Research Guides: Cultural Competency: Clinical Resources

Himmelfarb Library Resources

Bates' Visual Guide to Physical Examination
Physical examination, OSCE clinical skills, and communication and interpersonal skills videos. Physical examination videos cover head-to-toe and systems-based physical examination techniques.
Access: available from on-campus locations and via VPN from off-campus locations.
Includes videos
Use of Non-Stigmatizing Language (1:57)
Use of Preferred Title, Name, and Gender Pronoun (3:42)
Rapport: LGBTQ+ Adults (8:58)

Association Resources

AMA Center for Health Equity
2020 Institute for Nursing Leadership Critical Conversation on Health Equity and Racism
Videos, summary report, and resource library from the American Academy of Nursing Institute for Nursing Leadership

Additional Resources

Health Equity
Standards, resources, and quick links from The Joint Commission
Lesbian, Gay, Bisexual, and Transgender Health (CDC)
"These pages provide information and resources on some of the health issues and inequities affecting LGBT communities. Links to other information sources and resources are also provided. Some of this information is designed for members of the general public. Other information has been developed for health care providers, public health professionals, and public health students."
Weight Bias & Stigma: Healthcare Providers
"The Rudd Center [for Food Policy & Obesity] has developed free, online educational resources for health care providers to help improve the quality of care for patients with obesity and reduce weight bias in clinical practice."
Understanding and Addressing Disparities and Discrimination Affecting the Health and Health Care of Persons and Populations at Highest Risk
A Position Paper of the American College of Physicians (2021)
Social Determinants of Health (SDOH) (AHRQ)
About SDOH in Healthcare: Understanding the social determinants of health
SDOH Resources: Resources related to social determinants of health
Person-First Language for Obesity H-440.821
from the American Medical Association

Address Patient Bias

Article Collection: Patient-clinician relationship/Difficult relationships (AMA Journal of Ethics)
Addressing Patient Bias Toward Health Care Workers: Recommendations for Medical Centers
Paul-Emile K, Critchfield JM, Wheeler M, de Bourmont S, Fernandez A. Ann Intern Med. 2020 Sep 15;173(6):468-473. doi: 10.7326/M20-0176. Epub 2020 Jul 14. PMID: 32658573.
Dealing with Racist Patients
Paul-Emile K, Smith AK, Lo B, Fernández A. N Engl J Med. 2016 Feb 25;374(8):708-11. doi: 10.1056/NEJMp1514939. PMID: 26933847.

Guidelines & Clinical Guides

Advice for Culturally Competent Medicine | epocrates Plus Advice for Clinicians
Affirming Primary Care for Intersex People 2020
National LGBTQIA+ Health Education Center
"Originally published on 6 August, 2020. This community-informed clinical guide on primary care for intersex people provides an overview of intersex terms and concepts, the health concerns of intersex people, intersex-affirming practices, and resources for further learning."
Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People, 2nd Edition (UCSF)
UCSF Transgender Care, Department of Family and Community Medicine, University of California San Francisco. Deutsch MB, ed. June 2016. Available at transcare.ucsf.edu/guidelines.
National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care
U.S. Department of Health and Human Services, Office of Minority Health, National CLAS Standards
In the Clinic: Care of the Transgender Patient (Annals of Internal Medicine)
Safer, J. D., & Tangpricha, V. (2019). Annals of Internal Medicine, 171(1), ITC1. https://doi.org/10.7326/AITC201907020
Culturally and Linguistically Appropriate Services (AHRQ)
"AHRQ has tools, training, and reports to help health systems deliver CLAS so that all patients receive high quality care and achieve good health outcomes."
Lesbian, Gay, Bisexual, Transgender, and Questioning or Queer (LGBTQ) Health Toolkit (AAFP)
- Evidence-based knowledge and education, including guidelines, clinical recommendations and physician education resources.
- Tools and resources to support patient care strategies, including additional toolkits and patient education resources.
- Information on local, state, and national LGBT advocacy efforts, including the latest on AAFP advocacy efforts.
ACR Appropriateness Criteria® Transgender Breast Cancer Screening
New 2021

Training Opportunities

Implicit Bias: A Practical Guide for Healthcare Settings
40-minute training video for healthcare practitioners and trainees
Implicit Bias (DCRX: THE DC CENTER FOR RATIONAL PRESCRIBING)
"This module provides an overview of implicit bias, and how it is manifested in everyday clinical decision-making. Viewers will learn about the underlying psychology and neuroscience of implicit associations, and assess their own biases to increase self-awareness. This course also describes debiasing strategies and best practices to mitigate risks of the impact of bias on treatment and care."
Cultural Competence Courses
Courses availalble in various formats and for a variety of different audiences
"CDC TRAIN is a gateway into the TRAIN Learning Network, the most comprehensive catalog of public health training opportunities. TRAIN is a free service for learners from the Public Health Foundation."
Minority Health/Health Disparities Courses
Courses availalble in various formats and for a variety of different audiences
"CDC TRAIN is a gateway into the TRAIN Learning Network, the most comprehensive catalog of public health training opportunities. TRAIN is a free service for learners from the Public Health Foundation."
Learning Resources
Webinars, learning modules, webinars, and videos from the National LGBTQIA+ Health Education Center, a program of the Fenway Institute
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Topics include Introduction to LGBTQIA+ Health; Collecting Sexual Orientation and Gender Identity Data; Pre-Exposure Prophylaxis (PrEP); HIV/STI Treatment and Prevention; LGBTQIA+ Children and Youth; Behavioral Health; Transgender Health; and more.
Addressing the need for lgbtq-affirming cancer care: a focus on sexual and gender minority prostate cancer survivors
"This training aims to help social workers and other health care professionals better support sexual and gender minority cancer patients, with a specific focus on the needs of sexual and gender minority prostate cancer survivors."

Reports

Organizational Strategies and Inclusive Language to Build Culturally Responsive Health Care Environments for Lesbian, Gay, Bisexual, Transgender, and Queer People
Goldhammer, H., Smart, A.C., Kissock, L.A., & Keuroghlian, A.S. (2021). Journal of Health Care for the Poor and Underserved 32(1), 18-29. doi:10.1353/hpu.2021.0004.
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"This report shares examples of organizational strategies and inclusive language that can be integrated into standard patient-facing processes, forms, and materials to create culturally responsive health care environments for lesbian, gay, bisexual, transgender, and queer people."