STP2045 CULTURAL COMPETENCE ISSUES IN HEALTHCARE
FAMILY & COMMUNITY MEDICINE
University Medical Center
PAMELA FOSTER, MD
Sally (Sara) Hulsey
Department of Community and Population Health
PO Box 870326
Tuscaloosa, AL 354870326
See Offering Dates
5-5, 17-17, 44-44
Completion of first year of medical school.
No LCME students accepted.
No osteopathic students accepted.
Recent medical literature gives growing evidence that clinician interpersonal relationships may play an important role in varying health outcomes and health disparities in specific ethnic / racial populations. This special topics course is designed to increase the medical student's knowledge of this growing literature as well as provide short immersion activities which increase their own knowledge, attitudes, and skills in becoming more culturally competent as a health care practitioner. The course leader has had some experience with this area through the conduction of cultural competency training and workshop presentations, as well as community-based participatory research-training around partnering of academic institutions with underserved minority communities. The course leader will also rely on a variety of community partnerships through her affiliation with the University of Alabama Rural Health Institute for Clinical and Translational Science, and other partners such as the Alabama Department of Public Health - Office of Minority Health, The Alabama Alliance for Latino Health, the University of Alabama at Birmingham Minority Research Health Center and the Black Belt Community Foundation for additional support for the short immersion experiences. OBJECTIVE: The course is designed to increase the medical student's knowledge of this growing literature as well as provide short immersion activities which increase their own knowledge, attitudes, and skills in becoming more culturally competent as a health care practitioner. - Review of literature of cultural competency issues in health and health care in the United States and Alabama - Self examination exercises of one's bias, stereotypes and prejeduices in one's own upbringing and experiences - in-dept examination of culture of a selected ethnic/racial group in Alabama including some limited immersion expereinces (i.e. site visits, meetings, interviews, etc.) - Final short paper (5 typed pages) of one aspect of course activities of student's choice (i.e. literature review, self examination exercise, examination of select eithnic/racial group in Alabama
Where To Report
UASOM - ROOM 107B time - TBD
a. Schulman KA et al. "The effect of race and sex on physicians' recommendations for cardiac catherization," NEJM.1999:340:618-26
B. Byrd WM, Clayton LA. AN AMERICAN HEALTH DILEMMA: A MEDICAL HISTORY OF AFRICAN AMERICANS AND THE PROBLEM OF RACE BEGINNING TO 1900. New York: Routledge; 2000
c. LaVeist TA, et al. "Attitudes about racism, medical distrust, and satisfaction with care among African American and white cardiac patients." Med Care Res Rev. 2005:57 (suppl 1); 146-61
d. Cooper, et al "Delving below the surface; Understanding How Race and Ethnicity Influence Relationships in Health Care" Journal General Internal Medicine 2006; 21:531-27
Final paper - 50% of the grade, independent learning exercises - 50%
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