Abstract
AIM: To assess and teach cultural competency skills at the fellowship training level through the use of objective structured clinical examinations (OSCEs). METHODS: We revised four scenarios to infuse a specific focus on cross-cultural care, and to render them appropriate for gastroenterology fellows. Three are discussed here: (1) Poor Health Literacy; (2) Disclosing/Apologizing for a Complication to a Patient Who Mistrusts the Healthcare System; and (3) Breaking Bad News to a Fatalistic Patient. A fourth case emphasizing shared decision-making will be described elsewhere. Four stations were completed by fellows and observed live by four faculty members, and the fellows' performance was assessed. RESULTS: Eleven fellows from four programs participated in the four OSCE. In the "Poor Health Literacy" case, 18% (2/11) of participants recognized that the standardized patient (SP) had below-basic health literacy. None successfully evaluated the SP's reading skills in a culturally-sensitive manner. In "Disclosing/Apologizing for a Complication", 4/11 (36%) personally apologized for the complication. 1/11 recognized the SP's mistrust of the medical system. With "Breaking Bad News", 27% (3/11) explored the patient's values to identify her fatalistic beliefs. CONCLUSION: OSCEs can be used to assess deficiencies in culturally-competent care at the fellowship level. OSCEs also afford fellowships the opportunity to inform future training curricula.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1887-1892 |
| Number of pages | 6 |
| Journal | World Journal of Gastroenterology |
| Volume | 21 |
| Issue number | 6 |
| DOIs | |
| State | Published - Feb 14 2015 |
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Keywords
- Cultural competency
- Education
- Gastroenterology
- Graduate
- Health care
- Health literacy
- Objective structured clinical examination
- Patient care
- Patient care
- Physician-patient relations
- Trainees
ASJC Scopus subject areas
- Gastroenterology
Cite this
Assessing cultural competency skills in gastroenterology fellowship training. / Balzora, Sophie; Abiri, Benjamin; Wang, Xiao-Jing; McKeever, James; Poles, Michael; Zabar, Sondra; Gillespie, Colleen; Weinshel, Elizabeth.
In: World Journal of Gastroenterology, Vol. 21, No. 6, 14.02.2015, p. 1887-1892.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Assessing cultural competency skills in gastroenterology fellowship training
AU - Balzora, Sophie
AU - Abiri, Benjamin
AU - Wang, Xiao-Jing
AU - McKeever, James
AU - Poles, Michael
AU - Zabar, Sondra
AU - Gillespie, Colleen
AU - Weinshel, Elizabeth
PY - 2015/2/14
Y1 - 2015/2/14
N2 - AIM: To assess and teach cultural competency skills at the fellowship training level through the use of objective structured clinical examinations (OSCEs). METHODS: We revised four scenarios to infuse a specific focus on cross-cultural care, and to render them appropriate for gastroenterology fellows. Three are discussed here: (1) Poor Health Literacy; (2) Disclosing/Apologizing for a Complication to a Patient Who Mistrusts the Healthcare System; and (3) Breaking Bad News to a Fatalistic Patient. A fourth case emphasizing shared decision-making will be described elsewhere. Four stations were completed by fellows and observed live by four faculty members, and the fellows' performance was assessed. RESULTS: Eleven fellows from four programs participated in the four OSCE. In the "Poor Health Literacy" case, 18% (2/11) of participants recognized that the standardized patient (SP) had below-basic health literacy. None successfully evaluated the SP's reading skills in a culturally-sensitive manner. In "Disclosing/Apologizing for a Complication", 4/11 (36%) personally apologized for the complication. 1/11 recognized the SP's mistrust of the medical system. With "Breaking Bad News", 27% (3/11) explored the patient's values to identify her fatalistic beliefs. CONCLUSION: OSCEs can be used to assess deficiencies in culturally-competent care at the fellowship level. OSCEs also afford fellowships the opportunity to inform future training curricula.
AB - AIM: To assess and teach cultural competency skills at the fellowship training level through the use of objective structured clinical examinations (OSCEs). METHODS: We revised four scenarios to infuse a specific focus on cross-cultural care, and to render them appropriate for gastroenterology fellows. Three are discussed here: (1) Poor Health Literacy; (2) Disclosing/Apologizing for a Complication to a Patient Who Mistrusts the Healthcare System; and (3) Breaking Bad News to a Fatalistic Patient. A fourth case emphasizing shared decision-making will be described elsewhere. Four stations were completed by fellows and observed live by four faculty members, and the fellows' performance was assessed. RESULTS: Eleven fellows from four programs participated in the four OSCE. In the "Poor Health Literacy" case, 18% (2/11) of participants recognized that the standardized patient (SP) had below-basic health literacy. None successfully evaluated the SP's reading skills in a culturally-sensitive manner. In "Disclosing/Apologizing for a Complication", 4/11 (36%) personally apologized for the complication. 1/11 recognized the SP's mistrust of the medical system. With "Breaking Bad News", 27% (3/11) explored the patient's values to identify her fatalistic beliefs. CONCLUSION: OSCEs can be used to assess deficiencies in culturally-competent care at the fellowship level. OSCEs also afford fellowships the opportunity to inform future training curricula.
KW - Cultural competency
KW - Education
KW - Gastroenterology
KW - Graduate
KW - Health care
KW - Health literacy
KW - Objective structured clinical examination
KW - Patient care
KW - Patient care
KW - Physician-patient relations
KW - Trainees
UR - http://www.scopus.com/inward/record.url?scp=84922755341&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84922755341&partnerID=8YFLogxK
U2 - 10.3748/wjg.v21.i6.1887
DO - 10.3748/wjg.v21.i6.1887
M3 - Article
VL - 21
SP - 1887
EP - 1892
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
SN - 1007-9327
IS - 6
ER -