Observational studyWorld journal of gastroenterology2015
Assessing cultural competency skills in gastroenterology fellowship training.
Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Quality measures in the delivery of equitable endoscopic care to traditionally underserved patients in the United States.Gastrointestinal endoscopy · 2025Guideline
- Enhancing Gastroenterology Staff Cultural Humility: A Literature Review and a Single Academic Center Experience.Gastro hep advances · 2026Article
- Higher Inpatient Racial and Ethnic Diversity Is Associated with Better Outcomes in Hispanic and Native American Patients for Gastrointestinal Diseases.Digestive diseases and sciences · 2025Article
- Examining Social Identities of Patient Diversity Through Cases Presented in a Therapeutics Course Series.American journal of pharmaceutical education · 2022Article
- The Challenge of Cross-Cultural Care Encounters: Perspective of Imported Nurses in Lhasa, Tibet.BioMed research international · 2020Article
- Bridging the gap between physician and medical student education: using the Train the Trainer model to improve cultural competence training in the clerkship years of medical school.Advances in medical education and practice · 2018Article
- Gone, But Not Forgotten? Survey of Resident Attitudes Toward a Cultural Standardized Patient Examination for a General Surgery Residency Program.Health equity · 2017Article
- Examining the Role of Medical School Faculty in Developing Students' Cultural Humility Skills: Insights From a Single-Center Multimethod Study.Global advances in integrative medicine and healthArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess and teach cultural competency skills at the fellowship training level through the use of objective structured clinical examinations (OSCEs).
methodsWe revised four scenarios to infuse a specific focus on cross-cultural care, and to render them appropriate for gastroenterology fellows. Three are discussed here: (1) Poor Health Literacy; (2) Disclosing/Apologizing for a Complication to a Patient Who Mistrusts the Healthcare System; and (3) Breaking Bad News to a Fatalistic Patient. A fourth case emphasizing shared decision-making will be described elsewhere. Four stations were completed by fellows and observed live by four faculty members, and the fellows' performance was assessed.
resultsEleven fellows from four programs participated in the four OSCE. In the "Poor Health Literacy" case, 18% (2/11) of participants recognized that the standardized patient (SP) had below-basic health literacy. None successfully evaluated the SP's reading skills in a culturally-sensitive manner. In "Disclosing/Apologizing for a Complication", 4/11 (36%) personally apologized for the complication. 1/11 recognized the SP's mistrust of the medical system. With "Breaking Bad News", 27% (3/11) explored the patient's values to identify her fatalistic beliefs.
conclusionOSCEs can be used to assess deficiencies in culturally-competent care at the fellowship level. OSCEs also afford fellowships the opportunity to inform future training curricula.
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