1. Cultural competence, fluency, humility, insight… Exploring AETC Provider Training and Efforts
FTCC Meeting
Presented by Durrell Fox – July 14, 2010
NEHEC-MAI Project Director
New England AIDS Education and Training Center

2. Presentation snapshot
Background on National AETC Cultural Competency Workgroup
Discuss National Minority AETC BE SAFE training model
Describe two examples of regional cultural competency training programs
Conclusion

3. Cultural Competency & Multicultural Care Workgroup
National AETC Network
Cultural Competency & Multicultural Care Workgroup

4. AETCs Train In Every State and Territory

5. AETC National Resource Center Workgroup aidsetc.org
CC workgroup for 2 years made
up of approx. 30 reps.
We explored
CC definitions, resources and training efforts
Development of CC teaching cases
Health literacy as factor in CC care access
Development of training exchange to disseminate findings

6. Workgroup guiding principles
Cultural IDs influence our thoughts, behaviors, we may ID with many groups
Cultures are always changing and HIV education & training should reflect this
Development of culturally appropriate training materials & CBA programs for providers should include expanded view of cross cultural competence…

7. Workgroup guiding principles cont
Providers need to gain better understanding of general cultural starting points for approaching, learning about and interacting within different cultures
Training should help providers develop competencies and skills for intercultural understanding
Expand on cultural fluency…using evolving areas of health literacy…

8. CC Workgroup outcomes accessible @ aidsetc.org
Research and sharing of resources and “promising practices” across network
Guiding principles document
Health Literacy in HIV Care case studies
CC Organizational Self Assessment Question Bank
CC resource lists and training tools …

9. Focus on National Minority AETC BE SAFE cultural Competency Education and Training Model

10. BE SAFE @ nmaetc.org
Help providers gain greater understanding & awareness of how culture may influence their attitudes, behavior and polices on health care
A framework that used culturally pluralistic content and perspectives based on 6 core elements to guide providers sin caring for patients lf all races

11. BE SAFE @ nmaetc.org
B = Barriers to care – addresses real and perceived gaps to providing quality care
E = Ethics – addresses the morality of beliefs, values and ethical considerations to providing CC care and services
S = Sensitivity – addresses provider need to examine their own prejudices and biases

12. BE SAFE @ nmaetc.org
A = Assessment – collecting and examining relevant data
F = Facts – acknowledges that full assessment requires understanding of physiology, behavior and patients perception of his/her illness
E = Encounters – addresses the fact the providers have a duty to achieve effective encounters will all of their patients

13. Examples of CC training approaches in New England

14. Efforts in New England
Onsite monthly programs that integrate CC and cross cultural communications
CC workshop/conference training series that explores specific populations
CC workshops/conferences that focus on cross cultural communication and cultural orientations

15. Several sites explore populations
CC trainings focused on MSM and Transgender populations of color, Sub-Saharan Africans, Latinos, Asians, African Americans, Youth, HIV Over Fifty…
Provide a comprehensive understanding of how cultural and social factors influence the ways specific populations are at risk for HIV & engage in HIV/health care services
Looks at resiliency and other attributions

16. Latin American Health Institute explores CC communications
A model of communication that enhances delivery of care through practical applications in cross-cultural communication
Helps providers ID and match communications styles with patients
Offers 5 essential cultural orientations that are universal in nature
Live & Learn-Communication & Essential Cultural Orientation (ECO) Models

17. Conclusion
Some CC training focuses on understanding different groups “broad” cultural frameworks
Some focus on respect, honoring and valuing diversity in cultures
Some assist in assessing and understanding the role cultures play in providing and receiving care
All have their merits and a mix of these “types” of CC trainings may be best approach

18. New England HIV Education Consortium
Contact Information
Durrell Fox
New England HIV Education Consortium
@ NEAETC, UMMS, CWM, CHPR
333 South Street
Shrewsbury, MA 01545
(Phone)
(Fax)