Family Medicine Faculty Development: Outcomes From a 3-Year HRSA Cultural Teaching Fellowship Project Jeffrey M. Ring, PhD; Julie G. Nyquist, PhD; Hector Flores, MD; Pam Teplitz
Disclosures J. Ring – Speaker for Merck Pharmaceuticals
Project History White Memorial Residency Vision California Endowment Grant Curriculum Publication HRSA Grant
Fellowship Content Learning Principles Curricular Design Teaching & Assessing ACGME Competencies Culturally Responsive Health Care & Disparities Elimination Scholarly Project Onsite Activities www.culturalmedicinetraining.com
Cultural Curriculum Bias and Stereotyping Cultural Knowledge Cultural Skills Teaching Others Cultural Case Review Annual Review of Commitments Culturally Responsive Interviewing Health Disparities: Dimensions & Causes Disparities Data Mining
Fellowship Outcome Data n=34/36 = 94.4% • Nine Learning principles Percent intentional use before: 9.8% during/after: 75.1% • Four Categories Teaching techniques Percent intentional use before: 10.3% during/after: 46.3%
Fellowship Outcome Data n=34/36 = 94.4% Cultural Competence principles Percent incorporating during/after: Awareness 94.1% Knowledge 88.2% Skill 64.8% Attitude 58.8% Advocacy 52.9%
Fellowship Projects n=36 Patient-based intervention: 3% Resident/fellow intervention: 78% Faculty level intervention: 19% Focus for resident interventions Cultural Competence: 42% Other foci: 58%
Best Cool Idea Posters 2014 IME 2015 Fellowship 2014 IME – Sofia Meraz, MD – Kaiser Orange County Family Medicine Residency Program, Santa Ana, CA – “Family Medicine Gynecology Procedures Clinic: Filling Unmet Needs for Resident Education and Patient Care” 2015 Fellowship – Amy Conley-Sallaz, MD – University of Kentucky Rural Training Track, Morehead, KY – “Rural Community Immersion Curriculum”
Best Cool Idea Oral Presentations 2014 IME 2015 IME 2014 IME – Nancy Newman, MD – Hennepin County Family Medicine Residency, HCMC, Minneapolis, MN – “Building a Milestones Savvy Culturally Responsive Healthcare Curriculum in a Family Medicine Residency” Wanda Gonsalves, MD – University of Kentucky Department of Family and Community Medicine, Lexington, KY – “Utilizing the RESPECT model to Assess and Improve Cultural Competency in Residency Education” 2015 IME – Shannon Bentley, MD – West Virginia University, Eastern Division, Harpers Ferry Rural Family Medicine Residency Program, Ranson, WV – “Transitioning Patients from O-B-E-S-I-T-Y Identities to H-E-A-L-T-H-Y Identities Using Group Visits” Alicia Milan-Flanigan, MD – Presence Saints Mary & Elizabeth Medical Center, Chicago, IL – “An Interactive Faculty Development Program To Enhance Faculty Feedback Skills”
Lessons Learned Incorporation of learning principles essential Demonstrating a variety of teaching techniques encourages usage Most faculty require one-to-one guidance in developing a scholarly project Most participants attempt to incorporate CC content/activities into their teaching
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