A Longitudinal CRASH-Course in Cultural Competence

文化能力纵向速成课程

• 批准号: 7119218
• 负责人: KOFI A KONDWANI
• 金额: $ 12.57万
• 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 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7119218
• 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）： 这项拟议的工作的目的是制定课程和培训计划，以增强早期医学院，居住和各种实践环境的临床医生的文化能力。这项工作是基于调查人员在发展文化能力方面的崩溃过程中的经验，该崩溃能力已在美国培训卫生专业人员和医疗管理人员。崩溃是一个代表文化，尊重，评估 /肯定，灵敏度 /自我意识和谦卑的助记符。具体目的包括以下内容： 1。从“真正的专家”（即社区，患者及其家人）中学习调查和焦点小组，以确定他们与医生和其他医疗保健专业人员互动时遇到的文化能力的特定缺陷。 该意见将补充来自各种国家专家的投入。 2。为了为医学教育计划创建一系列纵向增强，从医学院的第一年到居住到各种社区的终身实践，以帮助受训者在各种多元文化实践环境中具有文化能力。 3。创建一个平衡的课程，以实现知识，态度，技能和行为的变化。 我们课程的三个维度是课堂（教义，讨论和案例研究），临床技能实验室（文化欧安组织和标准化的患者遇到）以及各种临床培训地点。 4。成为与非裔美国人社区有关的文化能力培训材料和计划的领先资源，以及黑白“种族能力”。 5。为了在课程的每个组成部分中构建评估和评估工具，都可以创建经过验证的工具来衡量文化能力，并评估我们的培训干预措施的有效性。 6。通过演示，讲习班，经过同行评审的出版物以及基于网络的产品，例如存档培训工具，基于Web的教程等，可以广泛传播这些程序，培训工具和资源。