Pilot testing of an online cultural competency training utilizing an intersectionality framework.

Abstract

Background: Current cultural competency training aiming to decrease implicit bias amongst medical students, residents, and physicians shows mixed effectiveness. To address limitations in existing training, the authors developed an online training (a) grounded in an intersectional approach to patients' identities and the disparities they experience; and (b) focused on communication skills. The authors hypothesized that the training would increase learners' knowledge, attitudes, and communication efficacy.

Methods: The authors developed an online training comprising modules on foundational concepts, communication skills, and population 'spotlights.' This first training iteration spotlights Black maternal health. Seventeen medical students, residents, and physicians completed a pre-training survey, the online training, and a post-training survey. The authors conducted paired samples t-tests in SPSS 28.0 statistical software to compare pre- and post-training scores for knowledge, attitudes toward addressing implicit bias and cultural competency, and communication efficacy, and analyzed closed-ended and open-ended responses to training evaluation items.

Results: Significant increases in the outcome variables - knowledge, attitudes toward addressing implicit bias and cultural competency, and communication efficacy - occurred. Participants evaluated the training as effective overall, useful, and engaging, and provided feedback for improvements.

Conclusions: The findings demonstrate that training centering on intersectionality, paired with skills-focused education, can enhance knowledge, attitudes, and communication efficacy.