Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 2/2010

01-05-2010 | Original Article

Disparities Education: What Do Students Want?

Authors: Cristina M. Gonzalez, MD, Jada Bussey-Jones, MD

Published in: Journal of General Internal Medicine | Special Issue 2/2010

Login to get access

Abstract

BACKGROUND

Educating medical students about health disparities may be one step in diminishing the disparities in health among different populations. According to adult learning theory, learners’ opinions are vital to the development of future curricula.

DESIGN

Qualitative research using focus group methodology.

OBJECTIVES

Our objectives were to explore the content that learners value in a health disparities curriculum and how they would want such a curriculum to be taught.

PARTICIPANTS

Study participants were first year medical students with an interest in health disparities (n = 17).

APPROACH

Semi-structured interviews consisting of 12 predetermined questions, with follow-up and clarifying questions arising from the discussion. Using grounded theory, codes were initially developed by the team of investigators, applied, and validated through an iterative process.

MAIN RESULTS

The students perceived negative attitudes towards health disparities education as a potential barrier towards the development of a health disparities curriculum and proposed possible solutions. These solutions centered around the learning environment and skill building to combat health disparities.

CONCLUSIONS

While many of the students’ opinions were corroborated in the literature, the most striking differences were their opinions on how to develop good attitudes among the student body. Given the impact of the provider on health disparities, how to develop such attitudes is an important area for further research.
Literature
1.
2.
Services DoHaH. Call to Action: Eliminating Racial and Ethnic Disparities in Health. Potomac, MD: Department of Health and Human Services; 1998.
3.
Ayanian JZ, Cleary PD, Weissman JS, Epstein AM. The effect of patients’ preferences on racial differences in access to renal transplantation. N Engl J Med. 1999;341(22):1661–9.CrossRefPubMed
4.
Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians’ recommendations for cardiac catheterization. N Engl J Med. 1999;340(8):618–26.CrossRefPubMed
5.
van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Med Care. 2002;40(1 Suppl):I140–51.PubMed
6.
Ashton CM, Haidet P, Paterniti DA, et al. Racial and ethnic disparities in the use of health services: bias, preferences, or poor communication? J Gen Intern Med. 2003;18(2):146–52.CrossRefPubMed
7.
Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington: National Academies Press; 2002.
8.
9.
Pottie K, Hostland S. Health advocacy for refugees: medical student primer for competence in cultural matters and global health. Can Fam Physician. 2007;53(11):1923–6.PubMed
10.
Chamberlain LJ, Wang NE, Ho ET, Banchoff AW, Braddock CH 3rd, Gesundheit N. Integrating collaborative population health projects into a medical student curriculum at Stanford. Acad Med. 2008;83(4):338–44.CrossRefPubMed
11.
Turner JL, Farquhar L. One medical school’s effort to ready the workforce for the future: preparing medical students to care for populations who are publicly insured. Acad Med. 2008;83(7):632–8.CrossRefPubMed
12.
Mavis B, Keefe CW, Reznich C. Summer research training programme in health care disparities. Med Educ. 2004;38(11):1192–3.CrossRefPubMed
13.
Satterfield JM, Mitteness LS, Tervalon M, Adler N. Integrating the social and behavioral sciences in an undergraduate medical curriculum: the UCSF essential core. Acad Med. 2004;79(1):6–15.CrossRefPubMed
14.
Doran KM, Kirley K, Barnosky AR, Williams JC, Cheng JE. Developing a novel Poverty in Healthcare curriculum for medical students at the University of Michigan Medical School. Acad Med. 2008;83(1):5–13.CrossRefPubMed
15.
Vela MB, Kim KE, Tang H, Chin MH. Innovative health care disparities curriculum for incoming medical students. J Gen Intern Med. 2008;23(7):1028–32.CrossRefPubMed
16.
Betancourt JR. Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Acad Med. 2003;78(6):560–9.CrossRefPubMed
17.
18.
Witkin BRAJ. Planning and Conducting Needs Assessments: A Practical Guide. Thousand Oaks: Sage; 1995.
19.
Glaser BGSA. The Discovery of Grounded Theory. Strategies for Qualitative Research. Chicago: Aldine; 1967.
20.
21.
Davidson RA. Community-based education and problem solving: the Community Health Scholars Program at the University of Florida. Teach Learn Med. 2002;14(3):178–81.CrossRefPubMed
22.
Flores G, Gee D, Kastner B. The teaching of cultural issues in US and Canadian medical schools. Acad Med. 2000;75(5):451–5.CrossRefPubMed
23.
24.
Murray-Garcia JL, Harrell S, Garcia JA, Gizzi E, Simms-Mackey P. Self-reflection in multicultural training: be careful what you ask for. Acad Med. 2005;80(7):694–701.CrossRefPubMed
25.
Kripalani S, Bussey-Jones J, Katz MG, Genao I. A prescription for cultural competence in medical education. J Gen Intern Med. 2006;21(10):1116–20.CrossRefPubMed
26.
Smith WR, Betancourt JR, Wynia MK, et al. Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med. 2007;147(9):654–65.PubMed
27.
Tervalon M. Components of culture in health for medical students’ education. Acad Med. 2003;78(6):570–6.CrossRefPubMed
28.
Gregg J, Saha S. Losing culture on the way to competence: the use and misuse of culture in medical education. Acad Med. 2006;81(6):542–7.CrossRefPubMed
29.
Beach MC, Price EG, Gary TL, et al. Cultural competence: a systematic review of health care provider educational interventions. Med Care. 2005;43(4):356–73.CrossRefPubMed
30.
Engler CM, Saltzman GA, Walker ML, Wolf FM. Medical student acquisition and retention of communication and interviewing skills. J Med Educ. 1981;56(7):572–9.PubMed
Metadata
Title
Disparities Education: What Do Students Want?
Authors
Cristina M. Gonzalez, MD
Jada Bussey-Jones, MD
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue Special Issue 2/2010
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-010-1250-z

Other articles of this Special Issue 2/2010

Journal of General Internal Medicine 2/2010 Go to the issue

Innovations in Education

Reflective Practice Enriches Clerkship Students’ Cross-Cultural Experiences

Editorial

Medical Legal Partnerships: A Key Strategy for Addressing Social Determinants of Health

OriginalPaper

Teaching Undergraduates about Racial & Ethnic Disparities

Perspectives

Let’s Not Contribute to Disparities: The Best Methods for Teaching Clinicians How to Overcome Language Barriers to Health Care

Innovations in Education

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

Innovations in Education

When Best Intentions Aren’t Enough: Helping Medical Students Develop Strategies for Managing Bias about Patients
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits