The Refinement of a Cultural Standardized Patient Examination For a General Surgery Residency Program

摘要: Abstract Background Recent articles have documented the importance of cultural competency in surgery. Surgical residency programs used Objective Structured Clinical Examinations or standardized patient examinations as a training tool. Past studies evaluating noted including an observational (control) arm, which would allow for more objective assessment resident's this area. The purpose our article is to present results follow-up study pilot examination surgery residents. Methods All first-year residents were required participate videotaped SP part general curriculum. Two measures assess resident performance. On day examination, Cross-Cultural Care Survey was administered. assessed by themselves, faculty observers, and patients, using written checklist that developed evaluate on all 6 Accreditation Council Graduate Medical Education competencies. Results current includes 20 from academic years 2011 2012 2013. pretest differences groups found students born outside United States had significantly higher scores attitude ( t = −2.68, df 18, p=0.02), but no statistically significant skillfulness knowledge overall rating scale. For scale, change posttest −2.25, p=0.04). Further analysis revealed who demonstrated increase ratings −3.08, 10, p=0.01) whereas not showed little −0.35, 7, p=0.74). These show means scales changed groups, both white US-born greater improvement knowledge. Conclusions Training measurement cross-cultural health care skills remains challenging. However, like these provide good starting point build.