Cultural competency in graduate medical education: A necessity for the minimization of disparities in healthcare

Grewal, Udhayvir Singh; Abduljabar, Hamzah; Sulaiman, Karina

doi:10.1016/j.eclinm.2021.100837

Cited by 9 publications

(2 citation statements)

References 7 publications

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“…1301) to improve and preserve the GME system to help people from all races. As opportunities for high-impact translational research for women and URiM grow, a diverse physician-scientist workforce will become even more compelling to assist the healthcare system [30]. Lengthening probationary periods,…”

Section: Discussionmentioning

confidence: 99%

Gender and Racial Profile of the Academic Pediatric Faculty Workforce in the United States

Saboor¹,

Sattar²,

Chaudhary³

et al. 2022

Cureus

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BackgroundEquity, diversity, and inclusion remain a challenge in the healthcare workforce. This study explored the current gender and racial/ethnic trends in academic pediatric positions across the United States. MethodologyThe pediatric faculty self-reported data by the American Association of Medical Colleges (AAMC) Faculty Roster from 2007 to 2020 were analyzed. The races were classified as White (non-Hispanic), Asian, Hispanic, Black (non-Hispanic), Multiple races (including both non-Hispanic and Hispanic), Others, and Unknown. Gender was categorized as male and female. ResultsThe results showed that Asian, Black (non-Hispanic), and Hispanic academic pediatricians increased in full professor, associate professor, and assistant professor positions and decreased in instructor positions from 2007 to 2020. Black (non-Hispanic) academic pediatricians relatively decreased 5.5% in chairperson positions. Women increased in full professor, associate professor, instructor, and chairperson positions; however, relatively decreased 1.8% in assistant professor positions. Men and White (non-Hispanic) academic pediatricians relatively decreased 10.5% and 16%, respectively, in all academic ranks. Women, Asian, Black (non-Hispanic), Hispanic, and Other races were underrepresented in tenured, on-track (tenureeligible), and not-on-track (tenure-eligible) positions. ConclusionsWomen and underrepresented minorities in medicine (URiM) physicians continue to remain significantly underrepresented in academic pediatric faculty positions and tenured track positions. There is a dire need to adapt multifaceted strategies to increase the engagement of women and URiM in academic pediatrics.

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Section: Discussionmentioning

confidence: 99%

Gender and Racial Profile of the Academic Pediatric Faculty Workforce in the United States

Saboor¹,

Sattar²,

Chaudhary³

et al. 2022

Cureus

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“…Incorporating training on cultural competences into didactic and clinical curricula is required to teach new generations of competent medical workers, trained with the facilities necessary to address disparities spread by prejudice. It is also crucial to ensure training on cultural competences to also exists in postgraduate medical education, taking care not to become too mechanical and to remain in line with the basic idea of patient-centered healthcare provision (Grewal et al, 2021). Despite the fact that interventions are needed to improve education related to cultural competence, there is still resistance to it and the attitude that an acceptable attitude, adopted knowledge and adopted values are sufficient for the cultural competence of healthcare workers (Gulati et…”

Section: Training Of Cultural Competencymentioning

confidence: 99%

Managing the implementation processes of cultural competency into a healthcare system

Knežević¹,

Ivković²

2022

Serb J Engin Manag

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Culture has a significant impact on shaping people's attitudes about health, well-being and their perception of health care. Health cultural competence is the ability to function effectively as an individual or organization in the context of the cultural beliefs, practices and needs of patients and communities. Cultural and linguistic competences are a set of behaviours', attitudes and policies that enable effective work in intercultural environments. Culturally diverse patients have poorer access to health services and face different barriers. The cultural competence of health professionals includes awareness, knowledge and cultural skills to reduce these barriers. The paper presents three models of the development of culturally competent health care, Campinha-Bacote, Milton Bennett and Darla Deardorff. Models are being improved in line with new research and knowledge. It is proposed that the management of health institutions consider aspects of cultural self-awareness, intercultural communication skills and analysis of socio-cultural barriers in health care. Education and training of health professionals towards achieving a balance between intercultural knowledge and communication skills is the best approach in the development of cultural competencies.

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Support from Physicians as a Key Enabling Factor for Rehabilitation Utilization in Migrants with Back Pain: A Longitudinal Analysis

Banaschak,

Fauser,

Sternberg

et al. 2024

Int. Migration & Integration

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In Germany, medical rehabilitation is provided to promote work ability and health in the case of chronic illness and to avoid early disability pensions. Studies have shown that employees with a history of migration are less likely to seek medical rehabilitation. The aim of this paper was to examine which factors influence the use of medical rehabilitation services in migrants with back pain.We used data from a German cohort study also including migrant employees aged 45 to 59 years. Participants reported back pain in the last 3 months and completed a baseline questionnaire in 2017. Data on rehabilitation utilization was extracted from administrative records covering the period until the end of 2018. Proportional hazard models were fitted to identify factors that were associated with utilized rehabilitation measures.Data of 552 participants were included, and 25 individuals utilized rehabilitation during follow-up. Sex (women: HR = 3.05; 95% CI: 1.10; 8.45), higher job insecurity (HR = 1.02; 95% CI: 1.00; 1.03), support from physicians and therapists (HR = 2.22; 95% CI: 1.52; 3.24), proportion of foreigners (HR = 3.27; 1.17; 9.15), and the self-reported need for rehabilitation (HR = 3.23; 95% CI: 1.12; 8.60) were associated with utilization.In summary, informational and practical support provided by physicians and therapists on medical rehabilitation services seems to be a key predictor of rehabilitation utilization. Our findings, therefore, support the call for transcultural competence to be more widely incorporated into the education of medical and health professionals to counteract health care disparities.

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Cultural competency in graduate medical education: A necessity for the minimization of disparities in healthcare

Cited by 9 publications

References 7 publications

Gender and Racial Profile of the Academic Pediatric Faculty Workforce in the United States

Gender and Racial Profile of the Academic Pediatric Faculty Workforce in the United States

Managing the implementation processes of cultural competency into a healthcare system

Support from Physicians as a Key Enabling Factor for Rehabilitation Utilization in Migrants with Back Pain: A Longitudinal Analysis

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