Literature DB >> 20352503

Surmounting the unique challenges in health disparities education: a multi-institution qualitative study.

Olivia Carter-Pokras1, Sylvia Bereknyei, Desiree Lie, Clarence H Braddock.   

Abstract

BACKGROUND: The National Consortium for Multicultural Education for Health Professionals (Consortium) comprises educators representing 18 US medical schools, funded by the National Institutes of Health. Collective lessons learned from curriculum implementation by principal investigators (PIs) have the potential to guide similar educational endeavors.
OBJECTIVE: Describe Consortium PI's self-reported challenges with curricular development, solutions and their new curricular products.
METHODS: Information was collected from PIs over 2 months using a 53-question structured three-part questionnaire. The questionnaire addressed PI demographics, curriculum implementation challenges and solutions, and newly created curricular products. Study participants were 18 Consortium PIs. Descriptive analysis was used for quantitative data. Narrative responses were analyzed and interpreted using qualitative thematic coding.
RESULTS: Response rate was 100%. Common barriers and challenges identified by PIs were: finding administrative and leadership support, sustaining the momentum, continued funding, finding curricular space, accessing and engaging communities, and lack of education research methodology skills. Solutions identified included engaging stakeholders, project-sharing across schools, advocacy and active participation in committees and community, and seeking sustainable funding. All Consortium PIs reported new curricular products and extensive dissemination efforts outside their own institutions.
CONCLUSION: The Consortium model has added benefits for curricular innovation and dissemination for cultural competence education to address health disparities. Lessons learned may be applicable to other educational innovation efforts.

Entities:  

Mesh:

Year:  2010        PMID: 20352503      PMCID: PMC2847111          DOI: 10.1007/s11606-010-1269-1

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  11 in total

1.  What do medical students learn from early clinical experiences (ECE)?

Authors:  Désirée Lie; John Boker; David Gutierrez; Michael Prislin
Journal:  Med Teach       Date:  2006-08       Impact factor: 3.650

2.  Facilitating collaboration among academic generalist disciplines: a call to action.

Authors:  Jean S Kutner; John M Westfall; Elizabeth H Morrison; Mary Catherine Beach; Elizabeth A Jacobs; Roger A Rosenblatt
Journal:  Ann Fam Med       Date:  2006 Mar-Apr       Impact factor: 5.166

3.  Using the tool for assessing cultural competence training (TACCT) to measure faculty and medical student perceptions of cultural competence instruction in the first three years of the curriculum.

Authors:  Désirée Lie; John Boker; Ella Cleveland
Journal:  Acad Med       Date:  2006-06       Impact factor: 6.893

4.  Recommendations for teaching about racial and ethnic disparities in health and health care.

Authors:  Wally R Smith; Joseph R Betancourt; Matthew K Wynia; Jada Bussey-Jones; Valerie E Stone; Christopher O Phillips; Alicia Fernandez; Elizabeth Jacobs; Jacqueline Bowles
Journal:  Ann Intern Med       Date:  2007-11-06       Impact factor: 25.391

Review 5.  The CAM Education Program of the National Center for Complementary and Alternative Medicine: an overview.

Authors:  Nancy J Pearson; Margaret A Chesney
Journal:  Acad Med       Date:  2007-10       Impact factor: 6.893

6.  Evaluating CAM education in health professions programs.

Authors:  Terry D Stratton; Rita K Benn; Désirée A Lie; Janice M Zeller; Anne R Nedrow
Journal:  Acad Med       Date:  2007-10       Impact factor: 6.893

7.  Integrating early clinical experience curricula at two medical schools: lessons learned from the Robert Wood Johnson Foundation's Generalist Physician Initiative.

Authors:  C C Matson; J A Ullian; E V Boisaubin
Journal:  Acad Med       Date:  1999-01       Impact factor: 6.893

8.  Assessing medical students' skills in working with interpreters during patient encounters: a validation study of the Interpreter Scale.

Authors:  Désirée Lie; Sylvia Bereknyei; Clarence H Braddock; Jennifer Encinas; Susan Ahearn; John R Boker
Journal:  Acad Med       Date:  2009-05       Impact factor: 6.893

9.  Reducing racial and social-class inequalities in health: the need for a new approach.

Authors:  S Leonard Syme
Journal:  Health Aff (Millwood)       Date:  2008 Mar-Apr       Impact factor: 6.301

10.  Revising the Tool for Assessing Cultural Competence Training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus.

Authors:  Désirée A Lie; John Boker; Sonia Crandall; Christopher N Degannes; Donna Elliott; Paula Henderson; Cheryl Kodjo; Lynn Seng
Journal:  Med Educ Online       Date:  2008-01-01
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  3 in total

1.  What should we include in a cultural competence curriculum? An emerging formative evaluation process to foster curriculum development.

Authors:  Katie Crenshaw; Richard M Shewchuk; Haiyan Qu; Lisa J Staton; Judy Ann Bigby; Thomas K Houston; Jeroan Allison; Carlos A Estrada
Journal:  Acad Med       Date:  2011-03       Impact factor: 6.893

2.  What do health literacy and cultural competence have in common? Calling for a collaborative health professional pedagogy.

Authors:  Désirée Lie; Olivia Carter-Pokras; Bonnie Braun; Cliff Coleman
Journal:  J Health Commun       Date:  2012

3.  Medical education practice-based research networks: Facilitating collaborative research.

Authors:  Alan Schwartz; Robin Young; Patricia J Hicks
Journal:  Med Teach       Date:  2014-10-16       Impact factor: 3.650

  3 in total

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