title: Resident cross-cultural training, satisfaction, and preparedness.
abstract: OBJECTIVE
  To describe the diversity of pediatric residents and examine relationships of cross-cultural training experiences with training satisfaction, perceived preparedness for providing culturally effective care, and attitudes surrounding care for underserved populations.
  
  
  METHODS
  A cross-sectional survey was conducted of a national random sample of graduating pediatric residents and an additional sample of minority residents. Using weighted analysis, we used multivariate regression to test for differences in satisfaction, preparedness, and attitudes between residents with more and less cross-cultural experiences during residency, controlling for residents' characteristics and experiences before training.
  
  
  RESULTS
  The survey response rate was 57%. Eleven percent were Hispanic, 61% white, 21% Asian, 9% African American, 9% other racial/ethnic groups; 34% grew up in a bi- or multilingual family. Ninety-three percent of residents were satisfied with their residency training, 81% with the instruction they received on health and health care disparities, and 54% on global health issues. Ninety-six percent of residents felt they were prepared to care for patients from diverse backgrounds, but fewer felt prepared to care for families with beliefs at odds with Western medicine (49%) and families who receive alternative or complementary care (37%). Residents with more cross-cultural experiences during residency reported being better prepared than those with less experience to care for families with limited English proficiency (adjusted odds ratio [aOR] 2.11; 95% confidence interval [CI] 1.40-3.17), new immigrants (aOR 1.91; 95% CI 1.32-2.75), and with religious beliefs that might affect clinical care (aOR 1.62; 95% CI 1.13-2.32).
  
  
  CONCLUSIONS
  Pediatric residents begin their training with diverse cross-cultural backgrounds and experiences. Residency experiences in cross-cultural care contribute to feelings of preparedness to care for diverse US children.
authors: Department of Research, American Academy of Pediatrics, Elk Grove Village, IL, USA.
authors: Mary Pat
authors: MP
authors: Frintner
authors: Fernando S
authors: FS
authors: Mendoza
authors: Benard P
authors: BP
authors: Dreyer
authors: William L
authors: WL
authors: Cull
authors: Danielle
authors: D
authors: Laraque
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D001213:Asian / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D054521:Cultural Competency / Q000193:education*; D018864:Cultural Diversity; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D010372:Pediatrics / Q000193:education* / Q000706:statistics & numerical data; D014481:United States; D044465:White People / Q000706:statistics & numerical data