Table 3 Scores on knowledge, reflection ability, consultation behaviour, self-perceived cultural competence per respondent group
From: A students’ survey of cultural competence as a basis for identifying gaps in the medical curriculum
All | Medical students | YHC residents | YHC supervisors | Interpretation of mean scores§ | |
|---|---|---|---|---|---|
N= 177 | N= 86 | N= 56 | N= 35 | ||
Assessed cultural competence domains | |||||
Knowledge | |||||
General knowledge of ethnic minority care provision (score 0–8) | |||||
Mean score (95% CI) | 3.7 (3.5-3.9) | 3.5 (3.2-3.9)b | 3.6 (3.2-3.9)c | 4.4 (3.9-5.0)b,c | Low level of general knowledge in all respondent groups |
% of maximum score | 46% | 44%b | 45%c | 55%b,c | |
Knowledge on interpretation services (score 0–6) | Low level of knowledge on interpretation services among medical students, and moderate level among YHC Residents and YHC Supervisors. | ||||
Mean score (95% CI) | 3.3 (3.1-3.5) | 3.0 (2.6 -3.3)a,b | 3.6 (3.3-3.9)a | 3.7 (3.4-4.1)b | |
% of maximum score | 55% | 49% a,b | 60%a | 62%b | |
Reflection ability | |||||
GRAS score (score 1–10) | |||||
Mean score (95% CI) | 8.0 (7.9-8.1) | 8.0 (7.8-8.1) | 7.9 (7.8-8.1) | 8.1 (7.9-8.3) | High ability to reflect in all respondent groups. |
Culturally competent consultation behaviour | |||||
Exploring patient perspective (score 0–3) | Low score on exploration of patient perspectives in medical students, moderate among YHC Residents and YHC Supervisors. | ||||
Mean score (95% CI) | 1.9 (1.8-2.1) | 1.6 (1.4-1.7)a,b | 2.3 (2.1-2.5)a | 2.1 (1.8-2.5)b | |
% of maximum score | 64% | 52%a,b | 77%a | 71%b | |
Interaction with low health literacy (score 0–3) | |||||
Mean score (95% CI) | 1.8 (1.7-1.9) | 1,9 (1.7-2.0) | 1.8 (1.6-2.0) | 1.7 (1.4-2.0) | Moderate score on interaction with low health literacy in all groups |
% of maximum score | 60% | 62% | 60% | 56% | |
Exploring social context (score 0–3) | Low score on exploration of social context among medical students and YHC Residents and moderate among YHC Supervisors. | ||||
Mean score (95% CI) | 1.4 (1.3-1.5)* | 1.1 (1.0-1.3)†a,b | 1.5 (1.4-1.7)a | 1.8 (1.5-2.0)b | |
% of maximum score | 46% | 38% | 50% | 59% | |
Self-perceived cultural competence | |||||
Self-perceived cc (score 1–10) | Moderate self-perceived cultural competence among all respondent groups. | ||||
Mean score (95% CI) | 6.8 (6.6-6.9) | 7.0 (6.7-7.2)a | 6.4 (6.1-6.7)a | 6.9 (6.5-7.2) | |