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Value importance of social determinants on health0A4. Value importance of respect in patient care A1. Be conversant with patientsA4%A. Definition of cultural competence0B. Definitions of race, ethnicity, and culture ABC&A. Epidemiology of population health ,B. Patients' healing traditions and systemsD!C. Institutional cultural issuesD. History of the patient"Rationale, Context, and DefinitionDomain I Domain II"Key Aspects of Cultural Competence Domain IIIBUnderstanding the Impact of Sterotyping on Medical Decision-MakingE Domain IV0Health Dispaities and Factors Influencing HealthCross-Cultural Clinical SkillsDomain VCLINICAL CLERKSHIPSA. History of stereotypingC. Effects of stereotyping"E. Collaborating with communities+A. Differing values, cultures, and beliefs Orientation$B. Bias, discrimination, and racism'D. Demographic patterns of disparitiesF-C. Clinicians' self assesment and reflection TACCT Domains)A. History of health-care discrimination+B. Epidemiology of health-care disparities.C. Factors underlying health-care disparities%B. Dealing with hostility/discomfortG*C. Eliciting a social and medical historyD. Communication skillsE. Working with interpreters*F. Negotiating and problem-solving skills*G. Diagnosis and patient-adherence skills7Tool for Assessing Cultural Competence Training (TAACT)I(b). Domains (Overview)7Tool For Assessing Cultural Competence Training (TACCT)I(a). Domains (Overview)PRE-CLINICAL COURSE NAMESXPerson Completing Form and Function (course director, coordinator, block director, etc.)MCourse Name/ Curriculum Year/ Type of Course (block, longitudinal, PBL, etc.)Institution and Date Completed7Tool for Assessing Cultural Competence Training (TACCT)II(b). Specific Components$(Knowledge=K, Skills=S, Attitudes=A)RPerson Completing Form and Function (course director, coordinator, block director)?DOMAIN I Cultural Competence Rationale, Context, and Definition(K1. Define race, ethnicity, and cultureK13K2. Identify how race and culture relate to healthK26K3. Identify patterns of national data on disparitiesK32K4. Describe health data with immigration contextK44S1. Discuss race & culture in the medical interviewS1#S2. Use physician assessment toolsS2+S3. Concretize epidemiology of disparities0A1. Describe own cultural background and biases,A2. Value link between communication & care1A3. Value importance of diversity in health care,Domain II Key Aspects of Cultural Competence1K1. Describe historical models of health beliefs5K2. Recognize patients' healing traditions & beliefs1K3. Describe cross-cult.communication challenges*K4. Demonstrate knowledge of epidemiology3K5. Describe population health variability factorsK5.S1. Outline a framework to assess communities0S2. Ask questions to elicit patient preferences2S3. Elicit information in family-centered context2S4. Collaborate with communities to address needsS4,S5. Recognize institutional cultural issuesS54A1. Exhibit comfort when discussing cultural issues.A2. Listen nonjudgmentally to health beliefs 2A3. Value & address social determinants of health+A4. Value curiosity, empathy, and respect <DOMAIN III Impact of Stereotyping on Medical Decision-Making'K1. Describe social cognitive factors -K2. Identify physician bias and stereotyping3K3. Recognize physicians' own potential for biases3K4. Describe the physician-patient power imbalance4K5. Describe physician effect on health disparities-K6. Describe community partnering strategiesK62S1. Demonstrate strategies to address/reduce bias3S2. Describe strategies to reduce physician biases.S3. Show strategies to address bias in others+S4. Engage in reflection about own beliefs2S5. Use reflective practices when in patient care+S6. Gather and use local data as in HP2010S67A1. Identify physician biases that affect clinical care/A2. Recognize how physician biases impact care,A3. Describe potential ways to address bias4A4. Value the importance of bias on decision-making,A5. Value the need to address personal biasA5;DOMAIN IV Health Disparities and Factors Influencing Health(K1. Describe factors that impact health*K2. Discuss social determinants on health1K3. Describe systemic & medical encounter issues2K4. Identify and discuss key areas of disparities/K5. Describe elements of community experiences7K6. Discuss barriers to eliminating health disparities2S1. Critically appraise literature on disparities3S2. Describe methods to identify community leaders2S3. Propose a community-based health intervention'S4. Strategize ways to counteract bias3A1. Recognize disparities amenable to intervention,A2. Realize the historical impact of racism"A3. Value eliminating disparities'Domain V Cross-Cultural Clinical Skills2K1. Identify community beliefs & health practices1K2. Describe cross-cultural communication models-K3. Understand physician-patient negotiation-K4. Describe the functions of an interpreter4K5. List effective ways of working with interpreter+K6. List ways to enhance patient adherence2S1. Elicit a culture, social, and medical history/S2. Use negotiating and problem-solving skills6S3. Identify need for & collaborate with interpreter )S4. Assess and enhance patient adherence,S5. Recognize and manage the impact of bias'A1. Respect patient's cultural beliefs/A2. Acknowledge the impact of physician biasesII(a). 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