Understanding what residents want and what residents need: the challenge of cultural training in pediatrics  

Oleh:

Macdonald, Mary Ellen ; Carnevale, Franco A. ; Razack, Saleem

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Teacher (keterangan: ada di Proquest) vol. 29 no. 05 (Jun. 2007), page 444-451.

Ketersediaan

Perpustakaan FK Nomor Panggil: M37.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Background: There is increasing recognition of the need for sophistication in the way culture is understood and taught in medicine. Method: A two-phase study designed to understand how best to approach cultural training with pediatric residents was conducted. A needs assessment, consisting of resident and faculty focus groups, was carried out from which a workshop was developed for pediatric residents. The aims were to increase knowledge of local cultures and resources as well as to encourage self-reflection and awareness of cultural issues. Results: Focus group participants were consistent in identifying needs for training in: (1) a specific knowledge base of local cultural groups; (2) skills to better negotiate cultural encounters; (3) reconciling general cultural knowledge with an understanding of individual patient/family beliefs and practices. Analysis of focus group and workshop data suggests that culture is seen as both an obstacle and challenge. Cultural training in medicine uncovers a clash of epistemologies: the promotion of culturally-centered medicine is 'strange' to learners situated within a pedagogical tradition based on a 'familiar' reductionistic view of health. Conclusion: Reconciling these divergent epistemologies requires a paradigm shift in how medicine understands culture and cultural training. These findings raise questions for consideration in other residency programs.

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