Clinical supervisors and cultural competence

Berger, Gabriella, Conroy, Sheree, Peerson, Anita and Brazil, Victoria (2014) Clinical supervisors and cultural competence. Clinical Teacher, 11 5: 370-374. doi:10.1111/tct.12170

Author Berger, Gabriella
Conroy, Sheree
Peerson, Anita
Brazil, Victoria
Title Clinical supervisors and cultural competence
Journal name Clinical Teacher   Check publisher's open access policy
ISSN 1743-498X
Publication date 2014-08
Year available 2014
Sub-type Article (original research)
DOI 10.1111/tct.12170
Open Access Status
Volume 11
Issue 5
Start page 370
End page 374
Total pages 5
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2015
Language eng
Formatted abstract
Objective: To investigate how clinical supervisors of junior doctors provide feedback and assessment on cultural competence, one of several professionalism skills outlined in the Australian Curriculum Framework for Junior Doctors.

Methods: Twenty clinical supervisors were recruited to a qualitative study in a regional hospital in Queensland, Australia. Data from semi-structured interviews (June-August 2011) were thematically analysed.

Results: Interviews revealed that cultural competence was interpreted by the supervising clinicians as a vague concept, and that junior doctors were not assessed in this area. Additional themes related to the cultural competence of junior doctors, as reported by their supervisors, included: limited direct supervision of, and feedback to, junior doctors; variations in approaches to assessment; clinicians' communication focuses on clinical aspects of disease process; perceived lack of cultural diversity among staff and patients; acceptance of laypersons as English interpreters; language barriers with international medical graduates; and patients' low levels of health literacy.

Conclusion: Supervisors were unable to define cultural competence in ways that enable them to apply the concept to clinical training for junior doctors. Specific training in cultural competence, and guidelines for its assessment, is therefore recommended for clinical supervisors and junior doctors to improve their approaches to patient care and health outcomes.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
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Citation counts: Scopus Citation Count Cited 2 times in Scopus Article | Citations
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Created: Tue, 05 Aug 2014, 02:14:32 EST by System User on behalf of Scholarly Communication and Digitisation Service