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Treating and precepting with RESPECT: a relational model addressing race, ethnicity, and culture in medical training
Carol Mostow1, Julie Crosson, Sandra Gordon
1Department of Family Medicine, Boston Medical Center, Boston, MA 02118, USA. Carol.Mostow@bmc.org
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.
Description:
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.
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