Evaluation of residency training in the delivery of culturally effective care.
OBJECTIVE
To augment resident training in the delivery of culturally effective care in order to improve clinician capacity to effectively care for patients from diverse backgrounds.


METHODS
Residents from the Naval Medical Center San Diego and the University of California San Diego participated in experiential learning and service activities. Programme evaluation assessed aspects of the delivery of culturally effective care in community settings. A community-based participatory approach to engaging residents in the delivery of culturally effective care and evaluation of the effectiveness of this approach are described.


RESULTS
A significant pre-post rotation increase was noted in residents' self-perceived ability to identify culture-related issues that may impact on the patient's view of illness (P<0.001) and ability to address a culture-related issue (P<0.001). Community evaluations rated residents positively on behaviours that reflected communication skills and professionalism, but less positively on knowledge about communities.


CONCLUSIONS
The authors conclude that resident exposure to the block rotation curriculum contributes to improved knowledge of the skills necessary to provide culturally effective care in diverse community settings.
Zúñiga
María Luisa
ML
Division of Community Pediatrics, University of California San Diego, San Diego, California, USA. mzuniga@ucsd.edu
Sidelinger
Dean E
DE
Blaschke
Gregory S
GS
Silva
Frank A
FA
Broyles
Shelia L
SL
Nader
Philip R
PR
Reznik
Vivian
V
D000328:Adult; D002140:California; D002983:Clinical Competence / Q000592:standards*; D003154:Community Medicine / Q000193:education*; D003469:Culture; D003695:Delivery of Health Care / Q000592:standards*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008297:Male; D015397:Program Evaluation; D013663:Teaching / Q000592:standards*