Effectively teaching cultural competence in a pre-professional healthcare curriculum.
Communication
Competence
Culture
Curriculum
Healthcare
Learning
Predental
Premedical
Teaching
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
21 May 2024
21 May 2024
Historique:
received:
27
10
2023
accepted:
02
05
2024
medline:
22
5
2024
pubmed:
22
5
2024
entrez:
22
5
2024
Statut:
epublish
Résumé
There has been research documenting the rising numbers of racial and ethnic minority groups in the United States. With this rise, there is increasing concern over the health disparities that often affect these populations. Attention has turned to how clinicians can improve health outcomes and how the need exists to educate healthcare professionals on the practice of cultural competence. Here we present one successful approach for teaching cultural competence in the healthcare curriculum with the development of an educational session on cultural competence consisting of case-based, role-play exercises, class group discussions, online discussion boards, and a lecture PowerPoint presentation. Cultural competence sessions were delivered in a pre-dental master's program to 178 students between 2017 and 2020. From 2017 to 2019, the sessions were implemented as in-person, case-based, role-play exercises. In 2020, due to in-person limitations caused by the COVID-19 pandemic, students were asked to read the role-play cases and provide a reflection response using the online Blackboard Learn discussion board platform. Evaluation of each session was performed using post-session survey data. Self-reported results from 2017 to 2020 revealed that the role-play exercises improved participant's understanding of components of cultural competence such as communication in patient encounters (95%), building rapport with patients (94%), improving patient interview skills (95%), and recognition of students own cultural biases when working with patients (93%). Students were able to expand their cultural awareness and humility after completion of both iterations of the course session from 2017 to 2019 and 2020. This session can be an effective method for training healthcare professionals on cultural competence.
Sections du résumé
BACKGROUND
BACKGROUND
There has been research documenting the rising numbers of racial and ethnic minority groups in the United States. With this rise, there is increasing concern over the health disparities that often affect these populations. Attention has turned to how clinicians can improve health outcomes and how the need exists to educate healthcare professionals on the practice of cultural competence. Here we present one successful approach for teaching cultural competence in the healthcare curriculum with the development of an educational session on cultural competence consisting of case-based, role-play exercises, class group discussions, online discussion boards, and a lecture PowerPoint presentation.
METHODS
METHODS
Cultural competence sessions were delivered in a pre-dental master's program to 178 students between 2017 and 2020. From 2017 to 2019, the sessions were implemented as in-person, case-based, role-play exercises. In 2020, due to in-person limitations caused by the COVID-19 pandemic, students were asked to read the role-play cases and provide a reflection response using the online Blackboard Learn discussion board platform. Evaluation of each session was performed using post-session survey data.
RESULTS
RESULTS
Self-reported results from 2017 to 2020 revealed that the role-play exercises improved participant's understanding of components of cultural competence such as communication in patient encounters (95%), building rapport with patients (94%), improving patient interview skills (95%), and recognition of students own cultural biases when working with patients (93%).
CONCLUSIONS
CONCLUSIONS
Students were able to expand their cultural awareness and humility after completion of both iterations of the course session from 2017 to 2019 and 2020. This session can be an effective method for training healthcare professionals on cultural competence.
Identifiants
pubmed: 38773591
doi: 10.1186/s12909-024-05507-x
pii: 10.1186/s12909-024-05507-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
553Informations de copyright
© 2024. The Author(s).
Références
Albino JEN, Inglehart MR, Tedesco LA. Dental education and changing oral health care needs: disparities and demands. J Dent Educ. 2012;76(1):75–88.
doi: 10.1002/j.0022-0337.2012.76.1.tb05236.x
Constantinou CS, Papageorgiou A, Samoutis G, McCrorie P. Acquire, apply, and activate knowledge: a pyramid model for teaching and integrating cultural competence in medical curricula. Patient Educ Couns. 2018;101(6):1147–51.
doi: 10.1016/j.pec.2017.12.016
DallaPiazza M, Padilla-Register M, Dwarakanath M, Obamedo E, Hill J, Soto-Greene ML. Exploring racism and health: an intensive interactive session for medical students. MedEdPORTAL. 2018;14:10783.
doi: 10.15766/mep_2374-8265.10783
Forsyth CJ, Irving MJ, Tennant M, Short SD, Gilroy JA. Teaching Cultural competence in Dental Education: a systematic review and exploration of implications for indigenous populations in Australia. J Dent Educ. 2017;81(8):956–68.
doi: 10.21815/JDE.017.049
Betancourt JR. Cultural competence and medical education: many names, many perspectives, one goal. Acad Med. 2006;81(6):499–501.
doi: 10.1097/01.ACM.0000225211.77088.cb
Jernigan VBB, Hearod JB, Tran K, Norris KC, Buchwald D. An examination of cultural competence training in US medical education guided by the tool for assessing cultural competence training. J Health Disparities Res Pract. 2016;9(3):150–67.
Behar-Horenstein LS, Warren RC, Dodd VJ, Catalanotto FA. Addressing oral Health disparities Via Educational Foci on Cultural competence. Am J Public Health. 2017;107(S1):S18–23.
doi: 10.2105/AJPH.2017.303721
Lie D, Boker J, Cleveland E. Using the tool for assessing cultural competence training (TACCT) to measure faculty and medical student perceptions of cultural competence instruction in the first three years of the curriculum. Acad Med. 2006;81(6):557–64.
doi: 10.1097/01.ACM.0000225219.53325.52
Holyfield LJ, Miller BH. A tool for assessing cultural competence training in dental education. J Dent Educ. 2013;77(8):990–7.
doi: 10.1002/j.0022-0337.2013.77.8.tb05567.x
Vasquez Guzman CE, Sussman AL, Kano M, Getrich CM, Williams RL. A comparative case study analysis of cultural competence training at 15 U.S. medical schools. Acad Med. 2021;96(6):894–9.
doi: 10.1097/ACM.0000000000004015
Jernigan VB, Hearod JB, Tran K, Norris KC, Buchwald D. An examination of cultural competence training in US medical education guided by the tool for assessing cultural competence training. J Health Dispar Res Pract. 2016;9(3):150–67.
Kripalani S, Bussey-Jones J, Katz MG, Genao I. A prescription for cultural competence in medical education. J Gen Intern Med. 2006;21(10):1116–20.
doi: 10.1111/j.1525-1497.2006.00557.x
Mariño R, Satur J, Tuncer E, Tran M, Milford E, Tran VMTH, Tran PQ, Tsai RP. Cultural competence of Australian dental students. BMC Med Educ. 2021;21(1):155.
doi: 10.1186/s12909-021-02589-9
Beagan BL. Teaching social and cultural awareness to medical students: it’s all very nice to talk about it in theory, but ultimately it makes no difference. Acad Med. 2003;78(6):605–14.
doi: 10.1097/00001888-200306000-00011
Ferrebee S, Boston University School of Medicine Master’s Thesis. (2021). Effectively Teaching Cultural Competence in Healthcare Education. Available at Boston University Libraries: Open BU: https://open.bu.edu/handle/2144/43838 .
Crosson JC, Deng W, Brazeau C, Boyd L, Soto-Greene M. Evaluating the effect of cultural competency training on medical student attitudes. Fam Med. 2004;36(3):199–203.
Cathryn F, Michelle I, Short S, Tennant M, Gilroy J. Strengthening indigenous cultural competence in dentistry and oral health education: academic perspectives. Eur J Dent Educ. 2019;23(1). https://doi.org/10.1111/eje.12398
DasGupta S, Meyer D, Calero-Breckheimer A, Costley AW, Guillen S. Teaching cultural competency through narrative medicine: intersections of classroom and community. Teach Learn Med. 2006;18(1):14–7.
doi: 10.1207/s15328015tlm1801_4
Woldt JL, Nenad MW. Reflective writing in dental education to improve critical thinking and learning: A systematic review. J Dent Educ. 2021;85(6):778–785. https://doi.org/10.1002/jdd.12561 . Epub 2021 Feb 11. PMID: 33576055.