Document Detail


The deaf strong hospital program: a model of diversity and inclusion training for first-year medical students.
MedLine Citation:
PMID:  23018327     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent research indicates that the cultural competence training students receive during medical school might not adequately address the issues that arise when caring for patients of different cultures. Because of their unique communication, linguistic, and cultural issues, incorporating deaf people who use sign language into cultural competence education at medical schools might help to bridge this gap in cross-cultural education. The Deaf Strong Hospital (DSH) program at the University of Rochester School of Medicine and Dentistry, started in 1998, exposes first-year medical students to the issues that are relevant to providing effective patient care and to establishing multicultural sensitivity early in their medical education. Because medical students better acquire cross-cultural competence through hands-on experience rather than through lectures, the DSH program, which includes a role-reversal exercise in which medical students play the role of the patients, provides such a model for other medical schools and health care training centers to use in teaching future health care providers how to address the relevant cultural, linguistic, and communication needs of both their deaf patients and their non-English-speaking patients. This article describes the DSH program curriculum, shares findings from both medical students' short-term and long-term postprogram evaluations, and provides a framework for the implementation of a broader cultural and linguistic sensitivity training program specific to working with and improving the quality of health care among deaf people.
Authors:
Denise Thew; Scott R Smith; Christopher Chang; Matt Starr
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  87     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-31     Completed Date:  2013-01-02     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1496-500     Citation Subset:  AIM; IM    
Affiliation:
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA.
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MeSH Terms
Descriptor/Qualifier:
Communication Barriers
Cultural Competency / education*,  psychology
Cultural Diversity*
Curriculum
Deafness / psychology,  rehabilitation*
Education, Medical*
Health Services Needs and Demand
Healthcare Disparities
Humans
Physician-Patient Relations
Quality Improvement
School Admission Criteria*
Schools, Medical
Sign Language
Social Distance
Students, Medical* / psychology
Grant Support
ID/Acronym/Agency:
1 K01 HL103173-01/HL/NHLBI NIH HHS; 2T32HL793711/HL/NHLBI NIH HHS; K01 HL103173/HL/NHLBI NIH HHS; T32 HL007937/HL/NHLBI NIH HHS; U48DP001910/DP/NCCDPHP CDC HHS
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