Quality Criteria for Cultural Competence Trainings Sunita Mutha, MD University of California, San Francisco Quality Health Care for Culturally Diverse Populations October 19, 2010 sunita.mutha@ucsf.edu

“Is the juice worth the squeeze?”

Benefits of Standards Consistency across geography and systems Improved quality of curriculum Increased access to resources and materials Ability to assess outcomes

Drawbacks of Standards “Death by committee?” Feasibility of finding common ground “Cookbook” approach Responsiveness as populations changes

3 Core Elements Awareness and attitudes Knowledge Skills Link to disparities Knowledge Health care disparities Contributing factors Role of communication Skills Communication Research

Cultural Competence vs Diversity Differ in Intent Context Content Appropriate trainer

Trainer Criteria Appropriate messenger Knowledge of content -evidence-guided -outcome focused Facilitation skills -challenging, but not antagonistic -fosters discussion, not defensiveness -able to engage diverse audience

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