Watt Kelly, Abbott Penny, Reath Jenny
School of Medicine, Campbelltown Campus Building 30, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia.
Aust J Prim Health. 2016;22(4):349-353. doi: 10.1071/PY14165.
An equitable multicultural society requires general practitioners (GPs) to be proficient in providing health care to patients from diverse backgrounds. GPs are required to have a certain attitudes, knowledge and skills known as cultural competence. Given its importance to registrar training, the aim of this study was to explore ways in which GP registrars are currently developing cultural competence. This study employed a survey design for GP registrars in Western Sydney. Training approaches to cultural competence that are relevant to the Australian General Practice setting include exposure to diversity, attitudes, knowledge and skills development. The 43 GP registrar respondents in Western Sydney are exposed to a culturally diverse patient load during training. Registrars report a variety of teachings related to cross-cultural training, but there is little consistency, with the most common approach entailing listening to patients' personal stories. Exposure to cultural diversity appears to be an important way in which cultural competency is developed. However, guidance and facilitation of skills development throughout this exposure is required and currently may occur opportunistically rather than consistently.
一个公平的多元文化社会要求全科医生（GPs）精通为来自不同背景的患者提供医疗服务。全科医生需要具备一种被称为文化能力的特定态度、知识和技能。鉴于其对住院医师培训的重要性，本研究的目的是探索全科医生住院医师目前培养文化能力的方式。本研究采用了针对悉尼西部全科医生住院医师的调查设计。与澳大利亚全科医疗环境相关的文化能力培训方法包括接触多样性、态度、知识和技能发展。悉尼西部的43名全科医生住院医师受访者在培训期间接触到文化背景多样的患者群体。住院医师报告了各种与跨文化培训相关的教学内容，但缺乏一致性，最常见的方法是倾听患者的个人故事。接触文化多样性似乎是培养文化能力的重要途径。然而，在整个接触过程中需要对技能发展进行指导和促进，目前这种指导和促进可能是机会性的，而不是持续进行的。
