title: Enhancing patient-physician communication: a community and culturally based approach.
abstract: BACKGROUND
  African American women are more likely to be diagnosed at later stages of breast cancer.
  
  
  METHODS
  A total of 15 residents participated in a program to increase their self-efficacy in communication skills relevant to understanding and responding to African American cultural issues associated with mammography screening.
  
  
  RESULTS
  Physicians reported increasing confidence in their ability to elicit barriers to mammography; assess cultural beliefs and norms; assess perceived health benefits and emotional adjustment; engage in emotional talk; motivate; and negotiate and build partnerships with patients.
  
  
  CONCLUSIONS
  A brief program can increase physician communication skills to meet the needs of a diverse population.
authors.affiliation: University of Alabama at Birmingham, Birmingham Alabama Division of Preventive Medicine, 35294-4410, USA. mymartin@uab.edu
authors.forename: Michelle Y
authors.initials: MY
authors.lastname: Martin
authors.forename: Wendy
authors.initials: W
authors.lastname: Keys
authors.forename: Sharina D
authors.initials: SD
authors.lastname: Person
authors.forename: Yongin
authors.initials: Y
authors.lastname: Kim
authors.forename: Rowell S
authors.initials: RS
authors.lastname: Ashford
authors.forename: Connie
authors.initials: C
authors.lastname: Kohler
authors.forename: Patricia
authors.initials: P
authors.lastname: Norton
mesh_terms: D000328:Adult; D001741:Black or African American; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000208:ethnology; D002983:Clinical Competence; D003142:Communication; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008327:Mammography; D010817:Physician-Patient Relations; D012111:Residence Characteristics; D020377:Self Efficacy; D014481:United States / Q000208:ethnology