Integrating Cultural Humility into the Medical Education Curriculum: Strategies for Educators

Solchanyk, Daniel; Ekeh, Odera; Saffran, Lise; Burnett-Zeigler, Inger; Doobay-Persaud, Ashti

doi:10.1080/10401334.2021.1877711

Cited by 31 publications

(23 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Students are also likely to practice in a different geographical area than where they train for medical school, so equipping them with the skills to learn further on their own will be necessary. This curricular reform is already in development, as medical schools are moving towards a more skills-based cultural humility curriculum and focusing on broadly applicable skills, such as patient-centered care and communication [ 10 ]. Including AsAm representation in this curriculum, along with other minorities, is an important step in ensuring that students are prepared to apply these skills for patients of all backgrounds.…”

Section: Discussionmentioning

confidence: 99%

“…This diversity in culture and language results in a unique set of health and healthcare disparities by AsAm ethnic subgroups [ 4 – 7 ], yet AsAms are one of the most understudied racial/ethnic minority groups in the US [ 8 , 9 ]. In medical education, cultural humility is increasingly recognized as a valuable skill to address healthcare challenges faced by minority patients [ 10 ]. However, there is a distinct lack of AsAm representation in medical education conversations about health equity and cultural humility [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

US medical student perspectives on Asian American patient inclusion in medical education: a qualitative study

Vongsachang

Pang

et al. 2022

BMC Med Educ

View full text Add to dashboard Cite

Background Asian American (AsAm) representation is lacking in conversations surrounding cultural humility in healthcare. We aimed to investigate US medical student perspectives on AsAm patient inclusion in cultural humility training in medical education. Methods This qualitative study analyzed free-text responses to an optional, open-ended question presented at the conclusion of an online survey assessing medical student experiences with and perceptions regarding AsAm patients in their medical education. This survey was distributed to a convenience sample of nine US medical schools. Medical students who completed at least one clinical rotation were eligible to participate in the survey. Qualitative analysis of free-text responses was conducted in an iterative process to generate emergent themes. Results There was a total of 195 optional free-text responses from 688 participants (28%). Motivation to learn about AsAm population included shared identity and desire to better serve the AsAm population in their local community and future careers. Topics of interest included healthcare-related cultural preferences, healthcare delivery strategies, and health disparities for the AsAm population and other minority patients. Students reported that they drew on personal experiences and some pre-clinical or clinical exposures to learn about AsAm patients. Respondents cited the lack of exposure in the medical school curriculum and clinical experiences as the main challenge to learning about AsAm health and provided suggestions for the delivery of this education in their pre-clinical and clinical education. Respondents emphasized that AsAms are treated as a monolith in medical education and healthcare, despite their heterogeneity. Conclusions Medical students identified a need and interest for greater inclusion of AsAm topics in medical education on cultural humility and minority health.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

US medical student perspectives on Asian American patient inclusion in medical education: a qualitative study

Vongsachang

Pang

et al. 2022

BMC Med Educ

View full text Add to dashboard Cite

show abstract

“… 68–71 Cultural humility trainings are not yet widely implemented nor evaluated in medicine, but some examples show promise. 72 , 73 Curricular components include experiential service-learning, 74 , 75 simulation, 72 , 73 , 76 and reflexive practices (e.g., journaling). 77 , 78 Structural humility, 79 , 80 anti-racism, 79 and implicit bias training, 81 , 82 which some states and health facilities now require, 83–85 may bolster cultural humility skills-building.…”

Section: Discussionmentioning

confidence: 99%

“… 86 , 87 Similarly, engaging non-clinicians such as doulas and community health workers, 88 , 89 who develop longitudinal trusted relationships with patients, may help the larger care team to better understand, appreciate, and engage with patient perspectives. 73 , 74 As states expand coverage, 90 , 91 these essential workers will play a greater role in bridging the historically disparate social worlds of community members and clinicians. Finally, health care leadership can support clinician cultural humility by ensuring institutional practices, resources, trainings, and mission statements are consistent with its principles.…”

Section: Discussionmentioning

confidence: 99%

The Social Contexts of Birthing People with Public- and Private-Payer Prenatal Care: Illuminating an Understudied Aspect of the Patient Experience

Garrett

Simon

2022

Health Equity

View full text Add to dashboard Cite

Purpose: In pursuit of more equitable and person-centered health care, patients and professional medical societies increasingly call for better clinician understanding of patients' perspectives and social contexts. A foundational but understudied aspect of patients' social contexts are the ideas they encounter about health-related behaviors. We investigated this aspect of the social contexts of birthing people, comparing those with public versus private insurance to discover setting-specific insights. Methods: Based on ethnographic fieldwork, we created an original survey featuring 29 statements about 12 prenatal, perinatal, and postpartum health behaviors (e.g., drinking alcohol, epidural use, breastfeeding). Participants were 248 individuals receiving prenatal care in Northern California in 2009–2011, split evenly between public- and private-payer coverage. Participants reported whether they were familiar or unfamiliar with each statement. Results: Ninety-eight percent of all participants had heard contradictory ideas about ≥1 health behavior (mean=3.9 behaviors for public- and 5.4 for private-coverage respondents). For 20 of the 29 behavior-related ideas, exposure varied significantly by coverage type. Among other differences, public-coverage respondents were much more familiar with ideas related to risk and constrained autonomy (e.g., that serious perinatal complications are common; that new mothers should try to breastfeed even if they do not want to). Conclusions: Birthing people are exposed to a wide range of ideas about health behaviors, many of which vary by the structural systems in which they are embedded. Understanding and engaging this complexity can help clinicians to provide more respectful, person-centered, and equitable maternity care.

show abstract

“…25 Such curricula should include training in cultural humility, a concept that encourages clinicians to be open and to practice self-reflection while empowering patients to be masters of their own lived experiences. 75 The research studies that are used as examples in medical school curricula should highlight health disparities within all communities of color, including the AAPI community. Health care workers should familiarize themselves with how patients from the AAPI diaspora may view health care and illnesses differently, so that they can appropriately engage with them in conversations about diagnosis and treatment.…”

Section: Moving Toward Antiracist Medical Schoolsmentioning

confidence: 99%

The Model Minority Myth, Data Aggregation, and the Role of Medical Schools in Combating Anti-Asian Sentiment

Liu¹,

Wang²,

Nguyen³

et al. 2022

Academic Medicine

View full text Add to dashboard Cite

The COVID-19 pandemic has resulted in an alarming increase in hate incidents directed toward Asian Americans and Pacific Islanders (AAPIs), including verbal harassment and physical assault, spurring the nationwide #StopAsianHate movement. This rise in anti-Asian sentiment is occurring at a critical time of racial reckoning across the United States, galvanized by the Black Lives Matter movement, and of medical student calls for the implementation of antiracist medical curricula. AAPIs are stereotyped by the model minority myth, which posits that AAPIs are educated, hardworking, and therefore able to achieve high levels of success. This myth acts as a racial wedge between minorities and perpetuates harm that is pervasive throughout the field of medicine. Critically, the frequent aggregation of all AAPI subgroups as one monolithic community obfuscates socioeconomic and cultural differences across the AAPI diaspora while reinforcing the model minority myth. Here, the authors illustrate how the model minority myth and data aggregation have negatively affected the recruitment and advancement of diverse AAPI medical students, physicians, and faculty. Additionally, the authors discuss how data aggregation obscures health disparities across the AAPI diaspora and how the model minority myth influences the illness experiences of AAPI patients. Importantly, the authors outline specific actionable policies and reforms that medical schools can implement to combat anti-Asian sentiment and support the AAPI community.

show abstract

Integrating Cultural Humility into the Medical Education Curriculum: Strategies for Educators

Cited by 31 publications

References 48 publications

US medical student perspectives on Asian American patient inclusion in medical education: a qualitative study

US medical student perspectives on Asian American patient inclusion in medical education: a qualitative study

The Social Contexts of Birthing People with Public- and Private-Payer Prenatal Care: Illuminating an Understudied Aspect of the Patient Experience

The Model Minority Myth, Data Aggregation, and the Role of Medical Schools in Combating Anti-Asian Sentiment

Contact Info

Product

Resources

About