Graduate Medical Sciences, Boston University Chobanian & Avedisian School of Medicine, 72 East Concord Street, L317, R-1017, Boston, MA, 02118, USA.
Department of Medical Sciences & Education, Boston University Chobanian & Avedisian School of Medicine, 72 East Concord Street, Boston, MA, 02118, USA.
BMC Med Educ. 2024 May 21;24(1):553. doi: 10.1186/s12909-024-05507-x.
There has been research documenting the rising numbers of racial and ethnic minority groups in the United States. With this rise, there is increasing concern over the health disparities that often affect these populations. Attention has turned to how clinicians can improve health outcomes and how the need exists to educate healthcare professionals on the practice of cultural competence. Here we present one successful approach for teaching cultural competence in the healthcare curriculum with the development of an educational session on cultural competence consisting of case-based, role-play exercises, class group discussions, online discussion boards, and a lecture PowerPoint presentation.
Cultural competence sessions were delivered in a pre-dental master's program to 178 students between 2017 and 2020. From 2017 to 2019, the sessions were implemented as in-person, case-based, role-play exercises. In 2020, due to in-person limitations caused by the COVID-19 pandemic, students were asked to read the role-play cases and provide a reflection response using the online Blackboard Learn discussion board platform. Evaluation of each session was performed using post-session survey data.
Self-reported results from 2017 to 2020 revealed that the role-play exercises improved participant's understanding of components of cultural competence such as communication in patient encounters (95%), building rapport with patients (94%), improving patient interview skills (95%), and recognition of students own cultural biases when working with patients (93%).
Students were able to expand their cultural awareness and humility after completion of both iterations of the course session from 2017 to 2019 and 2020. This session can be an effective method for training healthcare professionals on cultural competence.
有研究记录了美国种族和少数民族数量的增加。随着这一增长,人们越来越关注经常影响这些人群的健康差距。人们关注的焦点是临床医生如何改善健康结果,以及如何需要教育医疗保健专业人员文化能力的实践。在这里,我们提出了一种在医疗保健课程中教授文化能力的成功方法,方法是开发一个关于文化能力的教育课程,其中包括基于案例的角色扮演练习、班级小组讨论、在线讨论板和一个讲座的 PowerPoint 演示文稿。
文化能力课程于 2017 年至 2020 年期间在一个预牙硕士课程中向 178 名学生提供。在 2017 年至 2019 年期间,课程采用了基于案例的现场角色扮演练习。2020 年,由于 COVID-19 大流行造成的现场限制,要求学生阅读角色扮演案例,并使用在线 Blackboard Learn 讨论板平台提供反思性回应。使用课程结束后的调查数据对每个课程进行评估。
2017 年至 2020 年的自我报告结果表明,角色扮演练习提高了参与者对文化能力组成部分的理解,例如患者就诊中的沟通(95%)、与患者建立融洽关系(94%)、提高患者访谈技巧(95%),以及在与患者合作时识别学生自己的文化偏见(93%)。
在 2017 年至 2019 年和 2020 年完成课程的两个迭代后,学生能够扩大他们的文化意识和谦逊。本课程可以是培训医疗保健专业人员文化能力的有效方法。