Binda Dhanesh D, Harris Angelique C, Tan Taralyn, Fischer Krisztina, Molina Rose L, Mehta Darshan
Master of Medical Sciences in Medical Education Program, Harvard Medical School, Boston, MA, USA.
Department of Anesthesiology, Montefiore Medical Center, Bronx, NY, USA.
Glob Adv Integr Med Health. 2024 Nov 28;13:27536130241305087. doi: 10.1177/27536130241305087. eCollection 2024 Jan-Dec.
While the Liaison Committee on Medical Education emphasizes the teaching of cultural competence in medical education, the concept of cultural humility, focusing on self-reflection and lifelong learning, has been proposed as a more effective approach. Although there have been numerous discussions on both topics, understanding how faculty in clinical settings help students develop cultural humility skills remains limited.
Our multimethod study utilized a survey and semi-structured interviews to identify strategies that faculty at one institution use to help students develop cultural humility skills.
We administered a 10-question survey to assess faculty demographics, teaching characteristics, and familiarity with cultural humility. Participants most familiar with cultural humility were invited for semi-structured interviews. Survey data were analyzed with descriptive statistics, and interview data were thematically analyzed to identify key teaching strategies.
In our study of 49 medical faculty members, the majority of participants were female (61%) and predominantly White (67%), covering a wide range of specialties and years of teaching. Of the participants, 74% expressed being at least somewhat familiar with cultural humility, and 10 consented to interviews. Strategies for cultural humility education included one-on-one instruction, feedback, and reflections. Thematic analysis underscored fostering learner curiosity about cultures, early patient exposure, and incorporating diverse learning perspectives as essential in developing students' cultural humility skills.
Cultural humility is an important attribute for healthcare professionals that can enhance patient-centered care. Through focused interviews with faculty in our study and subsequent thematic analysis, our results suggest the need for longitudinal and multimodal educational strategies to cultivate cultural humility among medical students. By understanding current teaching methods, educators can design and assess more effective curricula to prepare future doctors for a culturally diverse patient population.
虽然医学教育联络委员会强调在医学教育中培养文化能力,但有人提出,以自我反思和终身学习为重点的文化谦逊概念是一种更有效的方法。尽管对这两个主题都有很多讨论,但对于临床环境中的教师如何帮助学生培养文化谦逊技能的了解仍然有限。
我们的多方法研究采用调查和半结构化访谈来确定一所机构的教师用于帮助学生培养文化谦逊技能的策略。
我们进行了一项包含10个问题的调查,以评估教师的人口统计学特征、教学特点以及对文化谦逊的熟悉程度。邀请了最熟悉文化谦逊的参与者进行半结构化访谈。对调查数据进行描述性统计分析,对访谈数据进行主题分析以确定关键教学策略。
在我们对49名医学教师的研究中,大多数参与者为女性(61%),主要是白人(67%),涵盖广泛的专业领域和教学年限。在参与者中,74%表示至少对文化谦逊有所了解,10人同意接受访谈。文化谦逊教育的策略包括一对一指导、反馈和反思。主题分析强调,培养学习者对不同文化的好奇心、让学生尽早接触患者以及纳入多样化的学习视角对于培养学生的文化谦逊技能至关重要。
文化谦逊是医疗保健专业人员的一项重要特质,可增强以患者为中心的护理。通过在我们的研究中对教师进行重点访谈并随后进行主题分析,我们的结果表明需要采用纵向和多模式教育策略来培养医学生的文化谦逊。通过了解当前的教学方法,教育工作者可以设计和评估更有效的课程,为未来的医生应对文化多样的患者群体做好准备。