Treating and Precepting with RESPECT: A Relational Model Addressing Race, Ethnicity, and Culture in Medical Training

被引：25

作者：

Mostow, Carol ^{[1
]}

Crosson, Julie ^{[2
,9
]}

Gordon, Sandra ^{[3
,9
]}

Chapman, Sheila ^{[3
,9
]}

Gonzalez, Peter ^{[10
,11
]}

Hardt, Eric ^{[6
,9
]}

Delgado, Leyda ^{[3
,8
,9
]}

James, Thea ^{[7
,9
]}

David, Michele ^{[3
,4
,5
,9
]}

机构：

[1] Boston Med Ctr, Dept Family Med, Boston, MA 02118 USA

[2] Dorchester House Multiserv Ctr, Dorchester, MA USA

[3] Boston Med Ctr, Gen Internal Med Sect, Dept Med, Boston, MA 02118 USA

[4] Boston Univ, Ctr Excellence Womens Hlth, Boston, MA 02215 USA

[5] Boston Med Ctr, Haitian Hlth Inst, Boston, MA 02118 USA

[6] Boston Med Ctr, Sect Geriatr, Dept Med, Boston, MA 02118 USA

[7] Boston Med Ctr, Dept Emergency Med, Boston, MA 02118 USA

[8] Boston Med Ctr, Latino Clin, Boston, MA 02118 USA

[9] Boston Univ, Sch Med, Boston, MA 02118 USA

[10] Harvard Univ, Sch Med, Boston, MA USA

[11] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2010年 / 25卷

关键词：

health care disparities; cultural competency training; cross-cultural medicine; learning climate; physician-patient relationship; communication; professionalism; PATIENT-CENTERED COMMUNICATION; HEALTH-CARE; HIDDEN CURRICULUM; MULTICULTURAL EDUCATION; PHYSICIAN COMMUNICATION; PERCEPTIONS; COMPETENCE; EMPATHY; PROFESSIONALISM; PERSPECTIVE;

D O I：

10.1007/s11606-010-1274-4

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BACKGROUND: In 2000 a diverse group of clinicians/educators at an inner-city safety-net hospital identified relational skills to reduce disparities at the point of care. DESCRIPTION: The resulting interviewing and precepting model helps build trust with patients as well as with learners. RESPECT adds attention to the relational dimension, addressing documented disparities in respect, empathy, power-sharing, and trust while incorporating prior cross-cultural models. Specific behavioral descriptions for each component make RESPECT a concrete, practical, integrated model for teaching patient care. CONCLUSIONS: Precepting with RESPECT fosters a safe climate for residents to partner with faculty, address challenges with patients at risk, and improve outcomes.

引用

页码：S146 / S154

页数：9

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