Evidence map›Paper›PMID 21248602›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2011

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

Katie Crenshaw, Richard M Shewchuk, Haiyan Qu, Lisa J Staton, Judy Ann Bigby, Thomas K Houston, Jeroan Allison, Carlos A Estrada

Abstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cultural competence education for health professionals.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Exploring barriers to SARS-CoV-2 testing uptake in underserved black communities in Louisiana.American journal of human biology : the official journal of the Human Biology Council · 2023
    Observational
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  12. Self-Awareness and Cultural Identity as an Effort to Reduce Bias in Medicine.Journal of racial and ethnic health disparities · 2018
    Article
  13. Whose Preferences Matter? A Patient-Centered Approach for Eliciting Treatment Goals.Medical decision making : an international journal of the Society for Medical Decision Making · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katie CrenshawDivision of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
Richard M Shewchuk
Haiyan Qu
Lisa J Staton
Judy Ann Bigby
Thomas K Houston
Jeroan Allison
Carlos A Estrada

Funding

UNIVERSITY OF MASSACHUSETTS CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCEUL1RR031982 · NCRR · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SULLIVAN, JOHN LEWIS · 2010 to 2011
$6.8M
Improving Cultural Competency:An Online CaseBased Curr.K07HL081373 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ESTRADA, CARLOS A · 2005 to 2009
$529k
NCRR NIH HHS UL1 RR031982NHLBI NIH HHS K07 HL081373
6 · The paper itself

Abstract

purposeTo identify, prioritize, and organize components of a cultural competence curriculum to address disparities in cardiovascular disease.

methodIn 2006, four separate nominal group technique sessions were conducted with medical students, residents, community physicians, and academic physicians to generate and prioritize a list of concepts (i.e., ideas) to include in a curriculum. Afterward, 45 educators and researchers organized and prioritized the concepts using a card-sorting exercise. Multidimensional scaling (MDS) and hierarchical cluster analysis produced homogeneous groupings of related concepts and generated a cognitive map. The main outcome measures were the number of cultural competence concepts, their relative ranks, and the cognitive map.

resultsThirty participants generated 61 concepts; 29 were identified by at least two participants. The cognitive map organized concepts into four clusters, interpreted as (1) patient's cultural background (e.g., information on cultures, habits, values), (2) provider and health care (e.g., clinical skills, awareness of one's bias, patient centeredness, professionalism), communication skills (e.g., history, stereotype avoidance, health disparities epidemiology), (3) cross-culture (e.g., idiomatic expressions, examples of effective communication), and (4) resources to manage cultural diversity (e.g., translator guides, instructions, community resources). The MDS two-dimensional solution demonstrated a good fit (stress = 0.07; R² = 0.97).

conclusionsA novel, combined approach allowed stakeholders' inputs to identify and cognitively organize critical domains used to guide development of a cultural competence curriculum. Educators may use this approach to develop and organize educational content for their target audiences, especially in ill-defined areas like cultural competence.

Indexed as

Computer-Assisted InstructionCurriculumProgram DevelopmentCardiovascular DiseasesClinical CompetenceCluster AnalysisCultural CompetencyEducation, DistanceHealthcare DisparitiesHumansNeeds Assessment

Identifiers

PMID21248602
PMCPMC3046368

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.