Treating and precepting with RESPECT: a relational model addressing race, ethnicity, and culture in medical training.
BACKGROUND
In 2000 a diverse group of clinicians/educators at an inner-city safety-net hospital identified relational skills to reduce disparities at the point of care.


METHODS
The resulting interviewing and precepting model helps build trust with patients as well as with learners. RESPECT adds attention to the relational dimension, addressing documented disparities in respect, empathy, power-sharing, and trust while incorporating prior cross-cultural models. Specific behavioral descriptions for each component make RESPECT a concrete, practical, integrated model for teaching patient care.


CONCLUSIONS
Precepting with RESPECT fosters a safe climate for residents to partner with faculty, address challenges with patients at risk, and improve outcomes.
Mostow
Carol
C
Department of Family Medicine, Boston Medical Center, Boston, MA 02118, USA. Carol.Mostow@bmc.org
Crosson
Julie
J
Gordon
Sandra
S
Chapman
Sheila
S
Gonzalez
Peter
P
Hardt
Eric
E
Delgado
Leyda
L
James
Thea
T
David
Michele
M
D003431:Cross-Cultural Comparison; D054521:Cultural Competency / Q000193:education*; D005006:Ethnicity / Q000208:ethnology*; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D017145:Models, Educational; D010817:Physician-Patient Relations; D044469:Racial Groups / Q000208:ethnology*; D013663:Teaching / Q000379:methods