Perceived Cultural Competency Skills and Deficiencies Among Pediatric Residents and Faculty at a Large Teaching Hospital

Abstract

Residents and faculty at a large children's hospital believe that they lack adequate CC training. Underserved-group clinical experiences both domestically and abroad are associated with perceived improved cross-cultural care skills. Increasing the extent and quality of CC education in both resident training and faculty development is needed.

Implicit Bias and Caring for Diverse Populations: Pediatric Trainee Attitudes and Gaps in Training

“…Previous studies have examined cultural competency attitudes and skills among many sectors of medical providers, including residents specifically. 26,40 Less is understood regarding broader themes of diverse factors contributing to health disparities and the increasingly utilized framework of implicit bias. A growing field of studies acknowledges implicit bias among physicians, 31,41 including residents.…”

“…Our survey response rate was 55%, which is similar to other surveys of cultural competency among residents, often reporting response rates of 55% to 60%. 25,26,45 However, there is the possibility of responder bias, particularly that those residents more invested in implicit bias and diversity training being more likely to participate in and complete the survey. The survey relied on selfassessment of skills.…”

“…The survey relied on selfassessment of skills. Although a common tool for educational assessment, and particularly so in cultural competency assessment, 26,27,29,40,46,47 self-assessment can vary in reliability. 48 There is also the possibility of recall bias in reporting past medical training related to the skills.…”

“…Previous studies have examined measurement of cultural competency and humility among residents 25 and among pediatric attending physicians and residents. 26,27 These studies found varying levels of preparedness and skill in caring for culturally diverse patient populations. The needs of pediatric trainees in other key areas of health equity are less well understood.…”

Shades of care: Understanding the needs of racially and ethnically diverse paediatric patients, their families, and health care providers in North America

“…Training material has additionally been designed to be ‘practical’ and ‘generalizable’ ( Mihalic et al, 2007 ), which may not always be entirely applicable in rapidly diversifying North American society. Modules on care provision which address cultural needs of patients have not been prioritized largely due to time constraints and lack of funding ( Mihalic et al, 2007 ; Rule et al, 2018 ). Residents have notably wanted more mentorship by faculty as well on how to address the cultural needs of patients, but faculty have felt uncertain about their ability to do so ( Macdonald et al, 2007 ).…”