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NHLBI: Teaching Multi-cultural Practice

About Us

University of Washington

Center for Cultural Proficiency in Medical Education (CC-PriME)

David Acosta, MDDavid Acosta, MD
Associate Dean, Multicultural Affairs
Clinical Associate Professor, Family Medicine
Principal Investigator
University of Washington School of Medicine

Amen Tsegai, MA
Project Director, CC-PriME
University of Washington School of Medicine Office of Multicultural Affairs



  • Amen Tsegai, M.A., Project Director, added to the team;
  • Cultural Competency Theme Committee (CCTC) for undergraduate medical education was established (8 members);
  • Student Advisory Group on Curriculum on Cultural Competence (25 members) was established;
  • The Advisory Committee on Faculty Development was established;
  • A Diversity Advisory Board was established, a community board made up of 23 members that includes faculty, staff, medical students, and community members.
  • A half-day workshop on "Making the Case for Cultural Competence in Medical Education" was provided to the senior leadership at the Annual Dean of Medicine Retreat in May 2006;
  • Three members of Office of Multicultural Affairs (OMCA), including our Project Director, have been trained as trainers in cross-cultural training and are now certified (one by National Coalition Building Institute based in Washington DC, and two by the Cross-Cultural Health Care Program (CCHCP) based in Seattle, WA);
  • The Hispanic Health Pathway Working Group was established -- purpose: development of a certification training program to enhance understanding of Hispanic health issues and prepare trainees with the appropriate skills to care for Hispanic communities;
  • The CCTC and the Ethics Theme Committee are collaborating on the development of a curriculum needs assessment using the TACCT and modifying it to better meet our needs. The plan is to apply this needs assessment and query all curriculum course chairs (in progress); the same modified TACCT will be used to then query all medical students;
  • A 3 hour cross-cultural training exercise was provided by the OMCA's CC-trainers at the 1st and 2nd year medical student orientations this year (August 2006);
  • Web site for CC-PriME has been developed;
  • Logo for CC-PriME has been developed;
  • Coordination of the 2nd NHLBI Collaborative Group Face-to-Face Meeting for 9/2006.

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  • Robert Dungey, Associate Director, National Coalition Building Institute, was consulted to provide a half-day faculty development session for our 30 College faculty on enhancing their teaching and communication skills when confronted with cultural insensitivity by students.
  • Cross-cultural training exercise during fall orientation for both first year students (100) and second year (180) medical students, August 2005 was provided by Mr. Dungey.
  • P.I. provided a 3-hour faculty development workshop for the Department of Medical Education and Biomedical Informatics entitled "Cultural Competence in Medical Education: Toolkit for Success", at the University of Washington, Seattle, WA, April 2006 (60 participants).
  • P.I. served the keynote lecture at the Students for Equal Health Care Conference entitled "Confronting Health Care Disparities in the Underserved", University of Washington, Seattle, WA, April 2006 (200 participants).
  • P.I. provided a 3-hour workshop at the Dean of Medicine's Annual Retreat entitled "Making the Case for Cultural Competency in Medical Education", Blaine, WA, May 2006 (85 participants -- Deans, Department Chairs, & Senior Adminstration).
  • The P.I. provided two 2-hour workshops entitled "Cultural Competence in Medical Education: Are You Ready for the Challenge?" at the AWARE (All WWAMI Academic Retreat) Retreat for all School of Medicine faculty in the WWAMI region, June 2006 (30 participants per session).

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Specific Aim #1: Develop and integrate an evidence-based curriculum in cultural competency and transition this curriculum into the existing required core curriculum, and establish new elective opportunities throughout the four-year undergraduate medical education program at the UW-SOM.

  • Five members from the CCTC have been registered for The Federation of Associations of Schools of Health Professions (FASHP) conference (January 18-21, 2006) in Lansdowne, VA, to enhance their skills in curriculum development;
  • Enlist faculty and staff that have been identified as "champions" within their department, and enroll in "train the trainers" workshops;
  • Develop elective course "Case-based Studies in Cultural Competence & Confronting Health Disparities in Racial/Ethnic Populations";
  • Finalize development of the Hispanic Health Pathway;

Specific Aim #2: Develop and integrate evidence-based didactic series on cultural competency and racial/ethnic disparities for all graduate medical education (GME) programs in primary care, and design benchmarks in cultural competency to help assess residents' skills in the provision of care to patients from diverse backgrounds.

  • Form GME Advisory Committee on cultural competence training for residents;
  • Meet with all residency program directors and perform needs assessment -- will first meet with all primary care residency program directors -- first meeting has been scheduled for 9/20/06 to meet with the Family Medicine residency directors at their quarterly Network Directors meeting;
  • Enlist faculty and staff that have been identified as "champions" within their residency programs, and enroll in "train the trainers" workshops;
  • Develop speakers' bureau of lecturers with an expertise in cultural competence and/or health disparities that all residency programs can tap into -- will be listed on CC-PriME's web portal;
  • Develop lecture templates for speakers to use that will serve as an aid and provide evidence-based data on racial/ethnic disparities for specific topics;
  • Identify all elective rotation opportunities that specifically provide residents opportunities to care for specific racial/ethnic communities -- will be listed on CC-PriME's web portal;

Specific Aim#3: Design and implement faculty development in cultural competency for all basic science and clinical faculty involved in teaching the required courses, clinical clerkships and elective preceptorships throughout WWAMI (Washington, Wyoming, Alaska, Montana, and Idaho).

Specific Aim #4: Achieve cultural competency with all faculty and staff involved in teaching who will then be better prepared to train both medical students and housestaff in this area of study.

  • Send faculty to "train the trainers" workshops.

Specific Aim#5: Develop the Center for Cultural Proficiency in Medical Education which will serve as a regional educational resource on cultural competency for the UW-SOM and its affiliates in the region, and provide educational materials, databases, and continuing medical education for the local and regional medical community.

  • Continue website development.

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  • NCME @ Health Literach Annual Research Conference
    • Two workshops on cultural competency and MedEdPORTAL
    • October 17-18, 2011, Chicago, IL
  • RWJ National Health Plan Collaborative Toolkit
    • This toolkit has resources, lessons, best practices and case studies to assist health plans reduce disparities.
  • AHRQ Health Literacy Toolkit
    • The toolkit can help your practice and communicate with patients.
  • Stopping Discrimination Before it Starts: The Impact of Civil Rights Laws on Healthcare Disparities
  • Curricular Products from the National Consortium for Multicultural Education for Health Professionals
  • Conferences:
    • AAMC annual meeting 2010
      • November 5-10, Washington, DC
    • APHA annual meeting 2010
      • November 6-10, Denver, CO