MacNamara Marina, Wilhelm April, Dy Geolani, Andiman Sarah, Landau Carol, Poshkus Michael, Feller Edward
J Grad Med Educ. 2014 Jun;6(2):310-4. doi: 10.4300/JGME-D-13-00170.1.
Residents report they lack preparation for caring for an increasingly diverse US population. In response, a variety of curricula have been developed to integrate cultural competency into medical training programs. To date, none of these curricula has specifically addressed members of recently resettled populations.
A preliminary assessment was conducted among internal medicine (IM) residents at 1 program (N = 147). Based on 2 conceptual frameworks and the survey results, a pilot curriculum was developed and integrated into the interns' ambulatory block education within the general IM track (n = 9). It included (1) online information made available to all hospital staff; (2) 4 interactive didactic sessions; and (3) increased exposure to newly arrived patients. The curriculum was qualitatively evaluated through 2 focus groups.
The preliminary assessment was completed by 101 of 147 residents (69%), with 61% of respondents indicating they felt that they received less than adequate education in this area. Eight of the 9 interns exposed to the new curriculum participated in the focus groups. Overall, respondents reported they thought patient care had improved for recently resettled populations and across their patient panels after exposure to the curriculum.
This study demonstrated that an intervention that included didactics and enhanced exposure to a diverse population improved IM interns' perceptions of care for all patients, including recently settled individuals.
住院医师表示，他们在照顾日益多样化的美国人群体方面缺乏准备。作为回应，人们开发了各种课程，将文化能力纳入医学培训项目。迄今为止，这些课程都没有专门针对新安置人群的成员。
在一个项目的内科住院医师（N = 147）中进行了初步评估。基于两个概念框架和调查结果，开发了一个试点课程，并将其纳入普通内科实习医生的门诊教育模块（n = 9）。它包括：（1）向所有医院工作人员提供在线信息；（2）4次互动式教学课程；（3）增加接触新入院患者的机会。通过2个焦点小组对该课程进行了定性评估。
147名住院医师中有101名（69%）完成了初步评估，61%的受访者表示他们觉得自己在该领域接受的教育不足。9名接触新课程的实习医生中有8名参加了焦点小组。总体而言，受访者表示，他们认为在接触该课程后，对新安置人群以及他们所有患者的护理都有所改善。
本研究表明，一项包括教学和增加接触多样化人群的干预措施，改善了内科实习医生对所有患者（包括新安置患者）护理的认知。
