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Cultural Competency Training in Emergency Medicine
Oren J Mechanic1, Nicole M Dubosh2, Carlo L Rosen1
1Harvard Affiliated Emergency Medicine Residency, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
The Journal of Emergency Medicine
|July 6, 2017
Summary
Emergency Medicine residency programs often lack comprehensive cultural competency training, particularly for patients with limited English proficiency. Most programs desire a universal, open-source curriculum to enhance physician preparedness for diverse patient populations.
Area of Science:
- Medical Education
- Emergency Medicine
- Cultural Competency
Background:
- Emergency Departments (EDs) serve diverse patient populations, necessitating physician cultural awareness.
- Effective patient care hinges on understanding and respecting patient cultural diversity.
- Assessing residency preparedness in cultural competency is crucial for improving training and patient outcomes.
Purpose of the Study:
- To evaluate the extent of formal cultural competency programs within Emergency Medicine residency.
- To assess faculty and resident exposure to diversity education.
- To identify future needs and preferences for cultural competency training.
Main Methods:
- A survey was distributed to 168 Accreditation Council for Graduate Medical Education program directors.
- Data collection involved structured survey responses and open-ended input.
- Descriptive and bivariate statistical analyses were employed.
Main Results:
- A 43.5% response rate was achieved from surveyed residency programs.
- 68.5% of programs incorporated cultural competency education, primarily through structured didactics (90%).
- Gaps exist in training content, with limited focus on patients with limited English proficiency (40%) and unmeasured resident comfort (83.6%).
Conclusions:
- Most Emergency Medicine residency programs offer formal cultural competency didactics.
- Existing training often lacks breadth, particularly concerning language barriers.
- A strong interest (93.2%) exists in a universal, open-source cultural competency curriculum for residents.
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