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Assessing Cultural Psychiatry Milestones Through an Objective Structured Clinical Examination

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Abstract

Objective

Culturally appropriate tools for patient assessment are needed to train psychiatric residents. An objective structured clinical examination (OSCE) can be a helpful tool for evaluating trainees in the psychiatry milestones pertaining to cultural competency.

Methods

Seventeen psychiatry residents and fellows at the University of Massachusetts participated in two small-group OSCE exercises to learn cultural interviewing using the DSM-5 Cultural Formulation Interview. Trainee groups presented a cultural formulation and received feedback. Participants were surveyed about their comfort with cultural interviewing before and after the exercise.

Results

Paired t tests (N = 16) showed that mean level of comfort with the Cultural Formulation Interview increased by a mean of 0.5 points after training (t = 3.16, df = 15, p < 01 95 % CI = 163–837).

Discussion

The UMass culturally appropriate assessment OSCE enhanced psychiatric trainees’ comfort with culturally appropriate interviewing using the Cultural Formulation Interview.

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Acknowledgments

Supported by a grant from the American Psychiatric Association SAMHSA Minority Fellowship.

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Correspondence to Auralyd Padilla.

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Disclosure

Dr. Lewis-Fernandez receives royalties from American Psychiatric Publishing Inc. for the DSM-5 Handbook on the Cultural Formulation Interview.

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Padilla, A., Benjamin, S. & Lewis-Fernandez, R. Assessing Cultural Psychiatry Milestones Through an Objective Structured Clinical Examination. Acad Psychiatry 40, 600–603 (2016). https://doi.org/10.1007/s40596-016-0544-9

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  • DOI: https://doi.org/10.1007/s40596-016-0544-9

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