Advancing Cultural Competency Education and Training

描述（由申请人提供）： 该项目的具体目标是设计，实施和评估一个全面的，针对心血管和肺部疾病的健康差异的医学生文化能力课程。该课程适用于成人学习，有效的跨文化交流和跨文化敏感性的理论，并将适应其他卫生专业的学习者。该课程教育学习者有关文化和环境因素影响不同群体的健康状况，其中心血管和肺部疾病的健康差异存在，并帮助学习者发展的态度，知识，行为和技能，以有效和高效地照顾这些人。学员将：1）认识到医学文化的特点，他们自己的信念，以及这些如何相互关联，2）认识到医疗保健系统中的偏见，以及这些偏见如何影响获得护理，3）描述健康信念，价值观，传统，实践和态度的发展及其对医疗保健和疾病发生的影响，4）确定服务不足和弱势群体的健康问题，并认识到这些问题如何影响健康，并导致差异，5）解释这些问题如何影响寻求健康的行为，对治疗或行为建议的依从性和反应，6）认识到与健康差异相关的文化概念以及它们如何影响医疗保健，7）认识到传统和替代疗法如何与文化健康信念模型互补/冲突，8）加强与文化多样性患者的沟通，并采用文化敏感的方法传达健康信息，以及9）确定妇女健康方面的差距和改善妇女健康的可能战略。教育方法包括要求阅读;讲座;小组;基于案例的讨论;研讨会;模拟;反思性写作;自我导向学习;社区项目;和临床轮换。评估方法包括使用标准化患者的态度和知识的前后评估以及观察技能评估。

DESCRIPTION (provided by applicant): The specific aim of this project is to design, implement, and evaluate a comprehensive, cultural competency curriculum for medical students targeting cardiovascular and pulmonary disease health disparities. The curriculum applies theories of adult learning, effective cross-cultural communication, and intercultural sensitivity and will be adapted for other health professions learners. The curriculum educates learners about cultural and environmental factors influencing the health status of diverse groups, for which cardiovascular and pulmonary disease health disparities exist, and to help learners develop the attitudes, knowledge, behaviors, and skills to effectively and efficiently care for those individuals. Learners will: 1) Recognize characteristics of the medical culture, their own beliefs, and how those interrelate, 2) Recognize biases in the health care system and how these influence access to care, 3) Describe development of health beliefs, values, traditions, practices, and attitudes and their implications for health care and disease occurrence, 4) Identify health issues of underserved and vulnerable populations and recognize how these affect health, and contribute to disparities, 5) Explain how these issues influence health seeking behavior, adherence and responses to treatment or behavioral recommendations, 6) Recognize cultural concepts related to health disparities and how they influence the health care encounter, 7) Recognize how traditional and alternative therapies complement/conflict with cultural health belief models, 8) Enhance communications with culturally diverse patients and convey health information using a culturally sensitive approach, and 9) Identify women's health disparities and the possible strategies for improving women's health. Educational methods include required reading; lectures; panels; case-based discussions; workshops; simulations; reflective writing; self directed learning; community projects; and clinical rotations. Evaluation methods include pre and post assessments of attitudes and knowledge, and observed skills assessments using standardized patients.