Introduction: While reducing health disparities is widely acknowledged as a crucial component in medical education, there is not a standard curriculum for teaching physician assistant (PA) students how to deliver patient care with cultural humility. Instead, PA programs use various methods. This study took place at a PA program that sponsored several community service events that targeted underserved populations. Student participation in events was voluntary. The purpose of the study was to explore PA students' confidence levels in providing patient care with cultural humility.
Methods: A cross-sectional observational study was conducted in November 2023 and participants were PA students enrolled at a single program with 2 campuses. All enrolled students were sent an anonymous online survey that collected demographic data and self-perceived skills and confidence levels in delivering patient care with cultural humility. Survey responses were compared between participants and nonparticipants of program-sponsored community service events using Welch-Satterthwaite t tests.
Results: Survey response rate was 43.8% (n = 213). Physician assistant students who participated in program-sponsored community service events rated their knowledge and skills to practice cultural humility as significantly greater than their counterparts who did not participate (P < 0.05).
Discussion: Physician assistant students who participated in service projects that provided firsthand experience serving diverse populations rated their skills and knowledge in providing care with cultural humility as higher than students who had not participated.
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http://dx.doi.org/10.1097/JPA.0000000000000661 | DOI Listing |
MedEdPORTAL
March 2025
Chief Medical Officer, Southern California American Indian Health Center.
Introduction: The United States has a trust responsibility to provide health care to members of the 574 federally recognized American Indian and Alaska Native (AI/AN) Tribes and Villages through the Indian Health Service, an agency tasked with promoting AI/AN health and cultural connectedness. Despite the presence of a comprehensive health care system in 37 states, physicians and allied health professionals receive minimal health professional education regarding the sociocultural factors affecting AI/AN health. This module addresses the underrepresentation of AI/AN health professional curricula and promotes a greater understanding of AI/AN health determinants and cultural constructions of health for individuals with limited exposure to these topics.
View Article and Find Full Text PDFAm J Occup Ther
March 2025
Helina Samson, OT, OTD, OTR, is Occupational Therapist, MENTOR South Bay Early Intervention, Lowell, MA.
Importance: Lack of consideration of intersectionality by occupational therapy practitioners, faculty, and researchers can result in inequities experienced by students and clients served.
Objective: To determine how intersectionality is represented in the scholarly literature used to inform occupational therapy practice, research, and education.
Data Sources: A comprehensive database that includes CINAHL, MEDLINE, and PsycINFO.
Child Adolesc Psychiatr Clin N Am
April 2025
Department of Psychiatry, Division of Child and Adolescent Psychiatry, School of Medicine, University of Colorado, Anschutz Medical Center, 1890 North Revere Court, Anschutz Health Sciences Building, Suite 4020, Aurora, CO 80045, USA.
The Diversity-Informed Tenets for Work with Infants, Children, and Families were developed to increase infant mental health providers' awareness of health disparities and intentionality in combatting inequities to better meet the needs of diverse family systems. The Tenets have informed reflective processing and have increased the awareness of the importance of valuing family identity and culture while providing infant mental health services. This article will describe the history and necessity of the Tenets, review the teachings of each Tenet, and provide a clinical application of the Tenets through both the discussion of a clinical vignette and the lens of parental reflection.
View Article and Find Full Text PDFJ Physician Assist Educ
March 2025
Eunice J. Goetz, DMS, PA-C, MPH, is an assistant professor at Emory University School of Medicine, Atlanta, Georgia.
Introduction: While reducing health disparities is widely acknowledged as a crucial component in medical education, there is not a standard curriculum for teaching physician assistant (PA) students how to deliver patient care with cultural humility. Instead, PA programs use various methods. This study took place at a PA program that sponsored several community service events that targeted underserved populations.
View Article and Find Full Text PDFAm J Occup Ther
March 2025
Roseann C. Schaaf, PhD, OTR/L, FAOTA, is Director, Jefferson Autism Center of Excellence, Thomas Jefferson University, Philadelphia, PA; Professor, Department of Occupational Therapy, Thomas Jefferson University, Philadelphia, PA; and Research Director, Collaborative for Leadership in Ayres Sensory Integration, Redondo Beach, CA.
Importance: Ayres Sensory Integration® is an evidence-based intervention for autistic children, but there is no culturally responsive adaptation to support Black American autistic children and their families.
Objective: To culturally adapt an occupational therapy intervention for Black American families.
Design: Qualitative study involving focus groups and interviews, using researcher triangulation and member-checking surveys for the trustworthiness of findings.
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