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Published  05/09/2007
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Title: The ETHNICS Mnemonic: Clinical Tool, Didactics, and Small Group Facilitator's Guide
MedEdPORTAL ID#:    600
Version:    1
Resource Type:  Exercise
Description:   The ETHNICS mnemonic (Explanation, Treatment, Healers, Negotiate, Intervention, Collaboration, and Spirituality) provides a framework for cross-cultural interviewing that physicians and other healthcare professionals can use in providing culturally appropriate geriatric care. A didactic session is included based upon the article. In addition, there is a small group facilitator's guide that includes two cases, allowing learners to explore their own health beliefs and utilize the ETHNICS mnemonic in role play.
Author Institution:   Robert Wood Johnson Medical School
Primary Author:
Fred Kobylarz, MD MPH
Robert Wood Johnson Medical School
1 Robert Wood Johnson Place PO Box 19
Medical Education Building Room 266
New Brunswick, NJ 08903
USA
723-235-8964

kobylafr@umdnj.edu
Other Authors: 
John  Heath, MD
UMDNJ-Robert Wood Johnson Medical School
heathjm@umdnj.edu
Robert  Like, MD MS
UMDNJ-Robert Wood Johnson Medical School
like@umdnj.edu
Lisa  Granville, MD
Florida State University College of Medicine
lisa.granville@med.fsu.edu
Resource File(s):
  1. Download File: MEP_600_1 / 2431.0 KB
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Additional Resource File Information:
1 .zip file containing the following resources:

1. Ethnics_Mnemonic_1.pdf
2. Ethnics_Mnemonic_2.pdf
3. Ethnics_Mnemonic_3.ppt
4. Ethnics_Mnemonic_4.pdf
5. Ethnics_Mnemonic_5.pdf
AAMC Hot Topics:
  • Medicine: Communication Skills
  • Medicine: Cultural Diversity
  • Medicine: Geriatrics
  • Content Last Updated:
    07/09/2007
    Specialty/Discipline:
  • Medicine: Family Medicine
  • Medicine: Geriatrics
  • Medicine: Graduate Medical Education
  • Medicine: Intro to Clinical Medicine/Clinical
  • Medicine: Undergraduate Medical Education
  • Educational Objectives:
    Clinical Tool:
    1) Elicit and facilitate cross-cultural issues during healthcare encounters with older adult patients.
    Didactic Session:
    1) State and describe four rationales for providing culturally appropriate geriatric care.
    2) Define the concept of cultural competence and describe three techniques that can reduce racial and ethnic health disparities.
    3) State the seven domains of the ETHNICS framework and describe challenges implementing its use.
    Small Group Facilitators Guide:
    1) Identify their own cultural values, assumptions, and beliefs and recognize how their impact of future patient care.
    2) Conduct a patient interview that elicits health beliefs and incorporates these beliefs into the treatment plan.
    Resource Keyword/Symptom:
  • Cross Cultural Comparison (MeSH)
  • Patient Care (MeSH)
  • Ethnic Groups (MeSH)
  • Population Groups (MeSH)
  • Role Play (MeSH)
  • Culture (MeSH)
  • Cultural Diversity (MeSH)
  • Communication Skills
  • Communication (MeSH)
  • Family Medicine
  • Geriatrics
  • Graduate Medical Education
  • Undergraduate Medical Education
  • Intro to Clinical Medicine
  • Accreditation Council for Graduate Medical Education (ACGME) Competencies Addressed:
  • Patient Care
  • Interpersonal and Communication Skills
  • Professionalism
  • Intended Learner Audience:
  • 1st Year Medical/Dental Students
  • 2nd Year Medical/Dental Students
  • 3rd Year Medical/Dental Students
  • 4th Year Medical/Dental Students
  • Medical Fellows
  • Medical/Dental Residents
  • Intended Faculty Audience:
  • Clinical Science Faculty
  • Clerkship Director / Clinical Science Course Director
  • Residency Program Directory
  • Peer Reviewed Elsewhere:
    Yes
    URL of Journal or Collection:
    http://www.pogoe.org/px/index.cfm
    Effectiveness and Significance of Publication:
    The clinical tool and small group facilitator's guide have been used by 158 freshman medical students. However, they are applicable to graduate medical education, fellows, and interdisciplinary healthcare professionals. The need to define and assess optimal strategies for influencing attitudes and facilitating skills development in providing culturally appropriate care is a critical challenge to academic medicine.
    Special Implementation Requirements or Guidelines:
    Case-based Teaching, Course Syllabus, Demonstration or Simulation, Lecture, Problem-based Case, Role Play, Self-directed Learning, Standardized Patient
    Lessons Learned:
    The session was highly rated by all students for session planning and organization, meeting stated learning objectives, and facilitation.
    Publications, Presentations, and/or Citations For This Publication:
    Presentation: American Geriatric Society Annual Meeting Orlando, FL 2005
    Symposium: Getting Started- Teaching Cultural Competency

    Kobylarz, FA. The ETHNICS mnemonic in a clinical skills teaching course. Available at http://www.americangeriatrics.org/news/meeting/2005_Final_Program/sched_thurs.pdf
    Sponsorship (Funding Source):
    Not Applicable
    Publication Contains Materials Not Owned or Created by The Author(s):
    Yes
    All Parties Content Is Associated With:
    Co authors of the article John Heath MD and Robert Like MD MS
    Citation Formats:
  • NLM:
  • Kobylarz F , Heath J, Like R, Granville L, The ETHNICS Mnemonic: Clinical Tool, Didactics, and Small Group Facilitator's Guide . MedEdPORTAL; 2007. Available from: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=600
  • APA:
  • Kobylarz, F., Heath, J., Like, R., Granville, L., (2007). The ETHNICS Mnemonic: Clinical Tool, Didactics, and Small Group Facilitator's Guide . MedEdPORTAL: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=600
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