Refugees and Medical Student Training: Results of a Programme in Primary Care

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 was administered at the beginning and end of the academic year to measure the  cultural  awareness of participating medical students. Over the 3 years of the programme, over 133 students participated and 95 (73%) completed pre- and post-programme surveys. Participants rated themselves significantly higher in all 3 domains of the  cultural  awareness survey after completion of the programme. An important issue to consider is the power differential between those working in medicine and patients who are  refugees. To avoid reinforcing stereotypes, medical programmes and medical school curricula can incorporate efforts to promote reflection on provider attitudes, beliefs and biases.