Cross-Cultural Care Training for Pediatric Hematology/Oncology Fellows
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Introduction: Physicians are entrusted with the medical care of culturally and socially diverse patient populations. In addition, pediatric hematologists/oncologists are faced with the challenge of taking care of children with life-threatening and complex conditions. We implemented a cross-cultural care training curriculum for our pediatric hematology/oncology fellows with the goal of preparing them to handle complex clinical situations while navigating different social and cultural belief systems. Methods: The curriculum includes a precourse self-reflection; a learning module with a review of published literature; faculty-facilitated small-group role-play simulations; interactive sessions with language interpreters and physicians from different cultural, ethnic, and religious belief systems; and a postcourse reflection. Results: Fellows who participated in the curriculum strongly agreed that the module was helpful, indicating that it enhanced their communication skills, improved delivery of cross-cultural care, and had a sustained impact on their interaction with medical language interpreters. Discussion: Cross-cultural care training should be integrated into any pediatric hematology/oncology training curriculum. Sessions directed at addressing the perceived gaps between physician awareness and the patient’s belief systems can increase awareness of personal biases in practice and improve interview techniques. Likewise, self-reflection can help physicians apply their medical knowledge and skills in the appropriate cultural and social context, thereby improving patient satisfaction, partnerships, and health care outcomes.
Rao AN, Warad D, Rodriguez V. Cross-cultural care training for pediatric hematology/oncology fellows. MedEdPORTAL Publications. 2017;13:10543. https://doi.org/10.15766/mep_2374-8265.10543
By the end of this curriculum, learners will be able to:
- Identify their own cultural beliefs and biases, as well as their potential impact on health care delivery.
- Recognize the influence of language proficiency and health literacy on delivering optimal medical care.
- Demonstrate an understanding of disparities in the diagnosis, treatment, and survival outcomes of children with hematologic and oncologic conditions.
- Incorporate strategies to deliver culturally sensitive care in various clinical scenarios relevant to the field of pediatric hematology/oncology.
- Culturally Competent Care, Pediatric Hematology/Onocology, Health Care Disparities
This information is made available under the Creative Commons license.
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Authors & Co-Authors
Amulya Nageswara Rao, MD
Deepti Warad, MD
Vilmarie Rodriguez, MD
Sponsorship or Funding Source
This work was made possible through the Endowment for Education Research Award awarded by the Office of Applied Scholarship and Education Science, Mayo Clinic, Rochester, Minnesota.