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Area of Science:

  • Medical Education
  • Cultural Competence in Healthcare
  • Clinical Skills Assessment

Background:

  • Cultural competence education is vital for medical students.
  • Understanding student experiences in clinical settings is crucial.
  • Identifying gaps in feedback for cross-cultural encounters is needed.

Purpose of the Study:

  • To describe medical student experiences with directly observed cross-cultural encounters.
  • To identify needs for resident and faculty training in feedback delivery.
  • To assess the quality of feedback on observed cross-cultural skills.

Main Methods:

  • Collected direct observation feedback forms from third-year medical students.
  • Categorized observed cross-cultural skills.
  • Quantified feedback quality using a standardized model.

Main Results:

  • Interpreter use was the most frequently observed skill.
  • Positive feedback scored highest (3.34/4 elements).
  • Corrective feedback quality averaged 2.3/4 elements, correlating with observation frequency.

Conclusions:

  • Significant variability exists in feedback quality for cross-cultural clinical skills.
  • Faculty and resident training should prioritize corrective feedback.
  • Training should focus on less commonly observed cross-cultural skills.