Cultural Humility
The concept of Cultural Humility has it's roots in our hospital coupled with a multicultural curriculum that was developed in the 1990's as part of our communities' commitment to dismantling racism in our health system.
Melanie Tervalon, M.D. and Jann Murray-Garcia M.D., M.P.H. defined cultural humility as “a lifelong commitment to self-evaluation and critique, to redressing power imbalances...and to developing mutually beneficial and non-paternalistic partnerships with communities on behalf of individuals and defined populations."
Cultural Humility is woven into how we teach and what we do every day as it essential to health equity. Residents participate in a longitudinal Cultural Humility curriculum during their training, starting during orientation and then woven throughout clinical training, didactics and conferences. The curriculum gives knowledge and skills to provide patient care that embodies a Cultural Humility, antiracist framework.
Reference: https://melanietervalon.com/wp-content/uploads/2013/08/CulturalHumility_Tervalon-and-Murray-Garcia-Article.pdf
Community, Advocacy and Pediatric Leadership
The Community, Advocacy and Pediatric Leadership (CAP) curriculum provides residents with 4-6 weeks annually of comprehensive training focused on outpatient medicine and health equity. Grounded in a longitudinal equity framework and Cultural Humility, this curriculum aims to develop pediatricians as community champions committed to achieving health equity in partnership with children and families. The curriculum emphasizes the social, structural community and cultural factors impacting children's health. Residents learn to implement community partnerships to deliver comprehensive care in areas such as:
- Development
- Environmental Health
- Immigrant Health
- Mental Health
- Nutrition
- Pain Evaluation and Management/Integrative Medicine
The curriculum also focuses on building skills in five core values:
- Advocacy
- Community Engagement
- Cultural Humility
- Health Equity
- Medical Excellence
Curriculum Goals:
Residents collaboratively develop and refine the curriculum with guidance from faculty. The curriculum provides a foundational education during the first year of residency, followed by personalized learning tailored to each resident's needs and interest in the second and third years. The curriculum lays the groundwork for residents' roles as advocates for health equity for children and families. It provides the opportunity to serve under-resourced children in the community, visiting over 50+ community sites during their dedicated CAP time. This broad exposure helps residents appreciate the importance of interdisciplinary and holistic care in all clinical areas, preparing them to work with community leaders and elected representatives to effect social change by the end of their three years.
Curriculum Objectives:
- Learn to communicate about health and wellness in a culturally responsive way to both adults and children.
- Develop best practices in outpatient medicine, including health promotion and the treatment of patients with complex care needs.
- Understand how to advocate for children's health at the local, state, and federal levels, including the legislative process and the pediatrician's role in policy-making.
- Collaborate and consult with community partners serving children and families.
Resident Involvement:
Residents collaboratively develop and refine the curriculum with guidance from faculty. The curriculum provides a foundational education during the first year of residency, followed by personalized learning tailored to each resident's needs and interest in the second and third years.