2011 IDEAS Recipients

Amy Chi, MD
Tufts Medical Center
Elisabeth E. Bennett, PhD
Baystate Medical Center

Cultural Assessment and Online Modules of Diversity in End of Life Care

The goals of this project are to (a) Assess cultural competency and needs in preparation for handling end of life discussions with families of different ethnic background, (b) Build awareness of the issues surrounding end of life care in different ethnic populations, (c) Provide knowledge of the resources available to facilitate end of life discussions with families of different ethnic groups. These objectives will be met through the development of online testing and online curriculum modules during the medical student’s inpatient clinical clerkship. Ultimately, this project will provide the a baseline assessment of cultural competency in end of life care issues among medical students and begin to build awareness of cultural issues through the development of online modules for clerkship students. This is a cross-institutional collaboration with educational faculty from Baystate Medical Center and Tufts Medical Center.

Avra Goldman
Cambridge Health Alliance

Group Visits in Diverse Populations

Group visits are an innovative and effective approach for handling difficult or routine problems in primary care. The faculty in the TUSM Family Medicine Department based in the Cambridge Health Alliance health centers have been using group visits for a variety of issues including diabetes, obesity, stress reduction, tobacco cessation, pre-natal, parenting and well child care. These group visits occur in our clinics which serve a variety of ethnic populations including immigrants from Haiti, Brazil, Portugal, Cape Verde, Central America, China, and the Asian sub-continent. Our project would involve pairs of TUSM students in our group visits in these diverse clinics and patient populations. Participating faculty members would provide immediate feedback at the end of each session and at the end of the experience. Each student would do a reflective piece and give an oral presentation about the group visit experience to fellow students at the end of the semester.

Flavia C. Perea, PhD, MSEd
Tufts University School of Medicine

An Advanced Course on Health Disparities and the Social Determinants of Health

Increasing provider understands of how socio-environmental factors impact health is crucial for eliminating racial/ethnic health disparities and developing efforts to put people on pathways to health as opposed to disparities. This project entails the development of a course on racial/ethnic health disparities and the social determinants of health. The goals for the course are to: (1) Increase students’ knowledge and understanding of racial/ethnic health disparities and the social determinants of health, (2) foster students’ development of the cultural competency skills and values to work with diverse populations and integrate the social determinants into their clinical practice, and (3) help students’ develop strategies to integrate the SDOH into clinical practice. The course will be initially piloted to third and fourth-year MD/MPH students, and at the culmination will present strategies for disseminating the course content to all Tufts MD students.

Debra Sepulveda, MD; Erin Reardon, MD; Kalli Varaklis, MD
Maine Medical Center

Applying and Integrating Education for Cultural and Linguistic Competence: Utilizing Scripted Counseling Techniques

The goals of this project are to create and implement a culturally aware clinical system as a model for resident and student teaching which will improve trainee understanding and utilization of cultural competency techniques. By integrating and emphasizing ‘linguistic competence’ we aim to improve trainee teaching in cultural competence utilizing the techniques of directed teaching, practice and evaluation innovations and scripted prompts for sustainable integration of competency skills into clinical systems.