Treating and precepting with RESPECT: a relational model addressing race, ethnicity, and culture in medical training.

Mostow, Carol; Crosson, Julie; Gordon, Sandra; Chapman, Sheila; Gonzalez, Peter; Hardt, Eric; Delgado, Leyda; James, Thea et al. · J Gen Intern Med · 2010

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Abstract

BACKGROUND: In 2000 a diverse group of clinicians/educators at an inner-city safety-net hospital identified relational skills to reduce disparities at the point of care. DESCRIPTION: The resulting interviewing and precepting model helps build trust with patients as well as with learners. RESPECT adds attention to the relational dimension, addressing documented disparities in respect, empathy, power-sharing, and trust while incorporating prior cross-cultural models. Specific behavioral descriptions for each component make RESPECT a concrete, practical, integrated model for teaching patient care. CONCLUSIONS: Precepting with RESPECT fosters a safe climate for residents to partner with faculty, address challenges with patients at risk, and improve outcomes.

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