Shields Helen M, Leffler Daniel A, Peters Antoinette S, Llerena-Quinn Roxana, Nambudiri Vinod E, White Augustus A, Hayward Jane N, Pelletier Stephen R
Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts;
Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts;
Adv Physiol Educ. 2015 Jun;39(2):81-90. doi: 10.1152/advan.00107.2014.
A specific faculty development program for tutors to teach cross-cultural care in a preclinical gastrointestinal pathophysiology course with weekly longitudinal followup sessions was designed in 2007 and conducted in the same manner over a 6-yr period. Anonymous student evaluations of how "frequently" the course and the tutor were actively teaching cross-cultural care were performed. The statements "This tutor actively teaches culturally competent care" and "Issues of culture and ethnicity were addressed" were significantly improved over baseline 2004 data. These increases were sustained over the 6-yr period. A tutor's overall rating as a teacher was moderately correlated with his/her "frequently" actively teaching cross-cultural care (r = 0.385, P < 0. 001). Course evaluation scores were excellent and put the course into the group of preclinical courses with the top ratings. Students in the Race in Curriculum Group asked that the program be expanded to other preclinical courses. In conclusion, from 2007 to 2012, a faculty development program for teaching cross-cultural care consistently increased the discussion of cross-cultural care in the tutorial and course over each year beginning with 2007 compared with the baseline year of 2004. Our data suggest that cross-cultural care can be effectively integrated into pathophysiology tutorials and helps improve students' satisfaction and tutors' ratings. Teaching cross-cultural care in a pathophysiology tutorial did not detract from the course's overall evaluations, which remained in the top group over the 6-yr period.
2007年设计了一项针对教师的特定能力发展计划,用于在临床前胃肠病理生理学课程中教授跨文化护理,并进行每周一次的纵向随访。对学生进行了匿名评估,以了解该课程和教师“频繁”积极教授跨文化护理的程度。与2004年的基线数据相比,“该教师积极教授具有文化胜任力的护理”和“涉及文化和种族问题”的评价有了显著改善。这些提升在6年期间一直保持。教师作为教师的总体评分与他/她“频繁”积极教授跨文化护理的程度呈中度相关(r = 0.385,P < 0.001)。课程评估分数优异,使该课程跻身临床前课程中评级最高的类别。课程中种族问题小组的学生要求将该计划扩展到其他临床前课程。总之,从2007年到2012年,与2004年的基线年份相比,一项教授跨文化护理的教师能力发展计划从2007年开始每年都持续增加了辅导课和课程中对跨文化护理的讨论。我们的数据表明,跨文化护理可以有效地融入病理生理学辅导课中,并有助于提高学生的满意度和教师的评分。在病理生理学辅导课中教授跨文化护理并没有影响课程的总体评估,该课程在6年期间一直处于顶级类别。