Cross-cultural clinical competence and post-graduate teaching: any impact(s) on doctors?

Context: Cross-cultural clinical competence (CCC) requires a mixtureof "knowledge" (K), "attitude" (A) and "skills" (S), in order to develop theability to give quality care to patients of different cultures. Theseattributes allow, while providing medical care, consideration of thepatient's medical, social, cultural and language needs. The LausanneUniversity Medical Policlinic (PMU) provides approximately 30000consultations per year to migrant patients and over the past five yearshas implemented a training course on CCC that focuses on trialogue,stereotypes and administrative procedures for the healthcare ofmigrants.Method: A quantitative survey of 18 new residents, was carried outusing a validated questionnaire, the "Multicultural AssessmentQuestionnaire" (the MAQ, 16 questions on K, A and S) to evaluate theimpact of CCC training. The questionnaire was distributed before theCCC course (J-1), three days after (J+3) and three months later (J+90).A descriptive univariate analysis of the difference in MAQ scoresbetween the times J-1 - J+3 and J-1 - J+90 was made. Three FocusGroups were conducted, at three months, to explore residents' thoughtsabout the course.Results: A significant increase was observed in global performancedeclared by residents. Following the intervention, the score of the MAQincreased from 31.4 points to 38.0 points at three days (p = 0.004) andto 37.7 points at three months (p = 0.003). This increase was mostnoticeable in the field of acquiring K: total score J-1: 118, J+3: 189,J+90: 190 (difference J-1 - J+3 and J-1 - J+90: p <0.005). There was nosignificant difference in acquiring A (J-1: 222, J+3: 228, J+90: 229), andS increases in a significant way at first (J-1: 222, J+3: 265, J-1 - J+3:p = 0.035), then comes back to the start value (J+90: 217). The residentswere interested by the course which they felt provides useful informationfor clinical practice. They had a great number of expectations in varyingfields (medical anthropology, cultural differences, epidemiology, etc.),hoping a "ready-made" solution for the approach of migrant patients.Conclusions: A unique training of CCC at the post-graduate level,upgraded K, and to a lesser extent A and S, for these 18 residents. Theywere interest and they had many expectations. Subsequent coursesshould consolidate these acquisitions. Future study should demonstratethe impact on patients' clinical outcome.

Yleiskatsaus mykobakterioosien esiintymisestä ja Suomen tilanteesta : Mycobacteriosis: a review and survey in Finland

Summary: Mycobacteriosis: a review and survey in Flinland

Cos, identitat i diversitat cultural. Presentació

Cos, identitat i immigració constitueixen tres realitats que quan convergeixen generen un nou punt de mira del fet migratori a la societat actual. La vivència de la pròpia corporalitat i els matisos que adquireix aquest procés en la població immigrada permeten entreteixir un discurs que mostra una nova dimensió de la construcció de la pròpia identitat en les societats multiculturals. La principal intenció del present monogràfic és, doncs, obrir una nova via de reflexió sobre el fet migratori i alhora fer visible la implicació de la cultura corporal en les transformacions socials.

Whole sales market for fresh potato in Finland

Selostus: Suomen ruokaperunamarkkinoiden toimivuus

Mycorrhizal colonization of highbush blueberry and its native relatives in central Finland

Selostus: Viljellyn pensasmustikan ja luonnonvaraisten mustikan ja juolukan sienijuuret

¿Cómo podemos entender la inteligencia en el siglo XXI?: una visión psico-socio-cultural.

Indudablemente, no podemos desligar el tema del alumnado con altas capacidades intelectuales del constructo “inteligencia”, ya que en el fondo las sucesivas definiciones de inteligencia o de conducta inteligente marcan qué vamos a evaluar como “capacidad intelectual superior”.El siglo XX, ha sido rico en definiciones e instrumentos de medida, especialmente desde el ámbito de la Psicología, aunque no debemos dejar de lado los aportes de otras ciencias como la biología, la cibernética, la antropología o la neurología por citar algunas. Muchos autores han intentado rastrear el concepto de inteligencia y su evolución en estos últimos 100 años...

Audit report on the Iowa Department of Cultural Affairs for the year ended June 30, 2013

Audit report on the Iowa Department of Cultural Affairs for the year ended June 30, 2013

Seed loss as a result of pod shatter in spring rape and spring turnip rape in Finland : Research Note

Selostus: Öljykasvien siementen variseminen ennen puintia

Cost-benefit analysis of multifunctional agriculture in Finland

Selostus: Kustannus-hyötyanalyysi monivaikutteisesta maataloudesta

Heavy-metal pollution and remediation of forest soil around the Harjavalta Cu-Ni smelter, in SW Finland

Abstract

Weeds in spring cereal fields in Finland - a third survey

Selostus: Kolmas kevätviljapeltojen rikkakasvikartoitus

Optimal beef cattle management under agricultural policy reforms in Finland

Selostus: Politiikkamuutosten vaikutus lihanautojen optimaaliseen ruokintaan ja teurastuksen ajoitukseen

Reduced tillage: influence on erosion and nutrient losses in a clayey field in southern Finland

Selostus: Aurattoman viljelyn vaikutus eroosioon ja ravinnehuuhtoumiin eteläsuomlaisella, savimaalla sijaitsevalla pellolla