Qualitative Analysis of a Cultural Dexterity Program for Surgeons: Feasible, Impactful, and Necessary

Udyavar, Rhea; Smink, Douglas S.; Mullen, John; Kent, Tara S.; Green, A.; Harlow, Alyssa F.; Castillo-Ángeles, Manuel; Columbus, Alexandra B.; Haider, Adil H.

doi:10.1016/j.jsurg.2018.01.016

Cited by 13 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patient-physician interactions may further exacerbate these factors because of differences in health literacy and lack of cultural proficiency, diversity, and implicit biases that exist within physicians and systems in the United States [ [21] , [22] , [23] , [24] ]. These factors are important causes of disparities in access to surgical care that may be intervenable with public health interventions [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Refusal of colorectal cancer surgery in the United States: Predictors and associated cancer-specific mortality in a Surveillance, Epidemiology, and End Results (SEER) cohort

Delisle

Singh

Howard

et al. 2020

Surgery Open Science

View full text Add to dashboard Cite

Introduction This study aims to understand patient factors associated with refusal of surgery for nonmetastatic colorectal cancer and the associated cancer-specific mortality. Methods Patients diagnosed with nonmetastatic colorectal cancer between 2004 and 2015 from the Surveillance, Epidemiology, and End Results Program were included. Results A total of 152,731 (99.4%) patients underwent surgery, and 983 (0.6%) refused surgery. Independent predictors of refusal included male sex, older age, minority race, single relationship status, being uninsured, more recent date of diagnosis, having an earlier stage of diagnosis, and rectal versus colon cancer. Refusing surgery for nonmetastatic colorectal cancer increased cancer-specific mortality (adjusted hazard ratio 5.10, 95% confidence interval 4.62–5.62). Conclusion Most patients diagnosed with nonmetastatic colorectal cancer undergo surgery in the United States. However, refusal of surgery is increasing and associated with higher cancer-specific mortality. A better understanding of surgical decision making in colorectal cancer is urgently needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Refusal of colorectal cancer surgery in the United States: Predictors and associated cancer-specific mortality in a Surveillance, Epidemiology, and End Results (SEER) cohort

Delisle

Singh

Howard

et al. 2020

Surgery Open Science

View full text Add to dashboard Cite

show abstract

“…81 Participants in one study cited the importance of senior residents serving as role models with regards to culturally competent behaviors, as well as institutional and leadership buy-in. 77…”

Section: Trainee Evaluation Of Curriculamentioning

confidence: 99%

“…64 Trainees also found it important that departmental leadership and senior residents must serve as role models by visibly engaging with and supporting the lessons imparted by cultural competency curricula. 77 This last point is of particular importance in the midst of ongoing national conversations regarding race and racism in the United States. Faculty discomfort or inexperience with discussing these difficult topics limits trainees' opportunities for growth and education in these realms.…”

Section: Trainee Evaluation Of Curriculamentioning

confidence: 99%

Cultural Competency Curricula in US Graduate Medical Education: A Scoping Review

Atkinson

Khubchandani

Chun

et al. 2022

Journal of Graduate Medical Education

Self Cite

View full text Add to dashboard Cite

Background Cultural competency training provides participants with knowledge and skills to improve cross-cultural communication and is required for all graduate medical education (GME) training programs. Objective The authors sought to determine what cultural competency curricula exist specifically in GME. Methods In April 2020, the authors performed a scoping review of the literature using a multidatabase (PubMed, Ovid, MedEdPORTAL) search strategy that included keywords relevant to GME and cultural competency. The authors extracted descriptive data about the structure, implementation, and analysis of cultural competency curricula and analyzed these data for trends. Results Sixty-seven articles met criteria for inclusion, of which 61 (91%) were focused exclusively on residents. The most commonly included specialties were psychiatry (n=19, 28.4%), internal medicine (n=16, 23.9%), and pediatrics (n=15, 22.4%). The shortest intervention was a 30-minute online module, while the longest contained didactics, electives, and mentoring programs that spanned the entirety of residency training (4 years). The sample sizes of included studies ranged from 6 to 833 participants. Eight (11.9%) studies utilized OSCEs as assessment tools, while 17 (25.4%) conducted semi-structured interviews or focus groups. Four common themes were unique interventions, retention of learning, trainee evaluation of curricula, and resources required for implementation. Conclusions Wide variation exists in the design, implementation, and evaluation of cultural competency curricula for residents and fellows.

show abstract

“…15 While most literature on resident education in health disparities has focused on medical specialties, there is limited research on this topic in the surgical setting, especially among subspecialties. [16][17][18][19][20] The scant research available suggests there is a lack of standardized, effective, and relevant health disparities information in resident education. This study aims to better understand the current implementation of health disparities education among otolaryngology residency programs as well as the barriers associated with implementation.…”

mentioning

confidence: 99%

“…While most literature on resident education in health disparities has focused on medical specialties, there is limited research on this topic in the surgical setting, especially among subspecialties 16‐20 . The scant research available suggests there is a lack of standardized, effective, and relevant health disparities information in resident education.…”

mentioning

confidence: 99%

Prevalence of and Barriers to Health Disparities Education Among Otolaryngology Residency Curricula

Snee,

Hakimi,

Malekzadeh

2024

OTO Open

View full text Add to dashboard Cite

ObjectiveTo assess the prevalence of health disparities curricula in otolaryngology residency programs and identify implementation barriers.Study DesignCross‐sectional survey.SettingNational otolaryngology residency programs.MethodsA survey based on published literature discussing the incorporation of health disparities curricula, educational design, quality, barriers to implementation, and patient demographics was sent to US otolaryngology residency program directors (PDs). Otolaryngology programs excluded from consideration included those of osteopathic recognition, programs outside of the United States, and military programs. In excluding osteopathic, international, and military‐based residency programs from our survey, we aimed to maintain sample homogeneity and focus our analysis on allopathic programs due to potential variations in demographic compositions and practice settings. This decision was made to ensure a more targeted examination of health disparities within a specific context, aligning with our research objectives and resource constraints. Anonymous survey results were collected and analyzed to determine the prevalence of health disparities curricula as well as their effectiveness and standardization across residency programs.ResultsA total of 24 PDs (response rate, 23%) responded to the survey. Half of the PDs reported having a health disparities curriculum, among whom only 25% felt the quality of their curriculum was very good or excellent. All institutions with an explicit health disparities educational program reported having developed their own curriculum, 75% of which changed annually. However, 92% of these programs reported not measuring outcomes to assess their curriculum's utility. The most reported barriers to curriculum development for all programs included insufficient time (63%), limited teaching ability specific to health disparities education (54%), and faculty disinterest in teaching (33%).ConclusionVery few of the surveyed otolaryngology residency programs have implemented a health disparities curriculum. A comprehensive and standardized health disparities curriculum would be beneficial to ensure that residents can confidently develop competency in health disparities, aligning with the Clinical Learning Environment Review mandate and Accreditation Council for Graduate Medical Education expectations.

show abstract

Qualitative Analysis of a Cultural Dexterity Program for Surgeons: Feasible, Impactful, and Necessary

Cited by 13 publications

References 17 publications

Refusal of colorectal cancer surgery in the United States: Predictors and associated cancer-specific mortality in a Surveillance, Epidemiology, and End Results (SEER) cohort

Refusal of colorectal cancer surgery in the United States: Predictors and associated cancer-specific mortality in a Surveillance, Epidemiology, and End Results (SEER) cohort

Cultural Competency Curricula in US Graduate Medical Education: A Scoping Review

Prevalence of and Barriers to Health Disparities Education Among Otolaryngology Residency Curricula

Contact Info

Product

Resources

About