A Conceptual Framework for Preparing Residents to Broach Racial, Ethnic, and Cultural Factors with Patients in Supportive Psychotherapy

• Published in: Academic psychiatry Vol. 48; no. 2; pp. 168 - 172
• Main Authors: Cogan, Mary Beth, Franklin, Clio, Day-Vines, Norma L., Sudak, Donna M., Sejdiu, Zane, Patel, Yash, Kronsberg, Hal, Ruble, Anne
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.04.2024; Springer Nature B.V
• Subjects: Academic Achievement; African Americans; Beliefs; Child & adolescent psychiatry; Coding; Cultural Differences; Cultural Influences; Cultural Pluralism; Culture; Curricula; Diversity; Educational Case Report; Equity; Ethnicity; Family Relationship; Feedback (Response); Formative Evaluation; Gender Discrimination; Graduate Medical Education; Graduate Students; Humans; Inclusion; Likert Scales; Measurement Techniques; Medical Education; Medical personnel; Medicine; Medicine & Public Health; Minority & ethnic groups; Minority Groups - psychology; Modeling (Psychology); Multiculturalism & pluralism; Multiracial people; Multiracial Persons; Oppression; Patients; Professionals; Psychiatry; Psychotherapy; Race; Racial Bias; Racial Groups - psychology; Racial Identification; Resistance (Psychology); Seminars; Skills; Social classes; Sociopolitical factors
• ISSN: 1042-9670; 1545-7230; 1545-7230
• DOI: 10.1007/s40596-023-01802-9

Stigma and discrimination in health care are commonly experienced by ethnic minority populations [1]. The 2021 National Healthcare Quality and Disparities Report indicated that White patients receive better quality of care than 43% of Blacks, 40% of Native Americans, 36% of Hispanics, and 28% of Asians and Pacific Islanders based on indicators of patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability [2]. The “intracounseling dimension” is the first component of the multidimensional model addressing the interpersonal dynamics in the patient-provider relationship related to race, ethnicity, and gender. The survey inquired if the series enhanced residents’ ability to recognize how diversity affects patient care; demonstrate self-reflection; acknowledge differing beliefs and convey respect for diversity; explore diversity in evaluation, treatment, and its influence on interactions; and broach the subjects of race, ethnicity, and cultural differences with patients.