A Longitudinal CRASH-Course in Cultural Competence

文化能力纵向速成课程

• 批准号: 6863840
• 负责人: George S Rust
• 金额: $ 12.53万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6863840
• 关键词: African American; Internet; behavioral /social science research tag; clinical research; community; culture; curriculum; education evaluation /planning; educational resource design /development; focus groups; health care personnel education; health care personnel performance; health care quality; health care service evaluation; health disparity; health science research potential; health services research tag; human subject; information dissemination; longitudinal human study; migrant; patient care personnel relations; questionnaires; racial /ethnic difference; training

DESCRIPTION (provided by applicant): The purpose of this proposed work is to develop curricula and training programs to enhance the cultural competence of clinicians from early medical school, through residency, and into diverse practice settings. This work builds on the investigator's experience in developing the CRASH-course in cultural competency, which has been used across the U.S. to train health professionals and medical administrators. CRASH is a mnemonic that stands for Culture, Respect, Assessment / Affirmation, Sensitivity / Self-Awareness, and Humility. Specific Aims include the following: 1. To learn from "the real experts", i.e., the community, patients, and their families, by conducting surveys and focus groups to identify specific deficits in cultural competency that they have encountered in their interactions with physicians and other health care professionals. This input will be supplemented with input from a diverse group of national experts. 2. To create a longitudinal series of enhancements to the medical education program from the first year of medical school through residency to lifelong practice in diverse communities to help trainees to become culturally competent in a diverse range of multi-cultural practice settings. 3. To create a balanced curriculum to achieve change in knowledge, attitudes, skills, and behaviors. The three dimensions of our curriculum are the classroom (didactics, discussions, and case studies), the clinical skills lab (cultural OSCE's and standardized patient encounters), and diverse clinical training sites. 4. To become the nation's leading resource for cultural competency training materials and programs related to the African-American community, and to black-white "racial competence". 5. To build assessment and evaluation tools into every component of the curriculum, both to create validated instruments for measuring cultural competence, as well as to evaluate the effectiveness of our training interventions. 6. To disseminate these programs, training tools, and resources widely through presentations, workshops, peer-reviewed publication, and web-based products such as archived training tools, web-based tutorials, etc.

描述(由申请人提供)： 这项拟议工作的目的是制定课程和培训计划，以提高临床医生从早期医学院到住院医生的文化能力，并进入不同的执业环境。这项工作建立在研究人员开发文化能力速成课程的经验基础上，该课程已在美国各地用于培训卫生专业人员和医疗管理人员。Crash是一个助记符，代表文化、尊重、评估/肯定、敏感/自我意识和谦逊。具体目标包括： 1.向“真正的专家”，即社区、患者及其家人学习，开展调查和重点小组，以查明他们在与医生和其他保健专业人员互动时在文化能力方面遇到的具体缺陷。这一投入将得到来自不同国家专家组的投入的补充。 2.为医学教育方案创建一系列纵向强化，从医学院第一年到住院医生，再到在不同社区的终身实习，以帮助受训者在不同的多元文化实习环境中具备文化能力。 3.创建一个平衡的课程，实现知识、态度、技能和行为的改变。我们课程的三个维度是课堂(教学、讨论和案例研究)、临床技能实验室(欧安组织的文化和标准化的患者会面)和多样化的临床培训地点。 4.成为美国文化能力培训材料和项目的主要资源，这些材料和项目与非裔美国人社区和黑人-白人的“种族能力”有关。 5.将评估和评价工具纳入课程的每一个组成部分，以创建衡量文化能力的有效工具，并评估我们的培训干预措施的有效性。 6.通过演讲、研讨会、同行评议出版物和基于网络的产品，如存档的培训工具、基于网络的教程等，广泛传播这些方案、培训工具和资源。