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Teaching cross-cultural communication skills online: a multi-method evaluation
Amy L Lee1, Emily M Mader, Christopher P Morley
1Department of Family Medicine, Tufts University.
Family Medicine
|April 9, 2015
Summary
An online cultural competency module effectively increased medical students' use of patient-centered communication questions. This training improved cross-cultural communication skills, particularly for students entering high-communication specialties.
Area of Science:
- Medical Education
- Cross-Cultural Communication
- Health Disparities
Background:
- Cultural competency education is a required component of undergraduate medical training.
- Effective cross-cultural communication is crucial for equitable patient care.
- Standardized methods for assessing and improving these skills in medical students are needed.
Purpose of the Study:
- To evaluate the impact of an online cross-cultural communication module on medical students' use of patient-centered communication questions.
- To assess if the module increased the application of PACT (Patient's definition of the problem, Affect on life, Concerns, Treatment) questions.
- To determine the effectiveness of online learning for cultural competency in medical education.
Main Methods:
- A randomized controlled trial was conducted with medical students in family medicine clerkships.
- One group received an online cultural competency and PACT training module, while the control group received standard curriculum.
- Outcomes were measured using the number of PACT questions used in a Standardized Patient Exercise, OSCE scores, and qualitative analysis of student narratives.
Main Results:
- Students who completed the online module demonstrated a statistically significant increase in the use of PACT questions compared to the control group.
- Qualitative analysis of student narratives revealed positive themes related to enhanced cultural awareness and communication.
- The module's positive impact on communication skills was most pronounced in students who later matched into high-communication specialties.
Conclusions:
- Online educational modules can be an effective tool for teaching cross-cultural communication skills to medical students.
- This intervention demonstrates the potential to improve patient-centered communication and address health disparities.
- The findings support the integration of online cultural competency training into undergraduate medical curricula.
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