دورية أكاديمية
أعرض في EDS

Promoting cultural competency and osteopathic medicine awareness among premedical students through a summer premedical rural enrichment program.

التفاصيل البيبلوغرافية
العنوان: Promoting cultural competency and osteopathic medicine awareness among premedical students through a summer premedical rural enrichment program.
المؤلفون: Kadavakollu S; Department of Biomedical Education, California Health Sciences, University College of Osteopathic Medicine, Clovis, CA, USA., Lund KS; Department of Osteopathic Principles and Practices, California Health Sciences University College of Osteopathic Medicine, Clovis, CA, USA., Swamy V; Department of Biomedical Education, California Health Sciences, University College of Osteopathic Medicine, Clovis, CA, USA., Kim WD; Department of Biomedical Education, California Health Sciences, University College of Osteopathic Medicine, Clovis, CA, USA., Llenado RA; Department of Biomedical Education, California Health Sciences, University College of Osteopathic Medicine, Clovis, CA, USA., Nunes TF; Department of Biomedical Education, California Health Sciences, University College of Osteopathic Medicine, Clovis, CA, USA., Qureshi M; Office of Academic Affairs and Assessment, California Health Sciences University College of Osteopathic Medicine, Clovis, CA, USA., Graneto JW; Office of the Dean, California Health Sciences University College of Osteopathic Medicine, Clovis, CA, USA., Boyanovsky BB; Department of Biomedical Education, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
المصدر: Journal of osteopathic medicine [J Osteopath Med] 2022 Aug 02; Vol. 122 (11), pp. 553-561. Date of Electronic Publication: 2022 Aug 02 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: De Gruyter Country of Publication: Germany NLM ID: 101776472 Publication Model: eCollection Cited Medium: Internet ISSN: 2702-3648 (Electronic) Linking ISSN: 27023648 NLM ISO Abbreviation: J Osteopath Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Berlin] : De Gruyter, [2021]-
مواضيع طبية MeSH: Osteopathic Medicine*/education, Humans ; Students, Premedical ; Education, Premedical ; Cultural Competency ; Schools, Medical
مستخلص: Context: Premedical preparatory programs at osteopathic medical schools that recruit students from medically underserved areas (MUAs) may promote interest in practicing osteopathic medicine in underserved or rural areas. In these programs, emphasis on cultural competency may increase diversity among medical school applicants and decrease healthcare disparities in the future.
Objectives: The goal of this study is to determine whether a summer premedical rural enrichment program (PREP) held at an osteopathic medical school located in a MUA will foster greater prioritization of cultural competency in medicine, enhance interest in practicing in rural or underserved areas, and increase familiarity with osteopathic medicine.
Methods: An eight-week summer PREP was hosted at the California Health Sciences University College of Osteopathic Medicine (CHSU-COM) in Clovis, California. Seventy-eight diverse participants were recruited from the Central Valley, an underserved region of California. Attendees were required to finish the formal application process and were recommended to have completed medical school prerequisite courses. The curriculum included Medical College Admission Test (MCAT) preparation through team-based learning sessions, introduction to the osteopathic medical school curriculum, osteopathic philosophy, and osteopathic manipulative medicine, as well as integrated anatomy and physiology sessions, medical school application workshops, mock interviews, simulation workshops, and sociology and cultural competency sessions. Data were collected via a voluntary and anonymous survey administered before and after the program with questions about familiarity with osteopathy, interest in practicing in underserved areas, medical school preparedness, and a post-course survey about cultural competency. The surveys had students rate statements on a Likert scale.
Results: Seventy-four of the 78 premedical students (95%) completed the pre-and postsurvey. There was a significant increase in agreement to statements evaluating medical school preparedness, osteopathic familiarity, and desire to practice medicine locally in the postprogram survey, compared to the preprogram survey. In the cultural competency postsurvey, 75.0% of the responses to questions that evaluated the positive effect of the course were "Agree" or "Strongly Agree." Of the reported postcourse outcomes, the average MCAT score was 504 ± 6.2 (38 students reported, 50.7%). Of the 27 participants who reported matriculation, 16 (59.2%) were admitted to osteopathic medical schools, 9 (33.3%) to allopathic medical schools, and 2 to other health programs.
Conclusions: After completing the PREP program, premedical participants reported that they have better understanding of cultural competency and improvement in preparation for medical school, including familiarity with osteopathic medicine, and interest in serving MUAs. These findings indicate that similar programs may have a positive impact on MUAs. These programs may help create diverse and culturally competent osteopathic physicians.
(© 2022 the author(s), published by De Gruyter, Berlin/Boston.)
References: Govere, L, Govere, EM. How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews Evid Based Nurs 2016;13:402–10. https://doi.org/10.1111/wvn.12176.
Shahin, W, Kennedy, GA, Stupans, I. The impact of personal and cultural beliefs on medication adherence of patients with chronic illnesses: a systematic review. Patient Prefer Adherence 2019;13:1019–35. https://doi.org/10.2147/PPA.S212046.
Grewal, US, Abduljabar, H, Sulaiman, K. Cultural competency in graduate medical education: a necessity for the minimization of disparities in healthcare. EClinicalMedicine 2021;35:100837. https://doi.org/10.1016/j.eclinm.2021.100837.
Sorensen, J, Norredam, M, Dogra, N, Essink-Bot, ML, Suurmond, J, Krasnik, A. Enhancing cultural competence in medical education. Int J Med Educ 2017;8:28–30. https://doi.org/10.5116/ijme.587a.0333.
Horvat, L, Horey, D, Romios, P, Kis-Rigo, J. Cultural competence education for health professionals. Cochrane Database Syst Rev 2014;14:CD009405. https://doi.org/10.1002/14651858.CD009405.pub2.
Ko, M, Heslin, KC, Edelstein, RA, Grumbach, K. The role of medical education in reducing health care disparities: the first ten years of the UCLA/Drew Medical Education Program. J Gen Intern Med 2007;22:625–31. https://doi.org/10.1007/s11606-007-0154-z.
Walker, KO, Moreno, G, Grumbach, K. The association among specialty, race, ethnicity, and practice location among California physicians in diverse specialties. J Natl Med Assoc 2012;104:46–52. https://doi.org/10.1016/S0027-9684(15)30126-7.
Xierali, I, Nivet, M. The racial and ethnic composition and distribution of primary care physicians. J Health Care Poor Underserved 2018;29:556–70. https://doi.org/10.1353/hpu.2018.0036.
Shrum, KM. Developing a sustainable rural physician pipeline for Oklahoma. J Am Osteopath Assoc 2017;117:287–8. https://doi.org/10.7556/jaoa.2017.155.
Farmer, J, Kenny, A, McKinstry, C, Huysmans, RD. A scoping review of the association between rural medical education and rural practice location. Hum Resour Health 2015;13:27. https://doi.org/10.1186/s12960-015-0017-3.
Horner, RD, Samsa, GP, Ricketts, TC. Preliminary evidence on retention rates of primary care physicians in rural and urban areas on JSTOR. Available from: https://www.jstor.org/stable/3766114 [Accessed 22 Nov 2021].
Rabinowitz, HK, Diamond, JJ, Hojat, M, Hazelwood, CE. Demographic, educational and economic factors related to recruitment and retention of physicians in rural Pennsylvania. J Rural Health 1999;15:212–8. https://doi.org/10.1111/j.1748-0361.1999.tb00742.x.
Pathman, DE, Steiner, BD, Jones, BD, Konrad, TR. Preparing and retaining rural physicians through medical education. Acad Med 1999;74:810–20. https://doi.org/10.1097/00001888-199907000-00016.
Verby, JE, Newell, JP, Andresen, SA, Swentko, WM. Changing the medical school curriculum to improve patient access to primary care. JAMA 1991;266:110–3. https://doi.org/10.1001/jama.266.1.110.
Hamrick, LA, Harter, SR, Fox, CL, Dhir, M, Carrier, RL. Just say know to drugs! A high school pharmacology enrichment program for a rural population. J Am Osteopath Assoc 2019;119:199–207. https://doi.org/10.7556/jaoa.2019.031.
Wines, KS. WVSOM anatomy lab tour program: an osteopathic medicine pipeline with student teaching opportunities. J Am Osteopath Assoc 2019;119:456–63. https://doi.org/10.7556/jaoa.2019.082.
Kaye, KE, Berns, AL, Cress, LR, Nazar, AM. Mini-medical school programs are an effective tool to introduce students to osteopathic medicine. J Am Osteopath Assoc 2014;114:109–12. https://doi.org/10.7556/jaoa.2014.024.
Atance, J, Mickalis, M, Kincade, B. Educational intervention in a medically underserved area. J Am Osteopath Assoc 2018;118:219–24. https://doi.org/10.7556/jaoa.2018.047.
Kadavakollu, S, Shindi, RS, Nummerdor, HR, Singh, VK, Pillai, SB, Ontiveros, SJ, et al.. Motivating high school students from rural areas to attend college and pursue careers as osteopathic physicians. J Am Osteopath Assoc 2020;120:877–87. https://doi.org/10.7556/jaoa.2020.146.
Abdulrazzak, A, Chandler, A, Lu, R, Mobarakai, O, Lebron, B, Ingram, N, et al.. Mini-medical school programs decrease perceived barriers of pursuing medical careers among underrepresented minority high school students. J Osteopath Med 2021;121:883–90. https://doi.org/10.1515/jom-2021-0125.
Shipley, TW, Phu, N, Etters, AM, Kadavakollu, S. Comprehensive medical college admission test preparatory course as a strategy to encourage premedical students to pursue osteopathic medicine in rural areas. J Am Osteopath Assoc 2019;119:243–9. https://doi.org/10.7556/jaoa.2019.041.
Beverly, EA, Wietecha, DA, Nottingham, K, Rush, LJ, Law, TD. Premedical students’ attitudes toward primary care medicine. J Am Osteopath Assoc 2016;116:302–9. https://doi.org/10.7556/jaoa.2016.060.
Shen, JJ, Carmichael, J, Vásquez Santos, L. Identifying and addressing genetic counseling challenges among indigenous people of oaxaca-one center’s experience with two immigrant farmworker families in the Central Valley of California. J Genet Couns 2018;27:996–1004. https://doi.org/10.1007/s10897-018-0221-0.
San Joaquin Valley Public Health Consortium. An Analysis of Health Equity in the San Joaquin Valley Region. Available from: https://chhs.fresnostate.edu/sjvphc/ [Accessed 22 Nov 2021].
How to Improve Cultural Competence in Health Care. Available from: https://publichealth.tulane.edu/blog/cultural-competence-in-health-care/ [Accessed 22 Nov 2021].
Shaikh, FM, Babar, M, Cross, KS. Mini-Med School: promoting awareness of medicine as a career for suburban and rural high-school students. ANZ J Surg 2013;83:481–6. https://doi.org/10.1111/j.1445-2197.2012.06288.x.
Crump, WJ, Fricker, RS, Flick, KF, Gerwe-Wickham, K, Greenwell, K, Willen, KL. A rural pathways program for high school students: reinforcing a sense of place. Fam Med 2014;46:713–7.
Casapulla, SL. Self-efficacy of osteopathic medical students in a rural-urban underserved pathway program. J Am Osteopath Assoc 2017;117:577–85. https://doi.org/10.7556/jaoa.2017.112.
Wilson, NF. Introducing high school students to careers in osteopathic medicine. J Am Osteopath Assoc 2017;117:325–30. https://doi.org/10.7556/jaoa.2017.058ssciwheel/placeholder/bibliography.
فهرسة مساهمة: Keywords: MCAT preparation; cultural competency; medically underserved areas; osteopathic awareness; pipeline programs; premedical rural enrichment
تواريخ الأحداث: Date Created: 20220803 Date Completed: 20221027 Latest Revision: 20230331
رمز التحديث: 20230331
DOI: 10.1515/jom-2022-0002
PMID: 35918806
قاعدة البيانات: MEDLINE
الوصف
تدمد:2702-3648
DOI:10.1515/jom-2022-0002