A Strategy for Improving Health Disparities Education in Medicine

Ross, Paula T.; Cené, Crystal W.; Bussey‐Jones, Jada; Brown, Arleen F.; Blackman, Dionne J.; Fernández, Alicia; Fernández, Leonor; Glick, Shimon; Horowitz, Carol R.; Jacobs, Elizabeth A.; Peek, Monica E.; Wilkerson, LuAnn; Lypson, Monica L.

doi:10.1007/s11606-010-1283-3

Cited by 37 publications

(36 citation statements)

References 14 publications

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“…[12][13][14][15][16][17][31][32][33][35][36][37] Our findings suggest that trainees' engagement with structural forces and their downstream effects deepens when they share concepts and vocabulary for recognizing and describing such phenomena. Structural competency appears to be a promising foundation for developing this shared understanding.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] The influence of such inequities on health has long been noted by clinicians and public health practitioners, but such content has been incorporated unevenly into medical education and clinical training. [7][8][9][10][11][12][13][14][15][16] Proposed by clinicians and scholars in the medical social sciences, a Bstructural competency^framework calls for a Bshift in medical education…toward attention to forces that influence health outcomes at levels above individual interactions.^1 7(p. 126-27) BStructures^or Bsocial structures^in this sense indicate the policies, economic systems, and other institutions (policing and judicial systems, schools, etc.) that have produced and maintain social inequities and health disparities, often along the lines of social categories such as race, class, gender, and sexuality.…”

Section: Introductionmentioning

confidence: 99%

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Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians

et al. 2016

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“…17, 18 Responding to this need, physician organizations have set forth curricula on teaching about health disparities and cultural competency. 55 Others have designed and tested cultural competency training programs and have demonstrated that these interventions can improve providers’ overall knowledge and confidence in Latino cultural beliefs. 10, 56, 57 However, knowledge about Mexican American culture and beliefs may not directly facilitate culturally competent care.…”

Section: Discussionmentioning

confidence: 99%

Community Health Center Provider and Staff’s Spanish Language Ability and Cultural Awareness

Baig¹,

Benitez²,

Locklin³

et al. 2014

hpu

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Many community health center providers and staff care for Latinos with diabetes, but their Spanish language ability and awareness of Latino culture are unknown. We surveyed 512 Midwestern health center providers and staff who managed Latino patients with diabetes. Few respondents had high Spanish language (13%) or cultural awareness scores (22%). Of respondents who self-reported 76–100% of their patients were Latino, 48% had moderate/low Spanish language and 49% had moderate/low cultural competency scores. Among these respondents, 3% lacked access to interpreters and 27% had neither received cultural competency training nor had access to training. Among all respondents, Spanish skills and Latino cultural awareness were low. Respondents who saw a significant number of Latinos had good access to interpretation services but not cultural competency training. Improved Spanish-language skills and increased access to cultural competency training and Latino cultural knowledge are needed to provide linguistically and culturally tailored care to Latino patients.

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“…[37][38][39] Highlighting the impact of oral health inequities on a person's well-being can enhance students' understanding of why some populations are at higher risk for speciic dental diseases and why prevention eforts should be applied to at-risk populations to reduce inequities. [37][38][39] Highlighting the impact of oral health inequities on a person's well-being can enhance students' understanding of why some populations are at higher risk for speciic dental diseases and why prevention eforts should be applied to at-risk populations to reduce inequities.…”

Section: Health Inequitiesmentioning

confidence: 99%

An Adapted Framework for Incorporating the Social Determinants of Health into Predoctoral Dental Curricula

Tiwari

Palatta

2019

Journal of Dental Education

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Social determinants of health (SDH) impact the overall health and well‐being of the entire population. It is imperative to train future health care professionals to develop an understanding of the impact of these determinants, so they can provide contextual treatment more conscious of the culturally, racially, and socioeconomically diverse populations they will care for during their careers. This article, the second in a series of American Dental Education Association Commission on Change and Innovation in Dental Education 2.0 white papers on SDH, introduces a conceptual framework adapted from the original framework presented by the National Academies of Science, Engineering, and Medicine that can be applied to predoctoral dental curricula. This framework is organized into three domains: education, organization, and community. The domains are explained, and examples of current implementation efforts at several academic dental institutions are provided to help dental educators envision how to incorporate these concepts into their own curricula.

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A Strategy for Improving Health Disparities Education in Medicine

Cited by 37 publications

References 14 publications

Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians

Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians

Community Health Center Provider and Staff’s Spanish Language Ability and Cultural Awareness

An Adapted Framework for Incorporating the Social Determinants of Health into Predoctoral Dental Curricula

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