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Published in: Annals of Surgical Oncology 8/2021

01-08-2021 | Global Health Services Research

Cultural Complications Curriculum: Applicability to Surgical Oncology Programs and Practices

Authors: Alison S. Baskin, BA, Lesly A. Dossett, MD, MPH, FACS, Chelsea A. Harris, MD, MS

Published in: Annals of Surgical Oncology | Issue 8/2021

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Abstract

Background

Recognizing the need to raise awareness of core diversity, equity, and inclusion (DEI) issues in the healthcare system, our previously developed Cultural Complications Curriculum aims to support institutions in reducing cultural error. As we continue program deployment, we discuss the opportunity to apply the Cultural Complications Curriculum to multidisciplinary audiences, such as in cancer programs.

Methods

We discuss applicability of the Cultural Complications Curriculum to cancer programs and practices, including how to tailor case discussions to oncology audiences. By emphasizing the unique characteristics of the multidisciplinary care environment and anticipating potential barriers to curriculum implementation, we demonstrate how the Cultural Complications Curriculum may support culture improvement across broad audiences.

Results

The successful application of the Cultural Complication Curriculum to multidisciplinary care programs will depend on appreciating differences in background knowledge, tailoring discussions to audience needs, and adapting material by incorporating new data and addressing emerging DEI issues. Multidisciplinary environments may require innovative approaches to education including virtual platforms, increased collaboration across centers and systems, and support from professional societies. In integrated care environments, like oncology, effective DEI discussions call for the engagement of a variety of medical specialties and departments.

Conclusions

To meet the needs of an increasingly diverse patient population and workforce, our approach to DEI education must embrace the interdependent nature of care delivery. In oncology and other multidisciplinary care environments, application of the Cultural Complications Curriculum may be the first step to combating cultural error by engaging a broader demographic within our healthcare system.
Literature
1.
go back to reference Rotenstein LS, Reede JY, Jena AB. Addressing workforce diversity: a quality-improvement framework. N Engl J Med. 2021;384(12):1083–6.CrossRef Rotenstein LS, Reede JY, Jena AB. Addressing workforce diversity: a quality-improvement framework. N Engl J Med. 2021;384(12):1083–6.CrossRef
6.
go back to reference Adams LB, Richmond J, Corbie-Smith G, Powell W. Medical mistrust and colorectal cancer screening among African Americans. J Community Health. 2017;42(5):1044–61.CrossRef Adams LB, Richmond J, Corbie-Smith G, Powell W. Medical mistrust and colorectal cancer screening among African Americans. J Community Health. 2017;42(5):1044–61.CrossRef
7.
go back to reference Greenberg CC, Weeks JC, Stain SC. Disparities in oncologic surgery. World J Surg. 2008;32(4):522–8.CrossRef Greenberg CC, Weeks JC, Stain SC. Disparities in oncologic surgery. World J Surg. 2008;32(4):522–8.CrossRef
8.
go back to reference Gordon HS, Street RL Jr, Sharf BF, Kelly PA, Souchek J. Racial differences in trust and lung cancer patients’ perceptions of physician communication. J Clin Oncol. 2006;24(6):904–9.CrossRef Gordon HS, Street RL Jr, Sharf BF, Kelly PA, Souchek J. Racial differences in trust and lung cancer patients’ perceptions of physician communication. J Clin Oncol. 2006;24(6):904–9.CrossRef
9.
go back to reference Farjah F, Wood DE, Yanez ND 3rd, et al. Racial disparities among patients with lung cancer who were recommended operative therapy. Arch Surg. 2009;144(1):14–8.CrossRef Farjah F, Wood DE, Yanez ND 3rd, et al. Racial disparities among patients with lung cancer who were recommended operative therapy. Arch Surg. 2009;144(1):14–8.CrossRef
10.
go back to reference Hamel LM, Penner LA, Albrecht TL, Heath E, Gwede CK, Eggly S. Barriers to clinical trial enrollment in racial and ethnic minority patients with cancer. Cancer Control. 2016;23(4):327–37.CrossRef Hamel LM, Penner LA, Albrecht TL, Heath E, Gwede CK, Eggly S. Barriers to clinical trial enrollment in racial and ethnic minority patients with cancer. Cancer Control. 2016;23(4):327–37.CrossRef
11.
go back to reference Lam MB, Raphael K, Mehtsun WT, et al. Changes in racial disparities in mortality after cancer surgery in the US 2007–2016. JAMA Netw Open. 2020;3(12):e2027415.CrossRef Lam MB, Raphael K, Mehtsun WT, et al. Changes in racial disparities in mortality after cancer surgery in the US 2007–2016. JAMA Netw Open. 2020;3(12):e2027415.CrossRef
12.
go back to reference Newman LA, Pollock RE, Johnson-Thompson MC. Increasing the pool of academically oriented African-American medical and surgical oncologists. Cancer. 2003;97(1 Suppl):329–34.CrossRef Newman LA, Pollock RE, Johnson-Thompson MC. Increasing the pool of academically oriented African-American medical and surgical oncologists. Cancer. 2003;97(1 Suppl):329–34.CrossRef
13.
go back to reference Yehia BR, Cronholm PF, Wilson N, et al. Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds. BMC Med Educ. 2014;14:26.CrossRef Yehia BR, Cronholm PF, Wilson N, et al. Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds. BMC Med Educ. 2014;14:26.CrossRef
15.
go back to reference Selby P, Popescu R, Lawler M, Butcher H, Costa A. The value and future developments of multidisciplinary team cancer care. Am Soc Clin Oncol Edu Book. 2019;39:332–40.CrossRef Selby P, Popescu R, Lawler M, Butcher H, Costa A. The value and future developments of multidisciplinary team cancer care. Am Soc Clin Oncol Edu Book. 2019;39:332–40.CrossRef
Metadata
Title
Cultural Complications Curriculum: Applicability to Surgical Oncology Programs and Practices
Authors
Alison S. Baskin, BA
Lesly A. Dossett, MD, MPH, FACS
Chelsea A. Harris, MD, MS
Publication date
01-08-2021
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 8/2021
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-021-10274-w

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