title: Medical students' perceptions of their teachers' and their own cultural competency: implications for education.
abstract: BACKGROUND
  Enhancing the cultural competency of students is emerging as a key issue in medical education; however, students may perceive that they are more able to function within cross-cultural situations than their teachers, reducing the effectiveness of cultural competency educational efforts.
  
  
  OBJECTIVE
  The purpose of our study was to compare medical students' perceptions of their residents, attendings, and their own cultural competency.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A questionnaire containing previously validated instruments was administered to end-of-third-year medical students at four institutions throughout the US. Repeated measures multivariate analysis was used to determine differences in student ratings.
  
  
  METHODS
  Three hundred fifty-eight medical students from four schools participated, for an overall response rate of 65%.
  
  
  RESULTS
  Analysis indicated overall statistically significant differences in students' ratings (p < 0.001, eta(2) = 0.33). Students rated their own cultural competency as statistically significantly higher than their residents, but similar to their attendings. For reference, students rated the patient care competency of themselves, their residents, and their attendings; they rated their attendings' skills as statistically significantly higher than residents, and residents as statistically significantly higher than themselves. There were differences between cultural competency and patient care ratings.
  
  
  CONCLUSIONS
  Our results indicate that students perceive the cultural competency of their attendings and residents to be the same or lower than themselves. These findings indicate that this is an important area for future research and curricular reform, considering the vital role that attendings and residents play in the education of medical students.
authors.affiliation: The University of Oklahoma College of Medicine, Oklahoma City, OK 73104, USA. Britta-Thompson@ouhsc.edu
authors.forename: Britta M
authors.initials: BM
authors.lastname: Thompson
authors.forename: Paul
authors.initials: P
authors.lastname: Haidet
authors.forename: Robert
authors.initials: R
authors.lastname: Casanova
authors.forename: Rey P
authors.initials: RP
authors.lastname: Vivo
authors.forename: Arthur G
authors.initials: AG
authors.lastname: Gomez
authors.forename: Arleen F
authors.initials: AF
authors.lastname: Brown
authors.forename: Regina A
authors.initials: RA
authors.lastname: Richter
authors.forename: Sonia J
authors.initials: SJ
authors.lastname: Crandall
mesh_terms: D001291:Attitude of Health Personnel / Q000208:ethnology*; D002983:Clinical Competence / Q000592:standards; D003430:Cross-Sectional Studies; D054521:Cultural Competency / Q000193:education* / Q000523:psychology*; D004501:Education, Medical / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D010465:Perception; D013337:Students, Medical / Q000523:psychology*