US Census Bureau: 1990 census. Available at: http://www.census.gov/main/www/cen1990.html. Accessed July 30, 2012.
US Census Bureau: 2010 census briefs. Available at: http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf. Accessed July 30, 2012.
US Census Bureau: 2012 national population projections: summary tables: Table 4. Projections of the population by sex, race, and Hispanic origin for the United States: 2015 to 2060. Available at: http://www.census.gov/population/projections/data/national/2012/summarytables.html. Accessed January 26, 2014.
US Department of Commerce, Economics and Statistics Administration, Bureau of the Census: Current population reports: population projections of the United States by age, sex, race, and Hispanic origin: 1995 to 2050 . Available at: http://www.census.gov/prod/1/pop/p25-1130/p251130.pdf. Published February 1996. Accessed November 25, 2012.
Lewis MG: A cultural diversity assessment and the path to magnet status. J Healthc Manag 52: 64, 2007.
US Department of Health and Human Services: Health equity & disparities. Available at: http://www.minorityhealth.hhs.gov/npa/templates/browse.aspx?lvl=1&lvlid=34. Accessed June 1, 2012.
Smedley BD, Stith AY, Nelson AR (eds): Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care , Washington, DC, National Academies Press, 2003.
Geiger HJ: Racial stereotyping and medicine: the need for cultural competence. CMAJ 164: 1699, 2001.
Johnson JC, Smith NH: Health and social issues associated with racial, ethnic, and cultural disparities. Generations 26: 25, 2002.
Mitchell JB, McCormack LA: Time trends in late-stage diagnosis of cervical cancer: differences by race/ethnicity and income. Med Care 35: 1220, 1997.
McEvoy M, Santos MT, Marzan M, et al: Teaching medical students how to use interpreters: a three year experience. Med Educ Online 14: 1, 2009.
Shinyi W, Ridgely M, Escarce J, et al: Language access services for Latinos with limited English proficiency: lessons learned from hablamos juntos. J Gen Intern Med 22: 350, 2007.
Collins KS, Hall A, Neuhaus C: U.S . Minority Health: A Chartbook, The Commonwealth Fund, New York, 1999.
US Department of Health and Human Services: Healthy People 2010: what are its goals? Available at: http://www.healthypeople.gov/2010/About/goals.htm. Accessed June 1, 2012.
US Department of Health and Human Services: Healthy People 2020. Available at: http://www.healthypeople.gov/2020/default.aspx. Accessed June 1, 2012.
Like RC, Steiner RP, Rubel AJ: Recommended core curriculum guidelines on culturally sensitive and competent health care. Fam Med 28: 291, 1996.
Cross TL, Bazron BJ, Dennis KW, et al: “Executive Summary,” in Towards a Culturally Competent System of Care: A Monograph on Effective Services for Minority Children Who Are Severely Emotionally Disturbed , p iii, CASSSP Technical Assistance Center, Georgetown University Child Development Center, Washington, DC, 1989.
Dogra N, Reitmanova S, Carter-Pokras O: Teaching cultural diversity: current status in U.K., U.S., and Canadian medical schools. J Gen Intern Med 25: 164, 2009.
Evans E: Instructional design and assessment: an elective course in cultural competence for healthcare professionals. Am J Pharm Educ 70: 1, 2006.
Council on Podiatric Medical Education: CPME 320: standards and requirements for accrediting colleges of podiatric medicine. Available at: http://www.cpme.org/colleges/content.cfm?ItemNumber=2445&navItemNumber=2241. Accessed June 13, 2012.
Pilcher ES, Charles LT, Lancaster CJ: Development and assessment of a cultural competency curriculum. J Dent Educ 72: 1020, 2008.
Green A, Betancourt J, Carrillo JE: Worlds Apart facilitator's guide: a four-part series on cross-cultural healthcare. Available at: http://www.fanlight.com/downloads/Worlds_Apart.pdf. Accessed June 13, 2012.
Sears KP: Improving cultural competence education: the utitlity of an intersectional framework. Med Educ 46: 545, 2012.
Tatar N, Chachra D, Zastavker YV, et al: Work in progress: using self-reflection to enhance undergraduate teams . Paper presented at: Frontiers in Education Conference , Washington DC, October 27-30, 2010.
Tervalon M, Murray-Garcia J: Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved 9: 117, 1998.
Yang Y, Cho Y, Mathew S, et al: College student effort expenditure in online versus face-to-face courses: the role of gender, team learning orientation, and sense of classroom community. J Adv Acad 22: 619, 2011.
Agbaje-Williams MM: Eliminating health disparities: a literature review on the HIV/AIDS epidemic. West J Black Stud 31: 22, 2007.
LaVeist TA, Nickerson KJ, Bowie JV: Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Med Care Res Rev 57: 146, 2000.
Liaison Committee on Medical Education: Connections 2013-2014. Available at: https://www.lcme.org/connections/connections_2013-2014/connections-2013-2014.htm. Accessed March 7, 2014.
Rosenberg L: Lack of diversity in behavioral healthcare leadership reflected in services. J Behav Health Serv Res 35: 125, 2008.
Dreachslin JL, Jimpson GE, Sprainer E: Race, ethnicity and careers in healthcare management. J Healthc Manag 46: 397, 2001.
Background: Des Moines University College of Podiatric Medicine and Surgery (CPMS) is implementing a cultural competency program for third-year podiatric medical students. This study assessed the effectiveness of the new educational program on cultural competency at CPMS by comparing pretest and posttest scores of students from the CPMS graduating classes of 2013 and 2014.
Methods: Students from the class of 2013 completed a 10-week online course on cultural competency, and the class of 2014 students did not. A pretest and posttest survey was used to assess cultural competency. The questions were categorized to assess either knowledge acquisition or attitudinal change. The 2013 students completed the pretest before the course and a posttest after completing the course. Without taking the course, 2014 students completed the same pretest and posttest separated by 10 weeks. A repeated-measures analysis of variance was used to compare the knowledge acquisition scores and attitudinal change scores.
Results: The repeated-measures analysis of variance revealed a significant interaction effect of taking the attitudinal change course (F(1,77) = 15.2; P < .001). The course did not show a significant interaction on knowledge acquisition (F(1,77) = 0.72; P > .05).
Conclusions: The analysis showed a statistically significant improvement in attitudinal change scores. The study suggests that there needs to be a greater knowledge acquisition component to the cultural competency course at CPMS.