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Evaluating a Lecture on Cultural Competence in the Medical School Preclinical Curriculum

Received September 15, 2006; revised March 11, July 25, and September 26, 2007; accepted October 10, 2007. Drs. Lim, Hua, and Servis are affiliated with the Department of Psychiatry and Behavioral Science at the University of California, Davis School of Medicine; Dr. Wegelin is affiliated with the Department of Biostatistics at Virginia Commonwealth University; Dr. Kramer is affiliated with the Department of Psychiatry at New York University School of Medicine. Address correspondence to Russell F. Lim, M.D., Psychiatry and Behavioral Sciences, UC Davis School of Medicine, 2230 Stockton Blvd., Sacramento, CA 95817; rflim{at}ucdavis.edu (e-mail).

OBJECTIVE: The authors aim to evaluate the effectiveness of a presentation designed to increase cultural competence. METHODS: A measure was developed to evaluate the attainment of knowledge and attitude objectives by first-year medical students who watched a presentation on the effect of culture on the doctor-patient relationship and effective methods of interpretation for non-English-speaking patients. The test was administered before and after the presentation and data were analyzed using a linear mixed-effects regression model. RESULTS: Both knowledge and attitudes improved over the course of the lecture. CONCLUSIONS: Those who give individual presentations in multiple instructor medical school courses should supplement their course evaluations with lecture-specific surveys targeted to their specific learning objectives for knowledge and attitudes.

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