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A Prescription for Cultural Competence in Medical Education

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TLDR
In this article, the authors recommend a number of elements to strengthen cultural competency education in medical schools, intended to promote an active and integrated approach to multicultural issues throughout medical school training.
Abstract
Cultural competence programs have proliferated in U.S. medical schools in response to increasing national diversity, as well as mandates from accrediting bodies. Although such training programs share common goals of improving physician-patient communication and reducing health disparities, they often differ in their content, emphasis, setting, and duration. Moreover, training in cross-cultural medicine may be absent from students' clinical rotations, when it might be most relevant and memorable. In this article, the authors recommend a number of elements to strengthen cultural competency education in medical schools. This “prescription for cultural competence” is intended to promote an active and integrated approach to multicultural issues throughout medical school training.

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Journal ArticleDOI

Culture and health

TL;DR: In this paper, the authors argue that the perceived distinction between the objectivity of science and the subjectivity of culture is itself a social fact (a common perception) and attribute the absence of awareness of the cultural dimensions of scientific practice to this distinction, especially for macrocultures and large societies.
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Structural Vulnerability: Operationalizing the Concept to Address Health Disparities in Clinical Care

TL;DR: A novel, practical medical vulnerability assessment questionnaire is outlined that operationalizes for clinical practice the social science concept of “structural vulnerability,” and may orient health care providers toward policy leadership to reduce health disparities and foster health equity.
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Critical elements of culturally competent communication in the medical encounter: a review and model.

TL;DR: A model of culturally competent physician communication that integrates existing frameworks for cultural competence in patient care with models of effective patient-centered communication is presented, designed to foster maximum physician sensitivity to cultural variation in patients.
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Integrating cultural humility into health care professional education and training

TL;DR: The QIAN curriculum could improve practice and enhance the exploration, comprehension and appreciation of the cultural orientations between healthcare professionals and patients which ultimately could improve patient satisfaction, patient-healthcare professional relationship, medical adherence and the reduction of health disparities.
References
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Book

Diffusion of Innovations

TL;DR: A history of diffusion research can be found in this paper, where the authors present a glossary of developments in the field of Diffusion research and discuss the consequences of these developments.
Journal ArticleDOI

Diffusion of innovations

TL;DR: Upon returning to the U.S., author Singhal’s Google search revealed the following: in January 2001, the impeachment trial against President Estrada was halted by senators who supported him and the government fell without a shot being fired.
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Pharmacological interventions for somatoform disorders in adults.

TL;DR: A systematic review and meta-analysis of placebo-controlled studies examined the efficacy and tolerability of different types of antidepressants, the combination of an antidepressant and an antipsychotic, antipsychotics alone, or natural products in adults with somatoform disorders in adults to improve optimal treatment decisions.
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The adult learner : a neglected species

TL;DR: In this paper, the authors present the reasons why teaching adults is so different than teaching children, and present a self-diagnostic tool (photocopiable) for determining the competency of trainers, guidelines for learning contracts and ideas on how to switch from being a teacher to being a facilitator of learning.
Journal ArticleDOI

Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research

TL;DR: A limited set of concepts derived from anthropologic and cross-cultural research may provide an alternative framework for identifying issues that require resolution, including a fundamental distinction between disease and illness and the notion of the cultural construction of clinical reality.
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