Evidence Summary: Cultural Competence

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Medical residents report they lack preparation for caring for an increasingly diverse US population. In response, a variety of curricula have been developed to integrate cultural competency into medical training programs. To date, none of these curricula has specifically addressed members of recently resettled populations. A preliminary assessment was conducted among internal medicine (IM) residents […]

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Healthcare organisations serve clients from diverse Indigenous and other ethnic and racial groups on a daily basis, and require appropriate client-centered systems and services for provision of optimal healthcare. Despite advocacy for systems-level approaches to cultural competence, the primary focus in the literature remains on competency strategies aimed at health promotion initiatives, workforce development, and […]

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Limited resources are available to educate health professionals on cultural considerations and specific healthcare needs of Burmese refugees. The objective of this study was to determine the effectiveness of a module focused on cross-cultural considerations when caring for Burmese refugees. A brief educational module using anonymously tracked pre- and post-intervention, self-administered surveys was developed and […]

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Virtual patients (VPs) are now widely accepted as efficient and safe training tools in medical education, but very little is known about their implementation in psychiatry, especially in transcultural clinical care of traumatized refugee patients. This study aimed at assessing the impact of training with a virtual patient on confidence in providing clinical care for […]

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The education of physical therapists must prepare them for autonomous practice providing culturally appropriate care. Models are available to guide curricular changes for cultural competence but little is available on methods to assess the outcomes. This article describes two methods to measure outcomes of cultural competence instruction in physical therapy education. These methods are the […]

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Cultural competency is a recognized and popular approach to improving the provision of health care to racial/ethnic minority groups in the community with the aim of reducing racial/ethnic health disparities. The aim of this systematic review of reviews is to gather and synthesize existing reviews of studies in the field to form a comprehensive understanding […]

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Medical schools have responded to the increasing diversity of the population of the USA by incorporating  cultural  competency  training  into their curricula. This paper presents results from pre- and post-programme surveys of medical students who participated in a  training  programme that included evening clinical sessions for  refugee  patients and related educational workshops. A self-assessment survey […]

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This paper presents findings from a qualitative investigation of cultural awareness that medical students developed in the context of providing medical care to refugees. The evaluation question was: What kinds of cultural awareness and communication lessons do medical students derive from clinical encounters with refugee patients? Thirty-eight semi-structured interviews were conducted to debrief a sample […]

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This  review  assessed the effects of cultural competence  education  for health professionals. Five studies were included involving 337 health professionals (including general practitioners, primary care teams, and counsellors) and 8400 patients. Three studies were conducted in the USA, one in Canada and one in The Netherlands. At least 3000 patients were from culturally and linguistically […]

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Cultural competency training has been proposed as a way to improve patient outcomes. There is a need for evidence showing that these interventions reduce health disparities. The authors conducted a systematic review addressing the effects of cultural competency training on patient-centered outcomes; assess quality of studies and strength of effect; and propose a framework for […]