The Provider Awareness and Cultural Dexterity Toolkit for Surgeons Trial

Summary

This study is designed to test the impact of a new curriculum, called Provider Awareness Cultural Dexterity Toolkit for Surgeons (PACTS), on surgical residents' cross-cultural knowledge, attitudes, and skills surrounding the care of patients from diverse cultural backgrounds, as well as clinical and patient-reported health outcomes for patients treated by surgical residents undergoing this training.

Conditions

• Resident Knowledge and Attitudes Regarding Cross-cultural Care
• Interpersonal and Communication Skills in Patient-clinician Encounters
• Patient-reported Satisfaction With Resident Physicians Involved in Their Care
• Patients' Clinical Health Outcomes After Surgery

Interventions

OTHER

PACTS curriculum

The cultural dexterity curriculum, known as PACTS (Provider Awareness Cultural Dexterity Toolkit for Surgeons) focuses on developing cognitive skills to adapt to individual patients' needs to ensure personal, patient-centered surgical care. The curriculum is comprised of four educational modules on establishing trust in the physician-patient relationship, communicating effectively with patients with limited English proficiency, discussing informed consent, and issues surrounding pain management. Each module consists of an independent learning activity, an interactive role-play, and a post-lesson assessment.

OTHER

Standard Residency Curriculum

The standard residency curriculum consists of previously scheduled resident didactic sessions at all academic medical centers that may or may not include topics on cultural competency or cross-cultural care.

Sponsors & Collaborators

• National Institute on Minority Health and Health Disparities (NIMHD)

  collaborator NIH

• Massachusetts General Hospital

  collaborator OTHER

• Beth Israel Deaconess Medical Center

  collaborator OTHER

• Howard University

  collaborator OTHER

• Johns Hopkins University

  collaborator OTHER

• Brown University

  collaborator OTHER

• Eastern Virginia Medical School

  collaborator OTHER

• Washington University School of Medicine

  collaborator OTHER

• Brigham and Women's Hospital

  lead OTHER

Principal Investigators

• Adil Haider, MD, MPH · Brigham and Women's Hospital

• Douglas Smink, MD, MPH · Brigham and Women's Hospital

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

CROSSOVER

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-07-01

Primary Completion

2022-06-30

Completion

2022-06-30

Countries

• United States

Study Locations