title: Treating and precepting with RESPECT: a relational model addressing race, ethnicity, and culture in medical training.
abstract: 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.
authors.affiliation: Department of Family Medicine, Boston Medical Center, Boston, MA 02118, USA. Carol.Mostow@bmc.org
authors.forename: Carol
authors.initials: C
authors.lastname: Mostow
authors.forename: Julie
authors.initials: J
authors.lastname: Crosson
authors.forename: Sandra
authors.initials: S
authors.lastname: Gordon
authors.forename: Sheila
authors.initials: S
authors.lastname: Chapman
authors.forename: Peter
authors.initials: P
authors.lastname: Gonzalez
authors.forename: Eric
authors.initials: E
authors.lastname: Hardt
authors.forename: Leyda
authors.initials: L
authors.lastname: Delgado
authors.forename: Thea
authors.initials: T
authors.lastname: James
authors.forename: Michele
authors.initials: M
authors.lastname: David
mesh_terms: 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