Mechanic Oren J, Dubosh Nicole M, Rosen Carlo L, Landry Alden M
Harvard Affiliated Emergency Medicine Residency, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
J Emerg Med. 2017 Sep;53(3):391-396. doi: 10.1016/j.jemermed.2017.04.019. Epub 2017 Jul 1.
The Emergency Department is widely regarded as the epicenter of medical care for diverse and largely disparate types of patients. Physicians must be aware of the cultural diversity of their patient population to appropriately address their medical needs. A better understanding of residency preparedness in cultural competency can lead to better training opportunities and patient care.
The objective of this study was to assess residency and faculty exposure to formal cultural competency programs and assess future needs for diversity education.
A short survey was sent to all 168 Accreditation Council for Graduate Medical Education program directors through the Council of Emergency Medicine Residency Directors listserv. The survey included drop-down options in addition to open-ended input. Descriptive and bivariate analyses were used to analyze data.
The response rate was 43.5% (73/168). Of the 68.5% (50/73) of residency programs that include cultural competency education, 90% (45/50) utilized structured didactics. Of these programs, 86.0% (43/50) included race and ethnicity education, whereas only 40.0% (20/50) included education on patients with limited English proficiency. Resident comfort with cultural competency was unmeasured by most programs (83.6%: 61/73). Of all respondents, 93.2% (68/73) were interested in a universal open-source cultural competency curriculum.
The majority of the programs in our sample have formal resident didactics on cultural competency. Some faculty members also receive cultural competency training. There are gaps, however, in types of cultural competency training, and many programs have expressed interest in a universal open-source tool to improve cultural competency for Emergency Medicine residents.
急诊科被广泛认为是各类不同且差异很大的患者接受医疗护理的中心。医生必须了解患者群体的文化多样性，以便恰当地满足他们的医疗需求。更好地理解住院医师在文化能力方面的准备情况，能够带来更好的培训机会和患者护理。
本研究的目的是评估住院医师和教员参与正式文化能力培训项目的情况，并评估未来多样性教育的需求。
通过急诊医学住院医师培训主任理事会的邮件列表，向所有168名研究生医学教育认证委员会项目主任发送了一份简短的调查问卷。该调查除了开放式输入外，还包括下拉选项。采用描述性和双变量分析来分析数据。
回复率为43.5%（73/168）。在纳入文化能力教育的68.5%（50/73）的住院医师培训项目中，90%（45/50）采用了结构化教学法。在这些项目中，86.0%（43/50）包括种族和族裔教育，而只有40.0%（20/50）包括对英语水平有限患者的教育。大多数项目（83.6%：61/73）未对住院医师在文化能力方面的舒适度进行评估。在所有受访者中，93.2%（68/73）对通用的开源文化能力课程感兴趣。
我们样本中的大多数项目都有针对住院医师的正式文化能力教学。一些教员也接受了文化能力培训。然而，文化能力培训的类型存在差距，许多项目表示有兴趣使用通用的开源工具来提高急诊医学住院医师的文化能力。
