Cultural competence in Family Medicine is largely agreed to be gained informally, and a large U.S. survey found most residency programs identify it as part of the informal curriculum¶

Claim · All claims
Evidence · 1 study · review r2 · q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? In the majority of surveyed U.S. FM residency programs, cultural competence was identified as being part of the informal curriculum. → Rothlind Erica 2020 q2 i? The gaining of cultural competence was, to a great extent, agreed across included articles to occur in an informal manner. → Rothlind Erica 2020

Evidence¶

Rothlind Erica 2020¶

Rothlind Erica, Fors Uno, Salminen Helena, Wändell Per, Ekblad Solvig. (2020). The informal curriculum of family medicine – what does it entail and how is it taught to residents? A systematic review. BMC Family Practice. https://doi.org/10.1186/s12875-020-01120-1

q2 · i? · review · r2

Narrative synthesis of six included articles (two surveys, two qualitative studies, one review, one opinion article) addressing cultural competence, plus a large survey of U.S. FM residency programs reporting that "in the majority of the programs included, cultural competence was identified as being part of the informal curriculum." No effect size printed.

"The gaining of cultural competence was, to a great extent, agreed to occur in an informal manner [25–27, 30, 31]. A large survey of FM residency programs in the U.S. also confirmed that, in the majority of the programs included, cultural competence was identified as being part of the informal curriculum [25]."

Discussion¶

Related Claims¶

• Educational interventions for FM residents targeting the informal curriculum rarely produced behavior change: most were evaluated only at Kirkpatrick level 2 and study quality was low — related
• Medical professionalism is discussed as learned through role models as part of the informal curriculum, with acceptable professional behavior mainly identified through observation — related
• Formal education is more likely to improve cultural competency than mere exposure to culturally diverse patients, even with good role models — reports the opposite