HEALTH PROFESSION EDUCATION

1
HEALTH PROFESSION EDUCATION

• Changing the Health Care Divide Eliminating
  Disparities for Racial and Ethnic Minority
  Communities
• June 8, 2004
• Trudy R. Hall, M.D.

2
IOM REPORT RECOMMENDATIONS

• 2-2 Increase health provider awareness of
  disparities.
• 5-3 Increase the proportion of underrepresented
  U.S. racial and ethnic minorities among health
  professionals.
• 6-1 Integrate cross-cultural education into the
  training of all current and future health
  professionals.

3
IOM REPORT RECOMMENDATIONS

• PATIENT EDUCATION AND EMPOWERMENT
• 5-12 Implement patient education programs to
  increase patients knowledge of how to best
  access care and participate in treatment
  decisions.

4
Cross-Cultural Communication

• Evidence linking Communication to Outcomes
• Communication------Patient Satisfaction-------Adhe
  rence---------Health Outcomes

5
Sensitivity/Awareness Approach

• Primary focus on Providers attitudes
• Exploration and reflection on culture, racism,
  sexism
• Approach to what is taught early in Medical and
  Health Professional training

6
Multicultural/ Categorical Approach

• Primary focus on increasing provider knowledge of
  cross cultural issues
• New focus on teaching methods of community
  assessment and evidence-based factors
• Taught in undergraduate, graduate and CME

7
Cross-Cultural Approach

• Primary focus on developing tools and skills for
  providers
• Process-oriented instruction that melds medical
  interviewing and communication skills with
  sociocultural and ethnographic tools
• Foundation to care for diverse population through
  development of interviewing framework
• Practical approach for clinical years

8
Methods

• Facilitated reflection
• Didactics/vignettes/ individual cases/problem
  based learning
• Videos
• Stimulated Patients
• Community Immersion

9
Opportunities

• Orientation
• Electives
• Retreats
• Rounds
• Conference
• Introduction to Clinical Sciences
• Courses

10
Practicing Providers

• Continuing education
• Faculty Development
• Grand Rounds/ staff meeting
• Journal, Medical Newsletter
• Conference
• Licensure/ Exams

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CHALLENGES OF CROSS-CULTURAL EDUCATION

• Provider resistance
• Limited awareness and ingrain bias
• Time constraints for implementation of skills
• Poor resources and institutional support
• Must be multiple teaching methodologies

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PROGRAMS TO INCREASE MINORITIES TO ENTER THE
HEALTH FIELD

• Middle school and high school programs
• Improve funding to minorities to enter higher
  education in the health field
• Mentorship programs
• Legislative mandates
• Managed care to increase minorities on Panels

13
Health Literacy

• Patient Education
• Multimedia
• Church Health Ministries
• Community Forums and Health fairs
• Message Health Care Consumer
• Trust, Compliance and Access

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THE MEDICAL PROFESSIONAL MUST SHOW GENIUNE
CONCERN FOR THE BLACKMAN, THE POORMAN, AND THE
OLD MAN NOT BECAUSE IT IS THE LAW OF THE LAND BUT
IT IS THE RIGHT THING TO DO!

• JOHN HOLLOMAN, JR, MD / NMA PRESIDENT 1966-67