Isaac Yeboah, Joshua Okyere, Desmond Klu, Pascal Agbadi, Martin Wiredu Agyekum
Individual and community-level factors associated with repeat induced abortion among women in Ghana: a multivariable complex sample logistic regression analysis of 2017 Ghana maternal health survey
BMC public health
cultural competence humility core elements medical education diverse society language inseparable culture language informs indexes frames encodes culture worldview spanish common nonenglish language taught us medical schools yet medical spanish courses tend artificially separate language culture unknown extent medical spanish courses advance students sociocultural knowledge patient care skills based current predominant pedagogy medical spanish classes may adequately integrate sociocultural issues relevant hispaniclatinx health hypothesized students completed medical spanish course would demonstrate significant gains sociocultural skills following educational intervention interprofessional team developed sociocultural questionnaire 15 medical schools invited students complete questionnaire completing medical spanish course participating schools 12 implemented standardized medical spanish course three served control sites survey data analyzed regarding 1 perceived sociocultural competence recognition common cultural beliefs recognition culturally normative nonverbal cues gestures social behaviors ability address sociocultural issues healthcare context knowledge health disparities 2 application sociocultural knowledge 3 demographic factors selfrated language proficiency poor fair good good excellent interagency language roundtable scale healthcare ilrh overall 610 students participated sociocultural questionnaire january 2020 january 2022 course participants reported increased understanding cultural aspects communication spanishspeaking patients ability apply sociocultural knowledge patient care p 0001 analyzed demographic factors students identified hispaniclatinx heritage speakers spanish tended report increased sociocultural knowledgeskills following course examined spanish proficiency preliminary trends showed students ilrh poor excellent levels demonstrate gains sociocultural knowledge ability apply sociocultural skills students sites standardized course likely improve sociocultural skills mental health conversations p 0001 students control sites p 005 medical spanish educators may benefit additional guidance teaching sociocultural aspects communication findings support students ilrh levels fair good good particularly wellsuited gaining sociocultural skills current medical spanish courses future studies explore potential metrics evaluate cultural humilitycompetence within actual interactions patients