Cultural competency of GP trainees and GP trainers: a cross-sectional survey study

AbstractObjective To assess the cultural competence (CC) of GP trainees and GP trainers.Design and setting: A cross-sectional survey study was conducted at the GP Training Institute of Amsterdam UMC.Subjects We included 92 GP trainees and 186 GP trainers.Main outcome measures We measured the three d...

Full description

Bibliographic Details
Main Authors: Siham Bouchareb, Amber A.W.A van der Heijden, Josine A.Y van Diesen, Maria van den Muijsenbergh, Sylvia Mennink, Henrica C.W de Vet, Annette H. Blankenstein, Petra J.M Elders
Format: Article
Language:English
Published: Taylor & Francis Group 2024-01-01
Series:Scandinavian Journal of Primary Health Care
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/02813432.2023.2293927
_version_ 1797299943840415744
author Siham Bouchareb
Amber A.W.A van der Heijden
Josine A.Y van Diesen
Maria van den Muijsenbergh
Sylvia Mennink
Henrica C.W de Vet
Annette H. Blankenstein
Petra J.M Elders
author_facet Siham Bouchareb
Amber A.W.A van der Heijden
Josine A.Y van Diesen
Maria van den Muijsenbergh
Sylvia Mennink
Henrica C.W de Vet
Annette H. Blankenstein
Petra J.M Elders
author_sort Siham Bouchareb
collection DOAJ
description AbstractObjective To assess the cultural competence (CC) of GP trainees and GP trainers.Design and setting: A cross-sectional survey study was conducted at the GP Training Institute of Amsterdam UMC.Subjects We included 92 GP trainees and 186 GP trainers.Main outcome measures We measured the three domains of cultural competency: 1) knowledge, 2) culturally competent attitudes and 3) culturally competent skills. Regression models were used to identify factors associated with levels of CC. Participants rated their self-perceived CC at the beginning and end of the survey, and the correlation between self-perceived and measured CC was assessed.Results Approximately 94% of the GP trainees and 81% of the GP trainers scored low on knowledge; 45% and 42%, respectively, scored low on culturally competent attitudes. The level of culturally competent skills was moderate (54.3%) or low (48.4%) for most GP trainees and GP trainers. The year of residency and the GP training institute were significantly associated with one or more (sub-)domains of CC in GP trainees. Having >10% migrant patients and experience as a GP trainer were positively associated with one or more (sub-) domains of cultural competence in GP trainers. The correlation between measured and self-perceived CC was positive overall but very weak (Spearman correlation coefficient ranging from −0.1–0.3).Conclusion The level of cultural competence was low in both groups, especially in the knowledge scores. Cultural competence increased with experience and exposure to an ethnically diverse patient population. Our study highlights the need for cultural competence training in the GP training curricula.
first_indexed 2024-03-07T22:59:00Z
format Article
id doaj.art-3b597c3b85234cd2a2f3528b619f97a5
institution Directory Open Access Journal
issn 0281-3432
1502-7724
language English
last_indexed 2024-03-07T22:59:00Z
publishDate 2024-01-01
publisher Taylor & Francis Group
record_format Article
series Scandinavian Journal of Primary Health Care
spelling doaj.art-3b597c3b85234cd2a2f3528b619f97a52024-02-22T15:18:19ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242024-01-0142110111110.1080/02813432.2023.2293927Cultural competency of GP trainees and GP trainers: a cross-sectional survey studySiham Bouchareb0Amber A.W.A van der Heijden1Josine A.Y van Diesen2Maria van den Muijsenbergh3Sylvia Mennink4Henrica C.W de Vet5Annette H. Blankenstein6Petra J.M Elders7Department of General Practice, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsDepartment of General Practice, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsDepartment of Medical and Clinical Psychology, Tilburg University, Tilburg, The NetherlandsDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The NetherlandsDepartment of General Practice, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsEpidemiology and Data Science, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsDepartment of General Practice, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsDepartment of General Practice, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The NetherlandsAbstractObjective To assess the cultural competence (CC) of GP trainees and GP trainers.Design and setting: A cross-sectional survey study was conducted at the GP Training Institute of Amsterdam UMC.Subjects We included 92 GP trainees and 186 GP trainers.Main outcome measures We measured the three domains of cultural competency: 1) knowledge, 2) culturally competent attitudes and 3) culturally competent skills. Regression models were used to identify factors associated with levels of CC. Participants rated their self-perceived CC at the beginning and end of the survey, and the correlation between self-perceived and measured CC was assessed.Results Approximately 94% of the GP trainees and 81% of the GP trainers scored low on knowledge; 45% and 42%, respectively, scored low on culturally competent attitudes. The level of culturally competent skills was moderate (54.3%) or low (48.4%) for most GP trainees and GP trainers. The year of residency and the GP training institute were significantly associated with one or more (sub-)domains of CC in GP trainees. Having >10% migrant patients and experience as a GP trainer were positively associated with one or more (sub-) domains of cultural competence in GP trainers. The correlation between measured and self-perceived CC was positive overall but very weak (Spearman correlation coefficient ranging from −0.1–0.3).Conclusion The level of cultural competence was low in both groups, especially in the knowledge scores. Cultural competence increased with experience and exposure to an ethnically diverse patient population. Our study highlights the need for cultural competence training in the GP training curricula.https://www.tandfonline.com/doi/10.1080/02813432.2023.2293927Cultural competencegeneral practicemigrantsGP traineesGP trainerssurvey
spellingShingle Siham Bouchareb
Amber A.W.A van der Heijden
Josine A.Y van Diesen
Maria van den Muijsenbergh
Sylvia Mennink
Henrica C.W de Vet
Annette H. Blankenstein
Petra J.M Elders
Cultural competency of GP trainees and GP trainers: a cross-sectional survey study
Scandinavian Journal of Primary Health Care
Cultural competence
general practice
migrants
GP trainees
GP trainers
survey
title Cultural competency of GP trainees and GP trainers: a cross-sectional survey study
title_full Cultural competency of GP trainees and GP trainers: a cross-sectional survey study
title_fullStr Cultural competency of GP trainees and GP trainers: a cross-sectional survey study
title_full_unstemmed Cultural competency of GP trainees and GP trainers: a cross-sectional survey study
title_short Cultural competency of GP trainees and GP trainers: a cross-sectional survey study
title_sort cultural competency of gp trainees and gp trainers a cross sectional survey study
topic Cultural competence
general practice
migrants
GP trainees
GP trainers
survey
url https://www.tandfonline.com/doi/10.1080/02813432.2023.2293927
work_keys_str_mv AT sihambouchareb culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT amberawavanderheijden culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT josineayvandiesen culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT mariavandenmuijsenbergh culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT sylviamennink culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT henricacwdevet culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT annettehblankenstein culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy
AT petrajmelders culturalcompetencyofgptraineesandgptrainersacrosssectionalsurveystudy