The Effects of an Indigenous Health Curriculum for Medical Students

被引:7
|
作者
Lewis, Melissa E. [1 ]
机构
[1] Univ Missouri, Sch Med, Dept Family & Community Med, Columbia, MO 65211 USA
关键词
Medical education; Medical curriculum; Indigenous health; Culturally appropriate care; Cultural intelligence; Ethnocultural empathy; Cultural humility; Social justice; SOCIAL-CLASS BIAS; ETHNIC DISPARITIES; UNCONSCIOUS RACE; CULTURAL COMPETENCE; CARE; ASSOCIATION; PREPAREDNESS; EDUCATION; RACISM; SCALE;
D O I
10.1007/s40670-020-00971-8
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
PurposeIndigenous patients experience a variety of healthcare challenges including accessing and receiving needed healthcare services, as well as experiencing disproportionate amounts of bias and discrimination within the healthcare system. In an effort to improve patient-provider interactions and reduce bias towards Indigenous patients, a curriculum was developed to improve first-year medical students' Indigenous health knowledge.MethodTwo cohorts of students were assessed for their Indigenous health knowledge, cultural intelligence, ethnocultural empathy, and social justice beliefs before the lecture series, directly after, and 6 months later.ResultsResults of paired t test analysis revealed that Indigenous health knowledge significantly improved after the training and 6 months later. Some improvements were noted in the areas of cultural intelligence and ethnocultural empathy in the second cohort.ConclusionsIt is feasible to teach and improve Indigenous-specific health knowledge of medical students using a brief intervention of lectures. However, other critical components of culturally appropriate care including social justice beliefs and actions, ethnocultural empathy, and cultural humility may require increased and immersed cultural training.
引用
收藏
页码:891 / 903
页数:13
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