Primary care resident perceived preparedness to deliver cross-cultural care: An examination of training and specialty differences

Journal of General Internal Medicine

Volumn 22, Issue 8, 2007, Pages 1107-1113

  Greer, Joseph A ^a   Park, Elyse R ^a   Green, Alexander R ^a   Betancourt, Joseph R ^a   Weissman, Joel S ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Cross cultural care; Medical education; Primary care

Indexed keywords

ARTICLE; CONTROLLED STUDY; FAMILY MEDICINE; FEMALE; GENERAL PRACTICE; HEALTH CARE DELIVERY; HEALTH SERVICE; HOSPITAL PHYSICIAN; HUMAN; INTERNAL MEDICINE; MALE; POSTAL MAIL; PRIMARY MEDICAL CARE; RESIDENCY EDUCATION;

ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; CULTURAL DIVERSITY; FAMILY PRACTICE; FEMALE; GYNECOLOGY; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; OBSTETRICS; PEDIATRICS; PRIMARY HEALTH CARE;

EID: 34447134776     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-007-0229-x     Document Type: Article

References (44)

1. Institute of Medicine. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington DC: National Academy Press; 2002.
2. American Medical Association. Ethics and Health Disparities. Chicago, Ill: AMA; 2004.
3. Goroll AH, Sirio C, Duffy FD, et al. A new model for accreditation of residency programs in internal medicine. Ann Intern Med. 2004;140:902-9.
4. Brotherton SE, Rockey PH, Etzel SI. US graduate medical education: 2003-2004. JAMA. 2004;292:1032-7.
5. Weissman JS, Betancourt J, Campbell EG, et al. Resident physicians' preparedness to provide cross-cultural care. JAMA. 2005;294:1058-67.
6. Park E, Betancourt J, Miller E, et al. Internal medicine residents' perceptions of cross-cultural training: barriers, needs, and educational recommendations. J Gen Intern Med. 2006;21:476-80.
7. Park E, Betancourt J, Kim M, Maina A, Blumenthal D, Weissman J. Mixed messages: residents' experiences learning cross-cultural care. Acad Med. 2005;80:874-80.
8. Shapiro J, Hollingshead J, Morrison E. Primary care resident, faculty, and patient views of barriers to cultural competence, and the skills needed to overcome them. Med Educ. 2002;36:749-59.
9. Like RC, Steiner RP, Rubel AJ. STFM Core Curriculum Guidelines. Recommended core curriculum guidelines on culturally sensitive and competent health care. Fam Med. 1996;28:291-7.
10. Carrillo JE, Green AR, Betancourt JR. Cross-cultural primary care: a patient-based approach. Ann Intern Med. 1999;130:829-34.
11. Culhane-Pera KA, Reif C, Egli E, Baker NJ, Kassekert R. A curriculum for multicultural education in family practice. Fam Med. 1997;29:719-23.
12. ACGME Outcome Project. Toolbox of assessment methods: Accreditation Council for Graduate Medical Education and American Board of Medical Specialties; 2000. http://www.urmc.rochester.edu/smd/education/gme/pdf/ profm_packet6.pdf.
13. Swing SR. Assessing the ACGME general competencies: general considerations and assessment methods. Acad Emerg Med. 2002;9:1278-88.
14. Fitzgerald JT, White CB, Gruppen LD. A longitudinal study of self-assessment accuracy. Med Educ. 2003;37:645-9.
15. Fincher RM, Lewis LA, Kuske TT. Relationships of interns' performances to their self-assessments of their preparedness for internship and to their academic performances in medical school. Acad Med. 1993;68(2 suppl):S47-50.
16. Mavis B. Self-efficacy and OSCE performance among second year medical students. Adv Health Sci Educ Theory Pract. 2001;6(2):93-102.
17. Blumenthal D, Gokhale M, Campbell EG, Weissman JS. Preparedness for clinical practice: reports of graduating residents at academic health centers. JAMA. 2001;286:1027-34.
18. Weissman JS, Campbell EG, Gokhale M, Blumenthal D. Residents' preferences and preparation for caring for underserved populations. J Urban Health. 2001;78:535-49.
19. Wiest FC, Ferris TG, Gokhale M, Campbell EG, Weissman JS, Blumenthal D. Preparedness of internal medicine and family practice residents for treating common conditions. JAMA. 2002;288:2609-14.
20. Park ER, Wolfe TJ, Gokhale M, Winickoff JP, Rigotti NA. Perceived preparedness to provide preventive counseling: reports of graduating primary care residents at academic health centers. J Gen Intern Med. 2005;20:386-91.
21. Kristal L, Pennock PW, Foote SM, Trygstad CW. Cross-cultural family medicine residency training. J Fam Pract. 1983;17:683-7.
22. Borkan JM, Neher JO. A developmental model of ethnosensitivity in family practice training. Fam Med. 1991;23:212-7.
23. Shapiro J, Lenahan P. Family medicine in a culturally diverse world: a solution-oriented approach to common cross-cultural problems in medical encounters. Fam Med. 1996;28:249-55.
24. Paasche-Orlow M, Roter D. The communication patterns of internal medicine and family practice physicians. J Am Board Fam Pract. 2003;16:485-93.
25. Shapiro J, Hollingshead J, Morrison E. Self-perceived attitudes and skills of cultural competence: a comparison of family medicine and internal medicine residents. Med Teach. 2003;25:327-9.
26. American Academy of Pediatrics, Committee on Pediatric Workforce. Culturally effective pediatric care: education and training issues. Pediatrics. 1999;103:167-70.
27. American Academy of Pediatrics, Committee on Pediatric Workforce. Ensuring culturally effective pediatric care: implications for education and health policy. Pediatrics. 2004;114:1677-85.
28. Sidelinger D, Meyer D, Blaschke G, et al. Communities as teachers: learning to deliver culturally effective care in pediatrics. Pediatrics. 2005;115:1160-4.
29. DasGupta S, Meyer D, Calero-Breckheimer A, Costley A, Guillen S. Teaching cultural competency through narrative medicine: intersections of classroom and community. Teach Learn Med. 2006;18:14-7.
30. Cooper-Patrick L, Gallo J, Gonzales J, et al. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999;282:583-9.
31. Howard D, Bunch C, Mundia W, et al. Comparing United Stated versus international medical school graduate physicians who serve African-American and white elderly. Health Serv Res. 2006;41:2155-81.
32. Park ER, Betancourt J, Weissman JS. Development of a scale to assess perceived preparedness to deliver cross cultural care. Poster presentation. Annual Meeting, Society of Behavioral Medicine, March 2006.
33. Biernat K, Simpson D, Duthie E Jr, Bragg D, London R. Primary care residents' self-assessment skills in dementia. Adv Health Sci Educ Theory Pract. 2003;8:105-10.
34. Roter D, Hall J, Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002;288:756-64.
35. Cull WL, Yudkowsky BK, Shipman SA, Pan RJ. Pediatric training and job market trends: results from the American Academy of Pediatrics third-year resident survey, 1997-2002. Pediatrics. 2003;112:787-92.
36. Lynch DC, Pugno P, Beebe DK, Cullison SW, Linn JJ. Family practice graduate preparedness in the six ACGME competency areas: prequel. Fam Med. 2003;35:324-9.
37. Wickstrom GC, Kolar MM, Keyserling TC, et al. Confidence of graduating internal medicine residents to perform ambulatory procedures. J Gen Intern Med. 2000;15:361-5.
38. Johnson R, Saha S, Arbelaez J, Beach MC, Cooper L. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med. 2004;19:101-10.
39. Beach MC, Price EG, Gary TL, et al. Cultural competence: a systematic review of health care provider educational interventions. Med Care. 2005;43:356-73.
40. Beach MC, Gary TL, Price EG, et al. Improving health care quality for racial/ethnic minorities: a systematic review of the best evidence regarding provider and organization interventions. BMC Pub Health. 2006;6:1-11.
41. Brach C, Fraserirector I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev. 2000;57;181-217.
42. Betancourt J. Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Acad Med. 2003;78:560-9.
43. Saha S, Komaromy M, Koepsell T, Bindman A. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997-1004.
44. Van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Med Care. 2002;40:I-140-51.