Resident Cross-Cultural Training,Satisfaction, and Preparedness |
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Authors: | Mary Pat Frintner Fernando S. Mendoza Benard P. Dreyer William L. Cull Danielle Laraque |
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Affiliation: | 1. Department of Research, American Academy of Pediatrics, Elk Grove Village, Ill;2. Department of Pediatrics, School of Medicine, Stanford University, Lucile Packard Children''s Hospital, Palo Alto, Calif;3. Department of Pediatrics, New York University School of Medicine, New York, NY;4. Department of Pediatrics, Maimonides Medical Center, Maimonides Infants and Children''s Hospital of Brooklyn, Brooklyn, NY |
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Abstract: | ObjectiveTo describe the diversity of pediatric residents and examine relationships of cross-cultural training experiences with training satisfaction, perceived preparedness for providing culturally effective care, and attitudes surrounding care for underserved populations.MethodsA cross-sectional survey was conducted of a national random sample of graduating pediatric residents and an additional sample of minority residents. Using weighted analysis, we used multivariate regression to test for differences in satisfaction, preparedness, and attitudes between residents with more and less cross-cultural experiences during residency, controlling for residents' characteristics and experiences before training.ResultsThe survey response rate was 57%. Eleven percent were Hispanic, 61% white, 21% Asian, 9% African American, 9% other racial/ethnic groups; 34% grew up in a bi- or multilingual family. Ninety-three percent of residents were satisfied with their residency training, 81% with the instruction they received on health and health care disparities, and 54% on global health issues. Ninety-six percent of residents felt they were prepared to care for patients from diverse backgrounds, but fewer felt prepared to care for families with beliefs at odds with Western medicine (49%) and families who receive alternative or complementary care (37%). Residents with more cross-cultural experiences during residency reported being better prepared than those with less experience to care for families with limited English proficiency (adjusted odds ratio [aOR] 2.11; 95% confidence interval [CI] 1.40–3.17), new immigrants (aOR 1.91; 95% CI 1.32–2.75), and with religious beliefs that might affect clinical care (aOR 1.62; 95% CI 1.13–2.32).ConclusionsPediatric residents begin their training with diverse cross-cultural backgrounds and experiences. Residency experiences in cross-cultural care contribute to feelings of preparedness to care for diverse US children. |
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