorino-Clevenger , McKenna Killion , Cassidy Shirlow (2025). Are Universities Ready to Support Autistic Students? A Call to Increase Coordinated Campus Efforts . Autism in Adulthood, 7(4), 353-366. SAGE Publications.
    Crossref OpenAlex
  18. Cameron A Maitland , Sinéad Rhodes , Anne O’Hare , Mary E. Stewart (2021). Social identities and mental well-being in autistic adults . Autism, 25(6), 1771-1783. SAGE Publications.
    Crossref OpenAlex
  19. Helen Goddard , Anna Cook (2022). “I Spent Most of Freshers in my Room”—A Qualitative Study of the Social Experiences of University Students on the Autistic Spectrum . Journal of Autism and Developmental Disorders, 52(6), 2701-2716. Springer Science and Business Media LLC.
    Crossref OpenAlex
  20. General Medical Council (2019). pone. 0345156.ref017
    Type: Other
    Crossref
  21. SCK Shaw (2022). Challenging the exclusion of autistic medical students . Lancet Psychiatry, 9(4).
    Type: Other
    Crossref
  22. Jane Mantzalas , Amanda L. Richdale , Cheryl Dissanayake (2022). A conceptual model of risk and protective factors for autistic burnout . Autism Research, 15(6), 976-987. Wiley.
    Type: Article DOI: 10.1002/aur.2722 OpenAlex: https://openalex.org/W4223610474
    Crossref OpenAlex
  23. Ranna Nash , Brandon Conner , Katelyn Fellows , Brooke Clemmensen , Robert Gullickson , Sharon Goldrup (2022). Barriers in medical education: a scoping review of common themes for medical students with disabilities . Discover Education, 1(1). Springer Science and Business Media LLC.
    Crossref OpenAlex
  24. Marija Kamceva , Baffour Kyerematen , Sabina Spigner , Samuel Bunting , Simiao Li-Sauerwine , Jane Yee et al. (2022). More Work, Less Reward: The Minority Tax on US Medical Students . Journal of Wellness, 4(1). University of Louisville - DC Journals.
    Crossref OpenAlex
  25. Katherine Ardeleanu , Hillary Steinberg , Tamara Garfield , Samuelle Voltaire , Lindsay Shea , M. Brown et al. (2025). Self-identification of autism: Why some autistic adults lack a clinical diagnosis and why this matters for inclusion . Autism, 29(9), 2344-2355. SAGE Publications.
    Crossref OpenAlex
  26. Eleonora Marocchini (2023). Impairment or difference? The case of Theory of Mind abilities and pragmatic competence in the Autism Spectrum . Applied Psycholinguistics, 44(3), 365-383. Cambridge University Press (CUP).
    Crossref OpenAlex
  27. JA Smith (2021). Analysis. Interpretative phenomenological analysis: theory, method and research . Analysis. Interpretative phenomenological analysis: theory, method and research, 75.
    Type: Other
    Crossref
  28. Maciej Wodziński , Marcin Moskalewicz (2023). Mental Health Experts as Objects of Epistemic Injustice—The Case of Autism Spectrum Condition . Diagnostics, 13(5), 927. MDPI AG.
    Crossref OpenAlex
  29. T Andrews (2012). What is social constructionism? Grounded Theory Review, 11(1), 6.
    Type: Other
    Crossref
  30. Isabella Spaans , Renske de Kleijn , Conny Seeleman , Gönül Dilaver (2023). ‘A role model is like a mosaic’: reimagining URiM students’ role models in medical school . BMC Medical Education, 23(1), 396. Springer Science and Business Media LLC.
    Crossref OpenAlex
  31. Christopher Little , Abigail Pearson , Karl Gimblett (2023). Reasonable adjustment, unfair advantage or optional extra? Teaching staff attitudes towards reasonable adjustments for students with disabilities . Journal of Perspectives in Applied Academic Practice, 11(2), 135-146. University of the Highlands and Islands.
    Crossref OpenAlex
  32. L Spencer (2021). ‘Isn’t Everyone a Little OCD?’ The epistemic harms of wrongful depathologization . pom, 2(1).
    Type: Other
    Crossref
  33. Renée M. Betancourt , Donna Baluchi , Kristina Dortche , Kendall M. Campbell , José E. Rodríguez (2024). Minority Tax on Medical Students: A Review of the Literature and Mitigation Recommendations . Family Medicine, 56(3), 169-175. Society of Teachers of Family Medicine.
    Crossref OpenAlex
  34. Sam Dexter , Kana Grace , Sarah-Louise Quinnell , Alice Surrey , Laura Crane (2025). Towards ‘A Level Playing Field’: A Participatory Study of Autistic University Students’ Experiences with Academic Support in England . International Journal of Disability, Development and Education, 72(1), 26-41. Informa UK Limited.
    Crossref OpenAlex
  35. Luke P. Grosvenor , Lisa A. Croen , Frances L. Lynch , Ben J. Marafino , Melissa Maye , Robert B. Penfold et al. (2024). Autism Diagnosis Among US Children and Adults, 2011-2022 . JAMA Network Open, 7(10), e2442218. American Medical Association (AMA).
    Crossref OpenAlex
  36. Donald Maciver , Anusua Singh Roy , Lorna Johnston , Marie Boilson , Eleanor Curnow , Victoria Johnstone-Cooke et al. (2026). Are we getting better at identifying and diagnosing neurodivergent girls and women? Insights into sex ratios and age of diagnosis from clinical population data in Scotland . Autism, 30(2), 375-389. SAGE Publications.
    Crossref OpenAlex
  37. (n.d.). Botha M. Autistic community connectedness as a buffer against the effects of minority stress. Surrey, England: University of Surrey; 2020.
    Type: Other
    Crossref
  38. E Bitektine (2024). Medical students’ perceptions on preparedness and care delivery for patients with autism or intellectual disability . Can Med Educ J, 15(1), 37.
    Type: Other
    Crossref