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Resident cross-cultural training, satisfaction, and preparedness
Mary Pat Frintner1, Fernando S Mendoza, Benard P Dreyer
1Department of Research, American Academy of Pediatrics, Elk Grove Village, IL, USA.
Academic Pediatrics
|January 15, 2013
Summary
Pediatric residents gain confidence in caring for diverse children through cross-cultural training. More cross-cultural experiences during residency improve preparedness for culturally effective pediatric care.
Area of Science:
- Medical Education
- Pediatrics
- Cultural Competency in Healthcare
Background:
- Pediatric residents exhibit diverse racial, ethnic, and linguistic backgrounds.
- A significant portion of residents grew up in multilingual households, indicating inherent cross-cultural exposure.
Purpose of the Study:
- To assess the diversity of pediatric residents.
- To investigate the impact of cross-cultural training on resident satisfaction, preparedness, and attitudes towards caring for underserved populations.
Main Methods:
- A national random sample of graduating pediatric residents and minority residents completed a cross-sectional survey.
- Multivariate regression analysis was used to examine the relationship between cross-cultural experiences and key outcomes, controlling for pre-residency factors.
Main Results:
- Most residents (96%) felt prepared for diverse patient backgrounds, but fewer felt ready for families with non-Western beliefs (49%) or those using complementary care (37%).
- Increased cross-cultural experiences correlated with better preparedness to care for patients with limited English proficiency, new immigrants, and those with specific religious beliefs impacting care.
Conclusions:
- Pediatric residents enter training with varied cross-cultural backgrounds.
- Residency-based cross-cultural care training enhances resident preparedness to provide culturally effective care to diverse pediatric populations in the US.
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