Cultural competence in medical education

Henn, P. (2010) Cultural competence in medical education. In: Medical Education: The State of the Art. Nova Science Publishers, Inc., pp. 121-129. ISBN 9781608761944 (ISBN)

Full text not available from this resource.
Official URL: http://www.scopus.com/inward/record.url?eid=2-s2.0...

Abstract

Graduates of medical schools are required to provide health care for communities that are increasingly diverse with respect to cultural, ethnic, religious and racial backgrounds. The demographic transition model suggests that the world will see increasing migration for economic reasons from the developing world to the developed world with a consequential increase in cultural, ethnic, religious and racial diversity. Inequalities in the delivery of health care to minorities have been well documented. The Institute of Medicine identified cultural competence training of health professionals as a potential means to improve quality of care and reduce health disparities between ethnic minorities and the majority population. Graduates in the medical profession will therefore need to have the knowledge, skills and attitudes with respect to cultural competence to help meet these challenges. Key themes and components of cultural competence need to be developed and incorporated into the curriculum of medical education. To date this strategy shows promise at improving the knowledge, attitudes and skills of health professionals. However, evidence that it improves patient adherence to therapy, health outcomes, and equity of service across racial and ethnic groups is lacking. Many studies lack methodological rigour and this limits the evidence for the impact of cultural competence training on improving health care for minorities. Further research is needed and more attention paid to the design, evaluation and reporting of cultural competency training programmes. © 2010 Nova Science Publishers, Inc. All rights reserved.

Item Type: Book Section
Additional Information: Export Date: 23 February 2015; Correspondence Address: Henn, P.; School of Medicine, University College CorkIreland; References: Global shift in population. Population matters policy brief (2004), RAND, [Online], [cited 2009 Feb 11]McCarthy, K.F., RAND Documented Briefing: World Population Shifts: Boom or Doom? (2001), [Online], [cited 2009 Feb 11]Principal Demographic Results (2006), Census, [Online]. 2006 [cited 2009 Feb 11]; [4 screens]Ethnicity and Health (2007), Parliamentary Office of Science and Technology, [Online], [cited 2009 Feb 11]; [4 screens]Wan, H., Hobbs, F., Minority Population Growth: 1995 to 2050 The emerging minority marketplace (1999), Washington, (DC): U.S. Department of Commerce, Minority Business Development AgencySmith, S., Gonzales, V., All health plans need culturally and linguistically appropriate materials (2000) Healthplan, 41, pp. 45-48; Smedley, B.D., Stith, A.Y., Nelson, A.R., Unequal treatment: confronting racial and ethnic disparities in health care (2003), Washington, (DC): National Academics PressHealthy People 2001: final review (2001), Centre for Disease Control and Prevention, Online, cited 2009 Feb 11Ward, P.R., Sylvesr, R., Sharma, P., Are GP practices prescribing for coronary heart disease drugs equitable? A cross sectional analysis in four primary care trusts in England (2004) J of Epidemiol Community Health, 58, pp. 89-96; Bourke, J., Sylvester, R., Sharma, P., Ethnic variations in the management of patients with acute stroke (2006) Postgrad Med J, 82, pp. 13-15; Neal, R.D., Algar, V.L., Sociodemographic factors and delays in the diagnosis of six cancers: analysis of data from the =National Survey of NHS Patients: Cancer (2005) Br J Cancer, 92, pp. 1971-1975; Rowe, R.E., Garcia, J., Davidson, L.L., Social and ethnic inequalities in the offer and uptake of prenatal screening and diagnosis in the UK: a systematic review (2004) Public Health, 118, pp. 177-189; McKenzie, K., Bhui, K., Institutional racism in mental health care (2007) BMJ, 334, pp. 649-650; Key Facts Race, Ethnicity and Medical Care (2007), Kaiser Foundation, [Online], [cited 2009 Feb 11]Pierce, M., Minority ethnic people with disabilities in Ireland: Situation identity and experience (2003), Dublin: The Equality AuthorityKleinman, A., Esinberg, L., Good, B., Culture, illness, and care: clinical lessons from anthropologic and cross cultural research (1978) Ann Intern Med., 88, pp. 251-259; Hardwood, A., Ethnicity and Medical Care (1981), Cambridge (MA): Harvard University PressFadiman, A., The spirit catches you and you fall down. a Hmong child, her American doctors, and the collision of two cultures (1997), New York: Farrar, Straus and GirouxTervalon, M.R., Murray-Garcia, J., Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education (1998) J Health Care for the Poor and Undeserved, 9 (2), pp. 117-125; What is cultural competency? (2005), The Office of Minority Health, [Online], [cited 2009 Feb 11];[2 screens]Cross, T.L., Bazron, B.J., Dennis, K.W., Issacs, M.R., Towards a culturally competent system of care: A monograph of effective services for minority children who are severely emotionally disturbed (1989), Washington (DC): National Technical Assistance Center for Children's Mental Health, Georgetown University Child Development CenterSmedly, B.D., Stith, A.Y., Melson, A.R., Institute of Medicine: Unequal Treatment: Confronting Racial and Ethnic Disparities in health Care (2003), Washington (DC): National Academies PressTervalon, M., Components of culture in health for medical students' education (2003) Acad Med, 78 (6), pp. 570-576; Kawag-Singer, M., Kassim-Lakha, S., A strategy to reduce cross- cultural miscommunication and increase the likelihood of improving health outcomes (2003) Acad Med, 78 (6), pp. 577-587; Gregg, J., Saha, S., Losing culture on the way to competence: The use and misuse of culture in medical education (2006) Acad Med, 81 (6), pp. 542-546; Eiser, A.R., Elis, G., Cultural competence and the African American experience with health care: The case for specific content in cross cultural education (2007) Acad Med, 82 (2), pp. 176-182; Barnet, S., Communication with deaf and hard of hearing people: A guide for medical education (2002) Acad Med, 77 (7), pp. 694-700; Eddey, G.E., Robey, K.L., Considering the culture of disability in cultural competence education (2005) Acad Med, 80 (7), pp. 706-712; Betancourt, J.R., Cross-cultural medical education: conceptual approaches and frameworks for evaluation (2003) Acad Med, 78 (6), pp. 560-569; Azad, N., Power, B., Dollin, J., Chery, S., Cultural sensitivity training in Canadian medical schools (2002) Acad Med, 77 (3), pp. 222-228; Kai, J., Bridgewater, R., Spencer, J., Just think of TB and Asians", that's all I ever hear': medical learners' views about training to work in an ethnically diverse society (2001) Med Ed, 35, pp. 250-256; Beagan, B.L., Teaching social and cultural awareness to medical students: -it's nice to talk about it in theory, but ultimately it makes no difference? (2003) Acad Med, 78 (6), pp. 605-614; Lempp, H., Seale, C., Medical students' perceptions in relation to ethnicity and gender: a qualitative study (2006), BMC Medical Education [Online], [cited 2009 Feb 11];[6 screens]Shapiro, J., Lee, D., Gutierrez, D., Zhuang, G., That never would have occurred to me": a qualitative study of medical students' views of a cultural competence curriculum (2006), BMC Medical Education [Online], [cited 2009 Feb 11];[6 screens]Wear, D., Kuczewski, M., Medical students' perceptions of the poor: what impact can medical education have? (2008) Acad Med, 83 (7), pp. 639-645; Beach, M.C., Price, E.G., Gary, T.L., Robinsson, K.A., Gozu, A., Palacio, A., Cultural competence: a systematic review of health care provider educational interventions (2005) Med Care, 43 (4), pp. 353-373. , Apr; Price, E.G., Beach, M.C., Tiffany, L.G., Robinson, K.A., Gozu, A., Palacio, A., A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals (2005) Acad Med, 80 (6), pp. 578-586
Depositing User: Colin Lowry
Last Modified: 27 Nov 2015 09:51
URI: http://eprints.teachingandlearning.ie/id/eprint/2478

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year