An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care

Introduction The Haitian population within the US represents the largest diaspora outside of Haiti, with most Haitians residing in major urban communities. Despite clear differences in health outcomes specific to Haitians, the community has traditionally been aggregated into the general Black popula...

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Main Authors: Christina Pardo, Nicholas Brutus, Dorah Labatte, Florence Saint-Jean, Sophia Tribié, Ivrose Joseph, Camille A. Clare, Julia Su, John Paul Sánchez
Format: Article
Language:English
Published: Association of American Medical Colleges 2021-12-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11207
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author Christina Pardo
Nicholas Brutus
Dorah Labatte
Florence Saint-Jean
Sophia Tribié
Ivrose Joseph
Camille A. Clare
Julia Su
John Paul Sánchez
author_facet Christina Pardo
Nicholas Brutus
Dorah Labatte
Florence Saint-Jean
Sophia Tribié
Ivrose Joseph
Camille A. Clare
Julia Su
John Paul Sánchez
author_sort Christina Pardo
collection DOAJ
description Introduction The Haitian population within the US represents the largest diaspora outside of Haiti, with most Haitians residing in major urban communities. Despite clear differences in health outcomes specific to Haitians, the community has traditionally been aggregated into the general Black population. To address specific health disparities, this workshop was designed to distinguish and elaborate on the health care problems affecting Haitians. Methods We created an interactive 60-minute workshop including a PowerPoint presentation, two case presentations, and a 5-minute informational video to bring awareness of the historical perspectives impacting Haitian/Haitian American health, access to care, and health care disparities to providers. Knowledge was assessed by pre- and postworkshop evaluation forms. The module was aimed at health care professional learners. Results Seventy-four people with diverse ethnoracial identities, including medical students, residents, academic faculty, physicians, nonmedical graduate students, and health care staff and administrators, attended three workshops. All learning objectives were met, with pre- and postworkshop data indicating a statistically significant increase in participants’ reported confidence. Workshop attendees commented positively on the group discussion component, the workshop's interactive nature, the opportunity to apply taught knowledge to case presentations, and the historical context provided. Discussion As the number of Haitian immigrants continues to rise throughout US urban communities, providers must increase their culture competency in training and delivery to improve care for a major population. This module can help better prepare health care providers and trainees to offer competent care to Haitian/Haitian American patients.
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spelling doaj.art-fcfb4606d7ac4ebaa45bab89125e55d02022-12-21T19:28:57ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652021-12-011710.15766/mep_2374-8265.11207An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to CareChristina Pardo0Nicholas Brutus1Dorah Labatte2Florence Saint-Jean3Sophia Tribié4Ivrose Joseph5Camille A. Clare6Julia Su7John Paul Sánchez8Assistant Professor, Department of Obstetrics and Gynecology, SUNY Downstate Health Sciences UniversityFirst-Year Medical Student, Albany Medical CollegeResearch Specialist, SUNY Downstate Health Sciences UniversityExecutive Director, Global Trauma ResearchSecond-Year Resident, Department of Family Medicine, SUNY Downstate Health Sciences UniversityFourth-Year Resident, Department of Obstetrics and Gynecology, SUNY Downstate Health Sciences UniversityAssociate Professor, Department of Obstetrics and Gynecology, and Associate Dean of Diversity and Inclusion, New York Medical CollegeThird-Year MD/PhD Candidate, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell; National President, Latino Medical Student AssociationPresident, Building the Next Generation of Academic PhysiciansIntroduction The Haitian population within the US represents the largest diaspora outside of Haiti, with most Haitians residing in major urban communities. Despite clear differences in health outcomes specific to Haitians, the community has traditionally been aggregated into the general Black population. To address specific health disparities, this workshop was designed to distinguish and elaborate on the health care problems affecting Haitians. Methods We created an interactive 60-minute workshop including a PowerPoint presentation, two case presentations, and a 5-minute informational video to bring awareness of the historical perspectives impacting Haitian/Haitian American health, access to care, and health care disparities to providers. Knowledge was assessed by pre- and postworkshop evaluation forms. The module was aimed at health care professional learners. Results Seventy-four people with diverse ethnoracial identities, including medical students, residents, academic faculty, physicians, nonmedical graduate students, and health care staff and administrators, attended three workshops. All learning objectives were met, with pre- and postworkshop data indicating a statistically significant increase in participants’ reported confidence. Workshop attendees commented positively on the group discussion component, the workshop's interactive nature, the opportunity to apply taught knowledge to case presentations, and the historical context provided. Discussion As the number of Haitian immigrants continues to rise throughout US urban communities, providers must increase their culture competency in training and delivery to improve care for a major population. This module can help better prepare health care providers and trainees to offer competent care to Haitian/Haitian American patients.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11207Social Determinants of HealthCommunity-Based MedicineCultural CompetenceDiversity and InclusionHealth Equity
spellingShingle Christina Pardo
Nicholas Brutus
Dorah Labatte
Florence Saint-Jean
Sophia Tribié
Ivrose Joseph
Camille A. Clare
Julia Su
John Paul Sánchez
An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care
MedEdPORTAL
Social Determinants of Health
Community-Based Medicine
Cultural Competence
Diversity and Inclusion
Health Equity
title An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care
title_full An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care
title_fullStr An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care
title_full_unstemmed An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care
title_short An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care
title_sort introduction to structural competency for haitian identified patients history culture and access to care
topic Social Determinants of Health
Community-Based Medicine
Cultural Competence
Diversity and Inclusion
Health Equity
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11207
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