检验医学院教师在培养学生文化谦逊技能中的作用:来自单中心多方法研究的见解。

Global advances in integrative medicine and health Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI:10.1177/27536130241305087
Dhanesh D Binda, Angelique C Harris, Taralyn Tan, Krisztina Fischer, Rose L Molina, Darshan Mehta
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引用次数: 0

摘要

背景:虽然医学教育联络委员会强调医学教育中的文化能力教学,但已提出注重自我反思和终身学习的文化谦卑概念是一种更有效的方法。尽管对这两个主题已经有了很多讨论,但对临床环境中的教师如何帮助学生培养文化谦逊技能的理解仍然有限。目的:我们的多方法研究利用调查和半结构化访谈来确定一个机构的教师用来帮助学生培养文化谦逊技能的策略。方法:我们进行了一项包含10个问题的调查,以评估教师的人口统计、教学特点和对文化谦逊的熟悉程度。最熟悉谦逊文化的参与者被邀请参加半结构化的面试。采用描述性统计分析调查数据,并对访谈数据进行专题分析,以确定重点教学策略。结果:在我们对49名医学教师的研究中,大多数参与者是女性(61%),主要是白人(67%),涵盖了广泛的专业和教学年限。在参与者中,74%的人表示至少对谦逊文化有所了解,10人同意接受采访。文化谦逊教育的策略包括一对一的指导、反馈和反思。主题分析强调培养学习者对文化的好奇心,早期患者接触,并将不同的学习视角纳入培养学生文化谦逊技能的关键。结论:文化谦逊是医护人员提高以病人为中心的护理的重要素质。通过对我们研究中教师的重点访谈和随后的专题分析,我们的结果表明需要纵向和多模式的教育策略来培养医学生的文化谦逊。通过了解当前的教学方法,教育工作者可以设计和评估更有效的课程,以培养未来的医生为不同文化的患者群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining the Role of Medical School Faculty in Developing Students' Cultural Humility Skills: Insights From a Single-Center Multimethod Study.

Background: While the Liaison Committee on Medical Education emphasizes the teaching of cultural competence in medical education, the concept of cultural humility, focusing on self-reflection and lifelong learning, has been proposed as a more effective approach. Although there have been numerous discussions on both topics, understanding how faculty in clinical settings help students develop cultural humility skills remains limited.

Objective: Our multimethod study utilized a survey and semi-structured interviews to identify strategies that faculty at one institution use to help students develop cultural humility skills.

Methods: We administered a 10-question survey to assess faculty demographics, teaching characteristics, and familiarity with cultural humility. Participants most familiar with cultural humility were invited for semi-structured interviews. Survey data were analyzed with descriptive statistics, and interview data were thematically analyzed to identify key teaching strategies.

Results: In our study of 49 medical faculty members, the majority of participants were female (61%) and predominantly White (67%), covering a wide range of specialties and years of teaching. Of the participants, 74% expressed being at least somewhat familiar with cultural humility, and 10 consented to interviews. Strategies for cultural humility education included one-on-one instruction, feedback, and reflections. Thematic analysis underscored fostering learner curiosity about cultures, early patient exposure, and incorporating diverse learning perspectives as essential in developing students' cultural humility skills.

Conclusion: Cultural humility is an important attribute for healthcare professionals that can enhance patient-centered care. Through focused interviews with faculty in our study and subsequent thematic analysis, our results suggest the need for longitudinal and multimodal educational strategies to cultivate cultural humility among medical students. By understanding current teaching methods, educators can design and assess more effective curricula to prepare future doctors for a culturally diverse patient population.

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