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CME: The explicit need for implicit bias and cultural competence training in the health professions

Activity Description / Statement of Need:

In this online, self-learning activity:

Over the past few decades, cultural competence has been defined in a variety of ways, including in the recent appearance of the closely related terms, cultural humility and cultural competemility. According to the Centers for Disease Control and Prevention, cultural competence is a “set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations.” In the setting of healthcare, practicing cultural competence can improve the ability of HCPs to meet the social, cultural, and linguistic needs of patients, which may ultimately improve provider competence and health outcomes among diverse groups of patients with unique sociocultural identities, including race, ethnicity, gender, and sexual orientation.

Target Audience:

Physicians, pharmacists, physician assistants, nurse practitioners, and other HCPs.


Commercial Support Disclosure: This program is supported by an educational grant from Sanofi and UCB.

This activity is free of charge.


Release Date: July 04, 2024 -- Expiration Date: July 04, 2026

Faculty: Marin Gillis, PhD, LPh

Agenda

Introduction, disclosures  

Principles of cultural competence 

  • Epidemiology backdrop in the U.S. and a changing cultural picture 
  • Definitions: culture; health equity vs. equality and health inequities 
  • Different cultural and identity considerations that cultural competence models take into account 
  • Introduction to implicit bias, the ways in which it affects healthcare decision-making, and its interrelationship with cultural competency 
  • Introduction to national culturally and linguistically appropriate services (CLAS) standards 

Practical applications in healthcare 

  • LGBTQIA+ considerations 
    • Terminology 
    • Background: epidemiology; additional and unique health risks 
    • LGBTQIA+ proficient clinical care 
    • LGBTQIA+-supportive office and health-system environment for healthcare employees and patients alike 
    • Intake and assessment of patients 
    • Personnel considerations during hiring and training of healthcare employees 
    • Community outreach and health promotion 
  • Populations with limited English proficiency 
    • Background 
    • Provision of CLAS and application of CLAS standards 
    • Language assistance and professionally trained medical interpreters 
  • Underserved communities – special considerations for:  
    • Aged individuals 
    • Race and ethnicity 
    • Socioeconomic status 
  • Social needs & determinants of health 
  • The patient-centered approach – strategies for overcoming treatment barriers 
    • Skills for effective communication in cross-cultural care 
    • Styles of communication and strategies for engagement 
    • Taking into account patient factors: 
      • Belief systems 
      • Complementary & alternative medicines 
      • Present stresses & support system 

Summary, conclusions, and best practice recap 

Learning Objectives

By the end of the session the participant will be able to:

  • Recall resources and strategies to address bias and practice respect for patients from all backgrounds.
  • Briefly describe the history of the study of heuristics and bias by leading experts.
  • Distinguish fast vs. slow thinking and their relations to bias, and cognitive, affective, and implicit bias.
  • Employ at least three examples of strategies to mitigate bias against Black people in medical research, education, and clinical diagnosis.
  • Describe the professional ethical obligations to mitigate bias and develop cultural humility, and estimate the consequences of physician bias on patient outcomes.

Accreditation

ACCME Activity #202796178

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through ScientiaCME. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: ScientiaCME designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CME-MOC_badge

ABIM MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ABIM MOC Credit Type: Medical Knowledge

ABP MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

ABP MOC Credit Type: Lifelong Learning and Self-Assessment

Physicians: For maintenance of certification (MOC) points, you must enter your board certification ID # and birth date correctly.  It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive MOC points for this activity. By providing this data, you acknowledge that it will be shared with ACCME and the applicable certifying board. Please note: Not all activities on this site provide MOC points. If this activity does not specify that it provides MOC points in this section, then it does NOT provide MOC points. This activity provides MOC points only for ABIM and ABP.

Pharmacists and Pharmacy Technicians

ScientiaCME is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 1.5 contact hours  of continuing pharmacy education credit. Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. Participants must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit. ACPE UANs: pharmacists: ACPE #0574-0000-24-017-H01-P; pharmacy technicians: 0574-0000-24-017-H04-T. This is an Knowledge (K)-type activity.  

Pharmacists and Pharmacy TechniciansYou must enter your NABP # and birth date correctly so that proof of participation can be posted to your NABP CPE profile. It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive CPE credit for this activity.

Nurses: The American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME. This activity is designated for up to 1.5 AMA PRA Category 1 Credit(s)™.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credit™ assigned by organizations accredited by the ACCME as satisfying Category 1 CME for National Commission on Certification of Physician Assistants (NCCPA) national certification maintenance. This activity is designated for up to 1.5 AMA PRA Category 1 Credit(s)™.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Board (AANPCB) states that continuing education providers accredited by the ACCME may provide acceptable, accredited Advanced Practice Provider content. This activity is designated for up to 1.5 AMA PRA Category 1 Credit(s)™.


Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.

Disclosures of Faculty: Marin Gillis, PhD, LPh, Professor and Interim Chair, Department of Justice & Health Humanities, Roseman University of Health Sciences, College of Medicine, has no relevant financial disclosures.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.  

Faculty WILL NOT discuss off-label uses of a commercial product. 

All relevant financial relationships have been mitigated.

ScientiaCME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Commercial Support Disclosure: This program is supported by an educational grant from Sanofi and UCB.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


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