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Related Experiment Video

Updated: Jun 11, 2026

Setup and Execution Of the Blindfolded Code Training Exercise

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

Pitfalls to avoid when introducing a cultural competency training initiative.

Maria B J Chun¹

¹Department of Surgery, University of Hawaii at Manoa, Honolulu, Hawaii, USA. mariachu@hawaii.edu

Medical Education

|July 8, 2010

Summary

Cultural competency training in medicine needs better evidence of effectiveness. Addressing implementation challenges and potential resistance is key to improving patient care and justifying investment in these programs.

Related Experiment Videos

Last Updated: Jun 11, 2026

Setup and Execution Of the Blindfolded Code Training Exercise

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

Area of Science:

Medical Education
Healthcare Management
Sociology in Medicine

Background:

Cultural competency initiatives are legally mandated in medical training.
The effectiveness of these programs in improving patient care lacks robust evidence.
Positive outcomes are often reported, overshadowing implementation difficulties.

Purpose of the Study:

To identify failures in cultural competency initiatives.
To provide preventive advice for future program development.
To highlight lessons learned from a general surgery training program example.

Main Methods:

Analysis of a cultural competency initiative in postgraduate general surgery training.
Discussion of implementation mistakes, particularly trainee resistance.
Presentation of lessons learned and mitigation strategies.

Main Results:

Underestimating trainee resistance was a significant implementation pitfall.
Detailed discussion of practical difficulties and mitigation efforts is often lacking in literature.
The need for clear terminology, buy-in, and long-term commitment is evident.

Conclusions:

Cultural competency training requires a stronger evidence base.
Standardized tools are needed to measure outcomes effectively.
Understanding potential pitfalls is crucial for advancing training and justifying institutional investment.