Melamed Esther, Wyatt Lacey E, Padilla Tony, Ferry Robert J
Medical Scientist Training Program, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Fam Med. 2008 Nov-Dec;40(10):726-33.
The diverse US population requires medical cultural competency education for health providers throughout their pre-professional and professional years. We present a curriculum to train pre-health professional undergraduates by combining classroom education in the humanities and cross-cultural communication skills with volunteer clinical experiences at the University of California, Los Angeles (UCLA) hospital.
The course was open to a maximum of 15 UCLA junior and senior undergraduate students with a pre-health or humanities major and was held in the spring quarters of 2002--2004. The change in students' knowledge of cultural competency was evaluated using the Provider's Guide to Quality and Culture Quiz (QCQ) and through students' written assignments and evaluations.
Trainees displayed a statistically significant improvement in scores on the QCQ. Participants' written assignments and subjective evaluations confirmed an improvement in awareness and a high motivation to continue learning at the graduate level.
This is the first evaluated undergraduate curriculum that integrates interdisciplinary cultural competency training with patient volunteering in the medical field. The didactic, volunteering, and writing components of the course comprise a broadly applicable tool for training future health care providers at other institutions.
多元化的美国人口要求医疗服务提供者在其专业学习前及专业学习期间接受医学文化能力教育。我们推出了一门课程,通过将人文课堂教育与跨文化沟通技巧相结合,并让学生在加州大学洛杉矶分校(UCLA)医院进行志愿临床实习,来培训健康专业预科本科生。
该课程面向最多15名UCLA大学三、四年级的健康专业预科或人文专业本科生开放,于2002年至2004年春季学期开课。使用《质量与文化指南提供者测验》(QCQ)以及学生的书面作业和评估来评估学生文化能力知识的变化。
学员在QCQ上的得分有统计学意义的显著提高。参与者的书面作业和主观评估证实了他们在意识方面有所提高,并且有在研究生阶段继续学习的强烈动机。
这是首个经过评估的本科课程,将跨学科文化能力培训与医疗领域的患者志愿活动相结合。该课程的教学、志愿活动和写作部分构成了一个可广泛应用的工具,用于培训其他机构未来的医疗服务提供者。