INTRODUCTION The influence of indigeneity is widely recognised as a health determinant; however the impact of the utilisation of the indigenous language on health care has not been closely examined. AIM To explore the Maori language (te reo) as a determinant of health from a Maori patient's perspective. METHODS Maori patients were recruited through Maori health networks and the snowballing ...

PURPOSE To describe clinical training models, delineate clinical competencies, and outline a clinical decision-making algorithm for neonatal physical therapy. KEY POINTS In these updated practice guidelines, advanced clinical training models, including precepted practicum and residency or fellowship training, are presented to guide practitioners in organizing mentored, competency-based prepar...

BACKGROUND AND OBJECTIVES Beginning in July 2002, all residencies were required to show that their residents were obtaining competency in six core areas defined by the Accreditation Council for Graduate Medical Education (ACGME). METHODS In 2003, we surveyed all 444 family medicine program directors regarding the ACGME Core Competencies and how programs evaluated them. RESULTS A total of 28...

BACKGROUND Primary care physicians can enhance the health and quality of life of children with autism by providing high-quality and comprehensive primary care. OBJECTIVE To explore physicians' perspectives on primary care for children with autism. METHODS National mail and e-mail surveys were sent to a random sample of 2325 general pediatricians and 775 family physicians from April 2007 to ...

BACKGROUND Laboratory diagnostic tests have an essential role in patient care, and the increasing number of medical and health professions schools focusing on teaching laboratory medicine to pre-clinical students reflects this importance. However, data validating the pedagogical methods that best influence students' comprehension and interpretation of diagnostic tests have not been well describ...

BACKGROUND Clinicians, older adults and caregivers frequently meet to make decisions around treatment and lifestyle during an acute hospital admission. Patient age, psychological status and health locus of control (HLC) influence patient preference for consultation involvement and information but overall, a shared-decision-making (SDM) approach is favoured. However, it is not known whether thes...

BACKGROUND AND OBJECTIVES Developing skills for taking care of patients from a wide variety of backgrounds is a growing area of importance in medical education. Incorporating cultural competency training into undergraduate medical education is an accreditation requirement. Although there are an increasing number of such curricula reported in the literature, there has been little evaluation of t...

The growing concern with cultural competency in health care settings is an ironic development from the perspective of tribal health care, where biomedical clinicians and patients have struggled for decades with the challenges of cross-cultural healing.1 Both anthropological and other literatures on minority health have declared cultural competency to be a critical tool requiring both cross-cult...

A challenge to public health professionals, health care providers, and consumers is to come together to improve the quality of health care and to eliminate disparities. Improving health literacy skills along with a transdisciplinary approach to care contributes to effective patient-provider communication. This article addresses a team approach to health care, a community health center experienc...

INTRODUCTION The United States continues to become more racially and ethnically diverse, and racial/ethnic minority communities encounter sociocultural barriers to quality health care, including implicit racial/ethnic bias among health care providers. In response, health care organizations are developing and implementing cultural competency curricula. Using a community-based participatory resea...