Paetow Glenn, Scott Nate, Panning Ali, Hopkins Jared, Aden Muhiyadin, Hart Danielle
Emergency Medicine Hennepin Healthcare Minneapolis Minnesota USA.
Interpreter Services Hennepin Healthcare Minneapolis Minnesota USA.
AEM Educ Train. 2023 Jan 27;7(1):e10844. doi: 10.1002/aet2.10844. eCollection 2023 Feb.
Teaching cultural humility is required by the Accreditation Council for Graduate Medical Education and can improve patient satisfaction and health care outcomes. Because one-third of the 150,000 Somali immigrants and refugees in the United States live in Minnesota, we aimed to determine whether a brief cultural immersion experience, where small groups of residents share a meal with Somali interpreters at a Somali restaurant, would affect resident knowledge, attitudes, and behaviors when caring for Somali patients in a Minnesota emergency department.
From October 2017 to September 2018, emergency medicine residents were invited to dinners held outside of regular clinical/academic hours. Dinners took place at a Somali restaurant and were facilitated by a Somali interpreter and a faculty physician. While they were designed as learner-driven sessions, facilitators were encouraged to discuss specific themes. In addition to an evaluation survey, participants underwent semistructured interviews after the experiences, and a qualitative analysis of derived themes is reported.
Six dinners were hosted for a total of 20 residents, with 17 (85%) completing the evaluation survey and interview. Residents strongly agreed that this experience was worth their time and would recommend the program. Residents reported an increase in their knowledge of Somali culture, health care paradigms, and diet. Behavioral changes were described, including how residents greet patients, tailor clinical visits to patient expectations, and use interpreters as cultural brokers. Attitudinal changes were reported to a lesser degree but included an increased acceptance of cultural differences and an increased sense of connectedness to this population. Finally, residents reported that the benefits of this program were due to the authenticity of the experience, the informal small-group setting, and their sense of being in the minority during the dinners.
A brief immersion experience at a Somali restaurant was sufficient to result in increased knowledge, attitudinal, and behavioral changes when caring for Somali patients.
研究生医学教育认证委员会要求开展文化谦逊教学，这有助于提高患者满意度和医疗保健效果。美国15万索马里移民和难民中有三分之一居住在明尼苏达州，我们旨在确定一种简短的文化沉浸式体验（即一小群住院医师在索马里餐厅与索马里口译员共进晚餐）是否会影响明尼苏达州急诊科住院医师在照顾索马里患者时的知识、态度和行为。
2017年10月至2018年9月，邀请急诊医学住院医师参加非正规临床/学术时间举办的晚宴。晚宴在一家索马里餐厅举行，由一名索马里口译员和一名指导医师协助。虽然这些晚宴是由学习者主导的，但鼓励协助者讨论特定主题。除了一份评估调查问卷外，参与者在体验结束后还接受了半结构化访谈，并报告了对衍生主题的定性分析结果。
共举办了六次晚宴，共有20名住院医师参加，其中17名（85%）完成了评估调查和访谈。住院医师强烈认为这次体验值得他们花费时间，并会推荐该项目。住院医师报告说，他们对索马里文化、医疗保健模式和饮食的了解有所增加。他们描述了行为上的变化，包括住院医师如何问候患者、根据患者期望调整临床问诊以及将口译员作为文化中介使用。态度上的变化报告较少，但包括对文化差异的接受度增加以及与这一群体的联系感增强。最后，住院医师报告说，该项目的益处得益于体验的真实性、非正式的小组环境以及他们在晚宴期间作为少数群体的感受。
在索马里餐厅的一次简短沉浸式体验足以使住院医师在照顾索马里患者时在知识、态度和行为上发生积极变化。
