Integrating Cultural Humility into Medical Education Using a Structured and Interactive Workshop
- PMID: 38911069
- PMCID: PMC11193470
- DOI: 10.2147/AMEP.S460970
Integrating Cultural Humility into Medical Education Using a Structured and Interactive Workshop
Abstract
Background: Cultural humility is a lifelong commitment to self-evaluation, redressing power imbalances in patient-physician relationships and developing mutually trusting beneficial partnerships.
Objective: The objective of this study was to determine the feasibility and efficacy of cultural humility training.
Methods: From July 2020-March 2021, 90-minute educational workshops attended by 133 medical students, resident physicians and medical education faculty included 1) pre- and post- intervention surveys; 2) interactive presentation on equity and cultural humility principles; 3) participants explored sociocultural identities and power; and 4) reflective group discussions.
Results: There were significant increases from pre to post intervention assessments for perception scores (3.89 [SEM= 0.04] versus 4.22 [0.08], p<0.001) and knowledge scores (0.52 [0.02] versus 0.67 [0.02], p<0.001). Commonest identities participants recognized as changing over time were personality = 40%, appearance = 36%, and age =35%. Commonest identities experienced as oppressed/subjugated were race/ethnicity = 54%, gender = 40% and religion = 28%; whilst commonest identities experienced as privileged were gender= 49%, race/ethnicity = 42% and appearance= 25%. Male participants assigned mean power score of 73% to gender identity compared to mean power score of -8% by female participants (P<0.001). Non-Hispanic Whites had mean power score for race identity of 62% compared to 13% for non-white participants (p<0.001). English as a second language was only acknowledged as an oppressed/subjugated identity by those born outside the United States (p<0.001).
Conclusion: An interactive educational workshop can increase participants' knowledge and perceptions regarding cultural humility. Participants can self-reflect to recognize sociocultural identities that are oppressed/subjugated or privileged.
Keywords: cultural humility; intersectionality; patient experience; sociocultural identities.
© 2024 Ogunyemi et al.
Conflict of interest statement
The authors report no conflicts of interest in this work.
References
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- Gonzalez P, Birnbaum-Weitzman O. Sociocultural. In: Gellman MD, editor. Encyclopedia of Behavioral Medicine. Cham: Springer; 2020. doi:10.1007/978-3-030-39903-0_1511. - DOI
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