“It Does Tend to Be a Sort of One-Size-Fits-All Approach”: Perceptions and Experiences of Staff Teaching Neurodivergent Students in Veterinary Clinical Learning Environments

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Ivey, H., Pickles, K. J., & Tötemeyer, S. (2026). “It Does Tend to Be a Sort of One-Size-Fits-All Approach”: Perceptions and Experiences of Staff Teaching Neurodivergent Students in Veterinary Clinical Learning Environments. Journal of Veterinary Medical Education, Article e20260013. https://doi.org/10.3138/jvme-2026-0013

Publication date: 30 Sep 2026 Added to AutiHub: 3 Oct 2026 Type: Article Article language: English
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Authors

Publication authors
3
Publication authors identified as autistic
1 / 3 (33.3%)
  1. Helena Ivey
  2. Kirstie J. Pickles *
  3. Sabine Tötemeyer

Abstract

Abstract Clinical learning environments (CLEs) are integral in veterinary education, providing short placements of hands-on learning in clinical practices at veterinary schools or external practices. Staff must facilitate neurodivergent (ND) students’ reasonable adjustments, while balancing teaching and other competing interests, while university-designed support plans are based on the traditional academic environment. CLEs are usually commercial businesses where students are taught by academic and non-academic clinical staff, the latter often having limited educational training. Understanding CLE staff's attitudes, perceptions, and experiences is required to enable optimal student support. A questionnaire investigated these attributes at one UK veterinary school. Thirty-two staff responded; 12 undertook follow-up interviews. Mixed-method data analysis was performed. Most participants agreed ND students need extra support in CLEs; opinion differed about how and to what extent. Some participants expected ND students to become “more resilient” as they considered reasonable adjustments would not be available following graduation. Additional individual student information, including strategies and accommodations on other placements, was wanted. Staff attitudes to neurodiversity awareness training varied widely. Training barriers included insufficient time, staff workloads, negative attitudes, perceived challenges in implementing training, and lack of relevant training. Conversely, enabling factors included sufficient time, compulsory training, improving training accessibility and flexibility, opportunities to hear from ND individuals, highlighting benefits of training and improved support, and external training. Improving psychological safety in CLEs was identified as critical. Most participants advocated increasing awareness and visibility of neurodiversity, enhancing the clarity of support structures, and providing time to undertake meaningful, relevant neurodiversity training pertaining to CLEs.

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Cited references
48
With a DOI
35
Without a DOI, from raw bibliography text
13
4 / 48 (8.3%) cited references include at least one author identified as autistic.
References with data to complete
5 / 48 (10.4%)
References with detected author names
44 / 48 (91.7%)
Without detected author names
4
Without a structured title
5
Without a stable identifier
13
References with raw author names still to review
4
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
122
From DOI or external metadata
122
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
4
21 / 122 (17.2%) names are linked to an author already present in AutiHub. 101 / 122 (82.8%) names are not yet linked.
Names linked to a person identified as autistic
9 / 122 (7.4%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 9 / 21 (42.9%). Distinct people identified as autistic: 7 / 119 (5.9%).
  1. Amy C. Edmondson (2003). International handbook of organizational teamwork and cooperative working . In International handbook of organizational teamwork and cooperative working (pp. 255). Wiley.
    Type: Book chapter DOI: 10.1002/9780470696712.ch13 OpenAlex: https://openalex.org/W1675510588
    Crossref OpenAlex
  2. Stevenson JL (2020). How we teach now: the GSTA guide to transformative teaching [Internet] . How we teach now: the GSTA guide to transformative teaching [Internet].
    Type: Other
    Crossref
  3. Edward Griffin , David Pollak (2009). Student experiences of neurodiversity in higher education: insights from the BRAINHE project . Dyslexia, 15(1), 23-41. Wiley.
    Type: Article DOI: 10.1002/dys.383 OpenAlex: https://openalex.org/W1996729686
    Crossref OpenAlex
  4. Carolyn Murray , Mandy Stanley , Shelley Wright (2014). The transition from clinician to academic in nursing and allied health: a qualitative meta-synthesis . Nurse Educ Today, 34(3), 389. Elsevier BV.
    Type: Article DOI: 10.1016/j.nedt.2013.06.010 OpenAlex: https://openalex.org/W2031283630
    Crossref OpenAlex
  5. Nancy Doyle (2020). Neurodiversity at work: a biopsychosocial model and the impact on working adults . British Medical Bulletin, 135(1), 108-125. Oxford University Press (OUP).
    Type: Article DOI: 10.1093/bmb/ldaa021 OpenAlex: https://openalex.org/W3091645723
    Crossref OpenAlex
  6. David K. Morris , Patricia A. Turnbull (2007). The disclosure of dyslexia in clinical practice: experiences of student nurses in the United Kingdom . Nurse Educ Today, 27(1), 35. Elsevier BV.
    Type: Article DOI: 10.1016/j.nedt.2006.01.017 OpenAlex: https://openalex.org/W2041314071
    Crossref OpenAlex
  7. Donald Maciver , Marion Rutherford , Lorna Johnston , Anusua Singh Roy (2023). Prevalence of neurodevelopmental differences and autism in Scottish primary schools 2018–2022 . Autism Res, 16(12), 2403. Wiley.
    Type: Article DOI: 10.1002/aur.3063 OpenAlex: https://openalex.org/W4389038295
    Crossref OpenAlex
  8. Mike Oliver (2013). The social model of disability: thirty years on . Disability & Society, 28(7), 1024-1026. Informa UK Limited.
    Type: Article DOI: 10.1080/09687599.2013.818773 OpenAlex: https://openalex.org/W2087269573
    Crossref OpenAlex
  9. Susan Young , Jack Hollingdale , Michael Absoud , Patrick Bolton , Polly Branney , William Colley et al. (2020). Guidance for identification and treatment of individuals with attention deficit/hyperactivity disorder and autism spectrum disorder based upon expert consensus . BMC Med, 18(1), 146. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1186/s12916-020-01585-y OpenAlex: https://openalex.org/W3028177668
    Crossref OpenAlex
  10. William Evans (2014). ‘I am not a dyslexic person I'm a person with dyslexia’: identity constructions of dyslexia among students in nurse education . Journal of Advanced Nursing, 70(2), 360-372. Wiley.
    Type: Article DOI: 10.1111/jan.12199 OpenAlex: https://openalex.org/W2094470323
    Crossref OpenAlex
  11. Elia F Soto , Destiny Orantes , Natalie Russo , Kevin M Antshel (2024). Autism and sexual and gender minority identity in college students: examination of self-reported rates, functional outcomes, and treatment engagement . Autism, 28(6), 1519. SAGE Publications.
    Type: Article DOI: 10.1177/13623613241236228 OpenAlex: https://openalex.org/W4393317573
    Crossref OpenAlex
  12. Marco Pino , Luigina Mortari (2014). The inclusion of students with dyslexia in higher education: a systematic review using narrative synthesis: the inclusion of students with dyslexia in HE . Dyslexia, 20(4), 346. Wiley.
    Type: Article DOI: 10.1002/dys.1484 OpenAlex: https://openalex.org/W2100108330
    Crossref OpenAlex
  13. Maire Claire Diemer , Emily D Gerstein , April Regester (2022). Autism presentation in female and Black populations: Examining the roles of identity, theory, and systemic inequalities . Autism, 26(8), 1931-1946. SAGE Publications.
    Type: Article DOI: 10.1177/13623613221113501 OpenAlex: https://openalex.org/W4288084417
    Crossref OpenAlex
  14. Sarah Miller , Sarah Ross , Jennifer Cleland (2009). Medical students’ attitudes towards disability and support for disability in medicine . Med Teach, 31(6), e272. Informa UK Limited.
    Type: Article DOI: 10.1080/01421590802516814 OpenAlex: https://openalex.org/W2114062484
    Crossref OpenAlex
  15. Andy V. Pham , Lesline C. Charles (2023). Racial disparities in autism diagnosis, assessment, and intervention among minoritized youth: Sociocultural issues, factors, and context . Current Psychiatry Reports, 25(5), 201. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s11920-023-01417-9 OpenAlex: https://openalex.org/W4362506882
    Crossref OpenAlex
  16. Christopher J L Murray , Allison Lombardi , Carol T. Wren (2011). The effects of disability-focused training on the attitudes and perceptions of university staff . Remedial Spec Educ, 32(4), 290. SAGE Publications.
    Type: Article DOI: 10.1177/0741932510362188 OpenAlex: https://openalex.org/W2168164163
    Crossref OpenAlex
  17. (n.d.). Rosolin B Roberts CP Robinson D. The 2024 survey of the veterinary profession: a report for the Royal College of Veterinary Surgeons [Internet]. Brighton UK: Institution for Employment Studies; 2024 Oct [cited 2026 Sep 17]. https://employment-studies.co.uk/system/files/resources/files/SotP%202024%20VS%20report%20619%20A.pdf .
    Type: Other
    Crossref
  18. William E. Bynum , Taha M. Haque (2016). Risky business: psychological safety and the risks of learning medicine . J Grad Med Educ, 8(5), 780. Journal of Graduate Medical Education.
    Type: Article DOI: 10.4300/jgme-d-16-00549.1 OpenAlex: https://openalex.org/W2558874708
    Crossref OpenAlex
  19. (n.d.). Unite students: applicant index survey 2022 [Internet]. Bristol UK: Unite Group; 2023 [cited 2023 Mar 30]. https://www.unitegroup.com/wp-content/uploads/2022/07/Applicant-Index-2022-Final.pdf .
    Type: Other
    Crossref
  20. Eleanor R. Walker , Sebastian C. K. Shaw * (2018). Specific learning difficulties in healthcare education: the meaning in the nomenclature . Nurse Educ Pract, 32, 97. Elsevier BV.
    Type: Article DOI: 10.1016/j.nepr.2018.01.011 OpenAlex: https://openalex.org/W2785369267
    Crossref OpenAlex
  21. Jasmine Murphy , Fiona Andrews , Maria Morgan (2023). Embracing neurodiversity-informed dentistry. Part five: diverse minds in the dental profession . BDJ Team, 10(10), 21. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/s41407-023-2026-8 OpenAlex: https://openalex.org/W4388760816
    Crossref OpenAlex
  22. Kelly J. Caverzagie , Mitchell G. Goldenberg , Jena M. Hall (2019). Psychology and learning: the role of the clinical learning environment . Med Teach, 41(4), 375. Informa UK Limited.
    Type: Article DOI: 10.1080/0142159x.2019.1567910 OpenAlex: https://openalex.org/W2911873807
    Crossref OpenAlex
  23. Jennifer R Hagen , Renate Weller , Timothy Stephen Mair , Tierney Kinnison (2020). Investigation of factors affecting recruitment and retention in the UK veterinary profession . Vet Rec, 187(9), 354. Wiley.
    Type: Article DOI: 10.1136/vr.106044 OpenAlex: https://openalex.org/W3049663820
    Crossref OpenAlex
  24. Saleem Razack , Ingrid Philibert (2019). Inclusion in the clinical learning environment: building the conditions for diverse human flourishing . Med Teach, 41(4), 380. Informa UK Limited.
    Type: Article DOI: 10.1080/0142159x.2019.1566600 OpenAlex: https://openalex.org/W2916490742
    Crossref OpenAlex
  25. M. Norris , J. Hammond , A. Williams , S. Walker (2020). Students with specific learning disabilities experiences of pre-registration physiotherapy education: a qualitative study . BMC Med Educ, 20(1), 2. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1186/s12909-019-1913-3 OpenAlex: https://openalex.org/W2994857553
    Crossref OpenAlex
  26. Pickles KJ (2025). Support for neurodivergent students in veterinary education, part 2: scoping review of neurodivergent students’ experience in clinical learning environments . J Vet Med Educ.
    Type: Other
    Crossref
  27. Lynn Clouder , Mehmet Karakus , Alessia Cinotti , María Virginia Ferreyra , Genoveva Amador Fierros , Patricia Rojo (2020). Neurodiversity in higher education: a narrative synthesis . Higher Education, 80(4), 757-778. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10734-020-00513-6 OpenAlex: https://openalex.org/W3025382457
    Crossref OpenAlex
  29. CAST (2024). Universal design for learning guidelines version 3.0 . Universal design for learning guidelines version 3.0.
    Type: Other
    Crossref
  31. Lorna Hamilton , Petty Stephanie (2023). Compassionate pedagogy for neurodiversity in higher education: A conceptual analysis . Frontiers in Psychology, 14, 14. Frontiers Media SA.
    Type: Article DOI: 10.3389/fpsyg.2023.1093290 OpenAlex: https://openalex.org/W4321088527
    Crossref OpenAlex
  32. Ruth Philion , Isabelle St-Pierre , Michelle Bourassa (2021). Accommodating and supporting students with disability in the context of nursing clinical placements: a collaborative action research . Nurse Educ Pract, 54, 103127. Elsevier BV.
    Type: Article DOI: 10.1016/j.nepr.2021.103127 OpenAlex: https://openalex.org/W3175752336
    Crossref OpenAlex
  33. Jenny Child , Elizabeth Langford (2011). Exploring the learning experiences of nursing students with dyslexia . Nurs Stand, 25(40), 39. RCN Publishing Ltd..
    Type: Article DOI: 10.7748/ns.25.40.39.s49 OpenAlex: https://openalex.org/W4231767541
    Crossref OpenAlex
  34. Caroline Ridley (2011). The experiences of nursing students with dyslexia . Nursing Standard, 25(24), 35-42. RCN Publishing Ltd..
    Type: Article DOI: 10.7748/ns2011.02.25.24.35.c8342 OpenAlex: https://openalex.org/W1971757993
    OpenAlex
  35. Vaughn LM (2021). The opportunity of social ecological resilience in the promotion of youth health and wellbeing: a narrative review . Yale J Biol Med, 94(1), 129.
    Type: Other
    Crossref
  36. Michael El Boghdady , Beatrice Marianne Ewalds-Kvist (2023). Racial discrimination in surgery: a systematic review . Updat Surg, 75(4), 795. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s13304-023-01491-x OpenAlex: https://openalex.org/W4323658114
    Crossref OpenAlex
  37. Megan Godfrey‐Harris * , Sebastian C. K. Shaw * (2023). The experiences of medical students with ADHD: A phenomenological study . PLOS ONE, 18(8), e0290513. Public Library of Science (PLoS).
    Type: Article DOI: 10.1371/journal.pone.0290513 OpenAlex: https://openalex.org/W4386066931
    Crossref OpenAlex
  38. Royal College of Veterinary Surgeons (2025). RCVS exit survey 2022–2024 [Internet] . RCVS exit survey 2022–2024 [Internet].
    Type: Other
    Crossref
  39. Adelaide H. McClintock , Tyra Fainstad , Kevin Blau , Joshua Jauregui (2023). Psychological safety in medical education: a scoping review and synthesis of the literature . Med Teach, 45(11), 1290. Informa UK Limited.
    Type: Article DOI: 10.1080/0142159x.2023.2216863 OpenAlex: https://openalex.org/W4379094512
    Crossref OpenAlex
  40. Mack NA (2025). Strategies for providing neurodivergent and mental health role models in higher education . Open Scholarsh Teach Learn, 5(1), 166.
    Type: Other
    Crossref
  41. Malcolm A. Cobb , Katy A. Cobb , Gary C. W. England , Sarah L. Freeman (2025). Active Rotation Management: Managing Clinical Veterinary Students in a Community-Based Teaching Model . Journal of Veterinary Medical Education, 52(6), 743-747. University of Toronto Press Inc. (UTPress).
    Type: Article DOI: 10.3138/jvme-2024-0039 OpenAlex: https://openalex.org/W4407219800
    Crossref OpenAlex
  42. Elizabeth Lapon , Leslie Buddington , Joan Swanson (2025). An examination of teacher self-efficacy to support neurodiverse students in higher education . Coll Teach, 1-9. Informa UK Limited.
    Type: Article DOI: 10.1080/87567555.2025.2453844 OpenAlex: https://openalex.org/W4406632680
    Crossref OpenAlex
  43. Price GA (2006). How do dyslexic nursing students cope with clinical practice placements? The impact of the dyslexic profile on the clinical practice of dyslexic nursing students: pedagogical issues and considerations . Learn Disabil, 4(1), 19.
    Type: Other
    Crossref
  44. Royal College of Veterinary Surgeons (2025). Let's talk adjustments . Let's talk adjustments.
    Type: Other
    Crossref
  45. Ridley C (2011). The experiences of nursing students with dyslexia . Nurs Stand, 25(24), 35.
    Type: Other DOI: 10.7748/ns.25.24.35.s50
    Crossref
  46. (n.d.). Equality Act 2010 c. 15 [Internet]. Legislation.gov.uk
    Type: Other
    Crossref
  47. (n.d.). 2010 [cited 2026 Sep 17]. https://www.legislation.gov.uk/ukpga/2010/15/contents .
    Type: Other
    Crossref
  48. Ivey H (2024). Ivey H. Fostering a supportive clinical learning environment for neurodivergent veterinary students [doctoral thesis]. Nottingham, UK: University of Nottingham; 2024. Fostering a supportive clinical learning environment for neurodivergent veterinary students [doctoral thesis].
    Type: Other
    Crossref