Diversity competence training for health professionals in Europe: a modified delphi study investigating relevant content for short or online courses

BMC Medical Education

Research

Camilla Michaëlis¹  Janne Sorensen¹  Julie Marie Møller Olsen¹  Allan Krasnik¹  Kayvan Bozorgmehr²  Sandra Ziegler³ 

[1]Danish Research Centre for Migration, Ethnicity and Health, Department of Public Health, University of Copenhagen, Oester Farimagsgade 5A, DK-1353, Copenhagen, Denmark

[2]Section for Health Equity Studies & Migration, Department of General Practice and Health Services Research, Department of Population Medicine and Health Services Research, School of Public Health, Heidelberg University Hospital, University of Bielefeld, Universitätsstraße 25, 33615, Bielefeld, Germany

[3]Section for Health Equity Studies & Migration, Department of General Practice and Health Services Research, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany

关键词: Diversity competence;    Medical education;    Short courses;    Online courses;    Delphi study;    Training;    Health professionals;    Migrant health;    Minority health;    Continuing education;   

DOI  :  10.1186/s12909-023-04563-z

 received in 2023-02-15, accepted in 2023-08-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDiversity is a reality in our societies, requiring health professionals to adapt to the unique needs of all patients, including migrants and ethnic minorities. In order to enable health professionals to meet related challenges and reduce health disparities, long and demanding training courses have been developed. But due to busy schedules of professionals and often scarce resources, a need for shorter training courses exists. This study aims to investigate which topics and methods should be prioritised in designing basic diversity training courses that provide health professionals the opportunity to foster this competence.MethodsThe study provided an expert panel of 31 academic and clinical migrant health experts with the content and methods of an existing diversity training course. The panel was asked to prioritise training topics and teaching methods in a two-stage process, using an adapted Delphi method. In the first stage, experts rated 96 predefined items, commented on those items, provided answers to eight open-ended questions and suggested additional content for a short course. In the second stage, they commented on the ratings from Round 1, and rated new suggested content. Consensus for training topics was set to 80% and for teaching methods 70%.ResultsThe entire panel deemed ‘health effects of migration (pre-, during- and post-migration risk factors)’ to be important or very important to include in a short/online, basic diversity training (100% consensus). Other high-scoring items and therefore topics to be included in trainings were ‘social determinants of health’ (97%) and ‘discrimination within the healthcare sector’ (also 97%). A general trend was to focus on reflective practice since almost all items regarding reflection reached consensus. ‘Reflection on own stereotypes and prejudices’ (97%) was the highest-rated reflection item. ‘Opportunities and best practices in working with interpreters’ was the highest-scoring skills item, both on consensus (96%) and mean value (5.77).ConclusionsExperts’ prioritizations of teaching content and methods for diversity training can help the design of short (online) trainings for health professionals and reduce unnecessary course content, thereby fostering professional development and enabling diversity competence trainings to be implemented also when time and/or financial resources are limited.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023