“…As such, the patient-doctor communication requires understanding, respecting, and negotiating patients" understanding of their illness (Carrillo, Green, & Betancourt, 1999). Evidence suggests that cultural competency training improves knowledge, attitudes, and clinical outcomes in some, but not all studies Horvat, Horey, Romios, & Kis-Rigo, 2014;Lie, Lee-Rey, Gomez, Bereknyei, & Braddock, 2011;Truong, Paradies, & Priest, 2014). However, studies examining interventions lacked methodological rigor ; an essential component being the use of assessment tools to assess knowledge, attitudes, and other outcomes.…”