Racial Concordance, Rather Than Cultural Competency Training, Can Change Outcomes

Guillaume, Gina; Robles, Juan; Rodríguez, José E.

doi:10.22454/fammed.2022.633693

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…“Provider-patient race concordance can achieve broader, systemic goals of improving cross-cultural care delivery and improved patient outcomes. For instance, racial concordance is more clearly associated with better communication between patients and providers in one systematic review that involved Black patients.” 5 …”

Section: Policy Recommendationsmentioning

confidence: 99%

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Delaware Healthcare Workforce Update

Gibbs,

McNeill

2023

Delaware Journal of Public Health

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Working from data provided by the Delaware Division of Professional Regulation from May 2022 to September 2023, this 16-month update supports a general rebound in active licensing numbers across the Delaware Healthcare industry in professions licensed through the Division of Professional Regulation’s DelPros system. This report articulates the types of data analysis currently available through the data and research initiative of Delaware Health Force, provides a high-level overview of the data, and offers preliminary recommendations based on the data. Overall, the healthcare workforce in Delaware shows a steady rebound, with many license types appearing to reach new highs. There are some areas in which continued loss of active licenses is of concern.

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Section: Policy Recommendationsmentioning

confidence: 99%

“…For instance, racial concordance is more clearly associated with better communication between patients and providers in one systematic review that involved Black patients." 5…”

Section: Policy Recommendationsmentioning

confidence: 99%

Delaware Healthcare Workforce Update

Gibbs,

McNeill

2023

Delaware Journal of Public Health

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“…4 Evidence indicates that patients with race concordant physicians report improved access to healthcare, 5 better communication, higher Press Ganey patient satisfaction scores, greater patient acceptance of invasive procedures during preventative visits and improved show rates for longitudinal care visits. [5][6][7][8] Additionally, Whitla et al 9 demonstrated that diversity in medical school enhances the educational experience due to interactions with diverse peers.…”

Section: Introductionmentioning

confidence: 99%

Seeking Equity; Pathway Programs in Liaison Committee on Medical Education Medical Schools for Minoritized Students

Ogunyemi,

Westermeyer,

Eghbali

et al. 2023

Journal of Medical Education and Curricular Development

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Objectives There is a paucity of data on pathway programs that seek to increase underrepresented in medicine (URiM) students in medicine. Therefore, this investigation aimed to describe the status and associations of pathway programs at US medical schools. Methods From May to July 2021, the authors obtained information by (1) accessing pathway programs listed on the Association of American Medical Colleges (AAMC) website, (2) reviewing websites of US medical schools, (3) calling medical schools to obtain further information. The data retrieved from the medical school websites was compiled into a 27-item checklist based on the maximum number of different items that was extracted from any of the medical school websites. The data included program characteristics, curricula, activities, and outcomes. Each program was assessed on the number of categories of which information was available. Statistical analyses determined significant associations of URiM-focused pathways and other factors. Results The authors identified 658 pathway programs: 153 (23%) listed on AAMC website and 505 (77%) identified from medical school websites. Only 88 (13%) programs listed outcomes and 143 (22%) had adequate website information. URiM-focused programs (48%) were independently associated with AAMC website listing (adjusted odds ratio [aOR] = 2.62, P = .001), no fees requirement (aOR = 3.33, P = .001), oversight by diversity departments (aOR = 2.05, P = .012), Medical College Admission Test preparations (aOR = 2.70, P = .001), research opportunities (aOR = 1.51, P = .022), and mentoring (aOR = 2.58., P < .001). Programs targeting K1-12 were less likely to offer mentoring, shadowing or research or include URiM students. Programs with outcomes were more likely to be college programs with longer durations and offer research, while programs listed on AAMC website provided more resources. Conclusion Although pathway programs are available for URiM students, accessibility issues due to inadequate websites information and early exposure are barriers. Most programs have insufficient data on their website, including a lack of outcome data which is detrimental in today's virtual climate. Medical schools should update their websites to ensure that students requiring support to matriculate into medical school have adequate and relevant information to make informed decisions regarding participation.

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