The primary care environment is uniquely poised to target health disparities, increase access, and offer culturally humble behavioral health intervention. Unfortunately, existing research highlights ongoing gaps with respect to integration of culturally and linguistically appropriate care into practice, including in pediatric settings (Chakawa, Crawford, Belzer, & Yeh, 2024; Mainous et al., 2020). In addition, despite calls to increase culturally affirming and responsive care into all healthcare settings, training of pediatric providers requires confrontation of barriers including time, inconsistency with respect to infusion of JEDI and related values into professional education, and provider bias (Barned, Lajoie, & Racine, 2019; Hoffman, Trawalter, Axt, & Oliver, 2016; Okoniewski et al., 2022).
Clinician awareness of their own intersecting identities and health-related values are critical components of providing effective and patient-centered care, as well as strengthening the patient-provider relationship (Cho, 2019; Rehman, Santhanam, & Sukhera, 2023). This presentation will outline a visual learning tool to designed support clinician understanding of intersectional identity (Kliman, 2010), as well as apply this tool to a cross-cultural treatment planning model (Ask-Share-Compare-Negotiate (ASCN); Kutob, Senf, & Harris, 2009). We will utilize didactic, small group, and case studies to facilitate learning and engagement. Finally, we will discuss strategies for pediatrics providers and trainees to infuse cultural humility into their practice in a way that is adaptable and responsive to the needs of patients and families.
Mycah Ayala-Brittain, Ph.D., Psychologist Resident, Integrated Primary Care & Behavioral Pediatrics, Oregon Health and Science University (OHSU); Portland, Oregon
Jenett Eng, LCSW; Licensed Clinical Social Worker; General Pediatrics- Oregon Health and Science University (OHSU); Portland, Oregon
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Centers for Disease Control and Prevention (2024, May 15). Embracing Cultural Humility and Community Engagement: Guiding principles for global health communication. https://www.cdc.gov/global-health-equity/php/publications/cultural-humility.html#:~:text=Everyone%20who%20works%20cross%2Dculturally,effective%20global%20public%20health%20efforts.
Mainous, A. G., 3rd, Xie, Z., Yadav, S., Williams, M., Blue, A. V., & Hong, Y. R. (2020). Physician Cultural Competency Training and Impact on Behavior: Evidence From the 2016 National Ambulatory Medical Care Survey. Family Medicine, 52(8), 562–569. https://doi.org/10.22454/FamMed.2020.163135
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