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Cultural competence, fluency, humility, insight… Exploring AETC Provider Training and Efforts

Cultural competence, fluency, humility, insight… Exploring AETC Provider Training and Efforts. FTCC Meeting Presented by Durrell Fox – July 14, 2010 NEHEC-MAI Project Director New England AIDS Education and Training Center . Presentation snapshot .

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Cultural competence, fluency, humility, insight… Exploring AETC Provider Training and Efforts

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  1. Cultural competence, fluency, humility, insight…Exploring AETC Provider Training and Efforts FTCC Meeting Presented by Durrell Fox – July 14, 2010 NEHEC-MAI Project Director New England AIDS Education and Training Center

  2. Presentation snapshot • Background on National AETC Cultural Competency Workgroup • Discuss National Minority AETC BE SAFE training model • Describe two examples of regional cultural competency training programs • Conclusion

  3. National AETC Network Cultural Competency & Multicultural Care Workgroup

  4. AETCs Train In Every State and Territory

  5. AETC National Resource Center Workgroupaidsetc.org • CC workgroup for 2 years made up of approx. 30 reps. • We explored • CC definitions, resources and training efforts • Development of CC teaching cases • Health literacy as factor in CC care access • Development of training exchange to disseminate findings

  6. Workgroup guiding principles • Cultural IDs influence our thoughts, behaviors, we may ID with many groups • Cultures are always changing and HIV education & training should reflect this • Development of culturally appropriate training materials & CBA programs for providers should include expanded view of cross cultural competence…

  7. Workgroup guiding principles cont • Providers need to gain better understanding of general cultural starting points for approaching, learning about and interacting within different cultures • Training should help providers develop competencies and skills for intercultural understanding • Expand on cultural fluency…using evolving areas of health literacy…

  8. CC Workgroup outcomes accessible @ aidsetc.org • Research and sharing of resources and “promising practices” across network • Guiding principles document • Health Literacy in HIV Care case studies • CC Organizational Self Assessment Question Bank • CC resource lists and training tools • …

  9. Focus on National Minority AETC BE SAFE cultural Competency Education and Training Model

  10. BE SAFE @ nmaetc.org • Help providers gain greater understanding & awareness of how culture may influence their attitudes, behavior and polices on health care • A framework that used culturally pluralistic content and perspectives based on 6 core elements to guide providers sin caring for patients lf all races

  11. BE SAFE @ nmaetc.org • B = Barriers to care – addresses real and perceived gaps to providing quality care • E = Ethics – addresses the morality of beliefs, values and ethical considerations to providing CC care and services • S = Sensitivity – addresses provider need to examine their own prejudices and biases

  12. BE SAFE @ nmaetc.org • A = Assessment – collecting and examining relevant data • F = Facts – acknowledges that full assessment requires understanding of physiology, behavior and patients perception of his/her illness • E = Encounters – addresses the fact the providers have a duty to achieve effective encounters will all of their patients

  13. Examples of CC training approaches in New England

  14. Efforts in New England • Onsite monthly programs that integrate CC and cross cultural communications • CC workshop/conference training series that explores specific populations • CC workshops/conferences that focus on cross cultural communication and cultural orientations

  15. Several sites explore populations • CC trainings focused on MSM and Transgender populations of color, Sub-Saharan Africans, Latinos, Asians, African Americans, Youth, HIV Over Fifty… • Provide a comprehensive understanding of how cultural and social factors influence the ways specific populations are at risk for HIV & engage in HIV/health care services • Looks at resiliency and other attributions

  16. Latin American Health Institute explores CC communications • A model of communication that enhances delivery of care through practical applications in cross-cultural communication • Helps providers ID and match communications styles with patients • Offers 5 essential cultural orientations that are universal in nature • Live & Learn-Communication & Essential Cultural Orientation (ECO) Models

  17. Conclusion • Some CC training focuses on understanding different groups “broad” cultural frameworks • Some focus on respect, honoring and valuing diversity in cultures • Some assist in assessing and understanding the role cultures play in providing and receiving care • All have their merits and a mix of these “types” of CC trainings may be best approach

  18. Contact Information Durrell Fox New England HIV Education Consortium @ NEAETC, UMMS, CWM, CHPR 333 South Street Shrewsbury, MA 01545 www.neaetc.org (Phone) 617-262-5657 (Fax) 508-856-5294 Email: Dfoxnehec@ol.com

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