Cultural Competency Curricula in US Graduate Medical Education: A Scoping Review-Reference-Cited by-同舟云学术

Cultural Competency Curricula in US Graduate Medical Education: A Scoping Review

Published:2022-02-01 Issue:1 Volume:14 Page:37-52
ISSN:1949-8357
Container-title:Journal of Graduate Medical Education
language:en
Short-container-title:

Author:

Atkinson Rachel B.¹^ORCID,Khubchandani Jasmine A.²,Chun Maria B. J.³,Reidy Emma⁴,Ortega Gezzer⁵,Bain Paul A.⁶,Demko Caroline⁷,Barreiro-Rosado Jeenn⁸,Kent Tara S.⁹,Smink Douglas S.¹⁰

Affiliation:

1. Rachel B. Atkinson, MD, is a Resident, Department of Surgery, and Research Fellow, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School

2. Jasmine A. Khubchandani, MD, is a Resident, Department of Surgery, and Research Fellow, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School

3. Maria B. J. Chun, PhD, is a Specialist and Associate Chair in Administration and Finance, Department of Surgery, John A. Burns School of Medicine, University of Hawaii

4. Emma Reidy, MPH, is Senior Project Manager, Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School

5. Gezzer Ortega, MD, MPH, is Lead Faculty for Research and Innovation for Equitable Surgical Care, Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical

6. Paul A. Bain, PhD, is Reference and Instruction Librarian, Countway Library of Medicine, Harvard Medical School

7. Caroline Demko, is a First-Year Masters Student, Goldman School of Public Policy, University of California, Berkeley

8. Jeenn Barreiro-Rosado, is a Research Assistant, Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School

9. Tara S. Kent, MD, MS, is Associate Professor of Surgery, Vice Chair for Education, and Program Director, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School

10. Douglas S. Smink, MD, MPH, is Chief of Surgery, Brigham and Women's Faulkner Hospital, Associate Chair of Education and Associate Professor of Surgery, and Core Faculty, Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School

Abstract

ABSTRACT Background Cultural competency training provides participants with knowledge and skills to improve cross-cultural communication and is required for all graduate medical education (GME) training programs. Objective The authors sought to determine what cultural competency curricula exist specifically in GME. Methods In April 2020, the authors performed a scoping review of the literature using a multidatabase (PubMed, Ovid, MedEdPORTAL) search strategy that included keywords relevant to GME and cultural competency. The authors extracted descriptive data about the structure, implementation, and analysis of cultural competency curricula and analyzed these data for trends. Results Sixty-seven articles met criteria for inclusion, of which 61 (91%) were focused exclusively on residents. The most commonly included specialties were psychiatry (n=19, 28.4%), internal medicine (n=16, 23.9%), and pediatrics (n=15, 22.4%). The shortest intervention was a 30-minute online module, while the longest contained didactics, electives, and mentoring programs that spanned the entirety of residency training (4 years). The sample sizes of included studies ranged from 6 to 833 participants. Eight (11.9%) studies utilized OSCEs as assessment tools, while 17 (25.4%) conducted semi-structured interviews or focus groups. Four common themes were unique interventions, retention of learning, trainee evaluation of curricula, and resources required for implementation. Conclusions Wide variation exists in the design, implementation, and evaluation of cultural competency curricula for residents and fellows.

Publisher

Journal of Graduate Medical Education

Subject

General Medicine

Link

https://meridian.allenpress.com/jgme/article-pdf/14/1/37/3016793/i1949-8357-14-1-37.pdf

Reference97 articles.

1. Smedley BD, Stith AY, Nelson AR. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (with CD) . Washington, DC: National Academies Press;2003.

2. Elsamadicy AA, Kemeny H, Adogwa O, et al. Influence of racial disparities on patient-reported satisfaction and short-and long-term perception of health status after elective lumbar spine surgery. J Neurosurg Spine. 2018; 29(1): 40– 45. doi:10.3171/2017.12.SPINE171079

3. Alexander AL, Strohl AE, Rieder S, Holl J, Barber EL. Examining disparities in route of surgery and postoperative complications in Black race and hysterectomy. Obstet Gynecol. 2019; 133(1): 6– 12. doi:10.1097/AOG.0000000000002990

4. Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995; 152(9): 1423– 1433.

5. Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J. 2010; 10(1): 38– 43.

Cited by 15 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Understanding Faculty Perspectives on Health Equity Curriculum Implementation in Graduate Medical Education: A Qualitative Study;2024-09-10

2. Health Disparities Curricula in General Surgery Residency Programs: A Critical Scoping Review;Journal of Surgical Research;2024-09

3. Cultural Competency in Surgery: A Review and then Practical Advice for the Surgical Educator;Current Surgery Reports;2024-08-05

4. A Randomized Crossover Trial Evaluating the Impact of Cultural Dexterity Training on Surgical Residents’ Knowledge, Cross-Cultural Care, Skills, and Beliefs;Annals of Surgery;2024-06-26

5. Towards anti-racist futures: a scoping review exploring educational interventions that address systemic racism in post graduate medical education;Advances in Health Sciences Education;2024-06-14