Assessing cultural competency skills in gastroenterology fellowship training

Table 1 Health literacy n (%)

Competency areas and specific skills	Distribution of responses, n =11
	Not done	Partly done	Well done
Communication
Information gathering
Elicited responses using appropriate questions	0	5 (45)	6 (55)
Clarified information by repeating	4 (36)	5 (45)	2 (18)
Allowed patient to talk without interrupting	0	0	11 (100)
Relationship development
Communicated concern, intention to help	0	4 (36)	7 (63)
Non-verbal behavior enriched communication	0	1 (9)	10 (91)
Acknowledged emotions appropriately	5 (45)	2 (18)	4 (36)
Was accepting, non-judgmental	0	6 (55)	5 (45)
Used words patient understood, explained jargon	2 (18)	3 (27)	6 (55)
Patient education
Educated patient on Hep B in a culturally sensitive manner	0	6 (55)	5 (45)
Explained risks of transmission: unsafe contact and safe contact	0	4 (36)	7 (63)
Discussed general health education	2 (18)	9 (82)	0
Assessment
Evaluated reading skills in a compassionate and culturally sensitive manner	11 (100)	0	0
Evaluated patient's understanding of risks of transmission prior to explaining unsafe contact and safe contact	5 (45)	6 (55)	0
Treatment plan
Clearly discussed next step of follow up plan	1 (9)	9 (82)	1 (9)