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National Resources on Cultural Competency


Center for Healthy Families and Cultural Diversity
Department of Family Medicine/UMDNJ-Robert Wood Johnson Medical School
http://www2.umdnj.ed u/fmedweb/chfcd/INDEX.HTM

Center for International Rehabilitation Research Information and Exchange

Centro Nacional De Diseminación de Información para Niños con Discapacidades.
Address: P.O. Box 1492 , Washington , D.C. 20013 . 800-695-0285.
Sitio del Web con Preguntas Comunes, Publicaciones, Buscar información, y más.

Cross Cultural Health Care Program

Disability Information
Helps you access a wide variety of resources quickly and easily. The site organizes information and issues concerning disabilities into nine categories, listed as color-coded tabs at the top of every page.

Diversity in Medicine

DiversityWeb, Association of American Colleges and Universities


Family Support Center of New Jersey provides access to up-to-date information on specific disabilities, health problems, diseases, family support resources, services and programs, in ONE phone call. Mimi Walsh, (732) 974-1144. 1-800-FSC-NJ10 (NJ Only). Fax: (732) 974-0940. Email:

Georgetown University-National Center for Cultural Competence

HRSA-funded national Health Disparity Collaboratives

Information Service on Disabilities ( Servicio de Información sobre discapacidad)
This is an international web page in Spanish, based in Spain.

Medicare and Mental Health Services

National Council on Interpreting in Health Care

Newark Public Library
Sala Hispanoamericana houses the largest Spanish-language collection of any public library in the state. It regularly provides information, resources and materials in Spanish to other libraries throughout New Jersey .

National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care
Office of Minority Health Resource Center

New Jersey Department of Health & Senior Services, Office of Minority and Multicultural Health

Office for Civil Rights

Resources for Cross Cultural Health Care

Self Help Groups
New Jersey Self Help Clearing House coordinates information on a number of support groups around New Jersey that are run in Spanish, or in English/Spanish. You can get the list by calling 1-800-367-6274 or going to They include groups in Spanish related to visual impairments, mental illness, disabilities, Down Syndrome, and others.

El Club de Padres/Multilingual Center of Catholic Family and Community Services. Run by Rose Kardashian or SPAN. Offers informational materials in Spanish and technical assistance to families.

The Power of Diversity: Supporting the Immigrant Workforce .
Curriculum designed for front line supervisors of agencies to help them work with a diverse workforce. $68.00. email: Guides can be downloaded from and .

A bi-lingual web site for Latinos with disabilities from the World Institute on Disability in California .

The Provider's Guide to Quality and Culture

United Spinal
They have a booklet for self advocates called Taking Action, also published in a Spanish version. Call 718-803-3782 or visit web site.

UMDNJ-Robert Wood Johnson Medical School – Center for Healthy Families and Cultural Diversity/Department of Family

U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration

U.S. Department of Health and Human Services, Office of Minority Health’s National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care

U.S. Department of Health and Human Services, Office for Civil Rights

U.S. Department of Justice

Medical Education -- General

Alexander M. “Cinemeducation: An Innovative Approach to Teaching Multi-Cultural Diversity in Medicine,” Annals of Behavioral Science and Medical Education 1995; 2(1):23-28.

Association of American Medical Colleges. "Teaching and Learning of Cultural Competence in Medical School," Contemporary Issues in Medical Education 1(5), 1998.

Azad N, Power B, Dollin J, Chery S. "Cultural Sensitivity Training in Canadian Medical Schools," Academic Medicine 2002; 77(3):222-228.

Betancourt JR, Like RC, Gottlieb BR, eds. “Caring for Diverse Populations: Breaking Down Barriers," Special Issue of Patient Care: The Practical Journal for Primary Care Physicians, 2000; 34(9), May 15, 2000 (

Chin MH, Humikowski CA. "When is Risk Stratification by Race or Ethnicity Justified in Medical Care?"

Academic Medicine 2002; 77(3):202-208.

Donini-Lenhoff FG, Hedrick HL. "Increasing Awareness and Implementation of Cultural Competence Principles in Health Professions Education,” Journal of Allied Health 2000; 29(4):241-245.

Drouin J, Jean P. "Educating Future Physicians for a Minority Population: A French-Language Stream at the University of Ottawa," Academic Medicine 2002; 77(3):217-221.

Flores G, Gee D, Kastner B. "The Teaching of Cultural Issues in U.S and Canadian Medical Schools," Academic Medicine 2000; 75(5):451-455.

Flores, Glenn, MD. “Health Problems of Latino Children,” Journal of American Medical Association , 7/3/02

Fuller K. "Eradicating Essentialism from Cultural Competency Education," Academic Medicine 2002; 77(3):198-201.

Godkin MA, Savagneau JA. The Effect of a Global Multiculturalism Track on Cultural Competence of Preclinical Medical Students," Family Medicine 2001; 33(3):178-186.

Goldman RE, Monroe AD, Dube CE. "Cultural Self-Awareness: A Component of Culturally Responsive Patient Care," Annals of Behavioral Science and Medical Education 1996; 3(1):37-46.

Gonzalez-Lee T, Simon HJ. “Teaching Spanish and Cross-Cultural Sensitivity to Medical Students. Western Journal of Medicine 1987; 146(4):502-504.

Green AR, Betancourt JR, Carrillo JE. Integrating Social Factors in Cross-Cultural Medical Education. Academic Medicine 2002; 77(3):193-197.

Hedrick H, ed. Cultural Competence Compendium, Chicago: American Medical Association, 1999.

Helman CG: Culture, Health and Illness, Fourth Edition. Oxford: Oxford University Press, 2000.

Kai J, Spencer J, Wilkes M, Gill P. “Learning to Value Ethnic Diversity – What, Why and How?” Medical Education 1999; 33(8):616-623.

Langer N. “Culturally Competent Professionals in Therapeutic Alliances Enhance Patient Compliance,” Journal of Health Care for the Poor and Underserved 1999; 10(1):19-26.

Loudon RF, Anderson PM, Gill PS, Greenfield SM. "Educating Medical Students for Work in Culturally Diverse Societies," Journal of the American Medical Association 1999; 282(9):875-880.

Lum CK, Korenman SG. "Cultural Sensitivity Training in US Medical Schools," Academic Medicine 1994; 69(3):239-241.

McCullough-Zander K, ed. Caring Across Cultures: The Provider's Guide to Cross-Cultural Health, Second Edition, The Center for Cross-Cultural Health, Minneapolis, MN, 2000 (

New Jersey Department of Education has a booklet, Parental Rights in Special Education, that is being published in Spanish. Contact them at P.O. Box 500 , Trenton , New Jersey 08625

Nora LM, Daugherty SR, Mattis-Peterson A, Stevenson L, Goodman LJ. “Improving cross-cultural skills of medical students through medical school-community partnerships,” Western Journal of Medicine 1994; 161(2):144-147.

Nora LM, Daugherty SR, Mattis-Peterson A, Stevenson L, Goodman LJ. “Improving cross-cultural skills of medical students through medical school-community partnerships,” Western Journal of Medicine 1994; 161(2):144-147.

Nunez AE. “Transforming Cultural Competence into Cross-Cultural Efficacy in Women’s Health Education,” Academic Medicine 2000; 75:1071l-1080.

Robins LS, Alexander GL, Wolf FM, Fantone JC, Davis WK. “Development and evaluation of an instrument to assess medical students’ cultural attitudes,” Journal of the American Medical Women’s Association 1998; 53 (3 Suppl.):124-129.

Robins LS, White GL, Gruppen LD, Grum CM. “Assessing Medical Students’ Awareness of and Sensitivity to Diverse Health Beliefs Using a Standardized Patient Station,” Academic Medicine 2001; 76(1):76-80.

Tervalon M, Murray-Garcia J: “Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education,” Journal of Health Care for the Poor and Underserved 1998; 9(2):117-124.

Turbes S, Krebs E, Axtell S. "The Hidden Curriculum in Multicultural Medical Education: The Role of Case Examples," Academic Medicine 2002; 77(3):209-216/.

Zweifler J, Gonzalez AM. "Teaching Residents to Care for Culturally Diverse Populations," Academic Medicine 1998; 73(10):1056-1061.

Family Medicine

Berlin E, Fowkes W. “A Teaching Framework for Cross-Cultural Health Care,” Western Journal of Medicine 1983; 139:934-938.

Borkan JM, Neher JO. "A Developmental Model of Ethnosensitivity in Family Practice Training," Family Medicine 1991; 23(3):212-217.

Culhane-Pera KA, Like RC, Lebensohn-Chialvo P, Loewe R. "Multicultural Curricula in Family Practice Residencies," Family Medicine 2000; 32(3):167-173.

Culhane-Pera KA, Reif C, Egli E, Baker NJ, Kassekert R. "A Curriculum for Multicultural Education in Family Medicine," Family Medicine 1997; 29(10):719-723.

Kristal L, Pennock P, Foote S, Trygstad C. "Cross-Cultural Family Medicine Residency Training," Journal of Family Practice 1993; 17:683-687.

Like RC, Steiner RP, Rubel AJ. "Recommended Core Curriculum Guidelines on Culturally Sensitive and Competent Health Care," Family Medicine 1996; 28:291-297.

Shapiro J, Lenahan P. "Family Medicine in a Culturally Diverse World: A Solution-Oriented Approach to Common Cross-Cultural Problems in Medical Encounters," Family Medicine 1996; 28(4):249-255.


American Academy of Pediatrics. "Culturally Effective Pediatric Care: Education and Training Issues," Pediatrics 1999; 103(1):167-170.

Davis BJ, Voegtle KH. Culturally Competent Health Care for Adolescents: A Guide for Primary Care Health Providers. Chicago, IL: American Medical Association, 1994.

Flores G. "Culture and the Patient-Physician Relationship: Achieving Cultural Competency in Health Care. Journal of Pediatrics 2000; 136(1):14-23.

Flores G, Abreu M, Schwartz I, Hill M. "The Importance of Language and Culture in Pediatric Care: Case Studies from the Latino Community," Journal of Pediatrics 2000; 137(6):842-8.

Pachter LM. "Cultural Issues in Pediatric Care," In Nelson WE, senior ed; Behrman RE, Kinegman RM, Arvin AM, eds. Nelson Textbook of Pediatrics. 15 th ed. Philadelphia, PA: WB Saunders Co; 1996.

Randall-David E. Strategies for Working with "Culturally Diverse Communities and Clients. Washington, DC: Association for the Care of Children's Health, 1989.

Internal Medicine

Bobo L, Womeodu RJ, Knox ALJr. “Principles of intercultural medicine in an internal medicine program,” American Journal of Medical Science 1991; 302(4):244-248.

Carillo JE, Green AR, Betancourt JR. "Cross-Cultural Primary Care: A Patient-Based Approach," Annals of Internal Medicine 1999; 130:829-834.

Kleinman A, Eisenberg L, Good B. "Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research," Annals of Internal Medicine 1978; 88:251-258.


Kagawa-Singer M, Blackhall LJ. "Negotiating Cross-Cultural Issues at the End of Life. 'You've Got to Go Where He Lives,'" Journal of the American Medical Association 2001; 286:2993-3001.

Yeo G et al. Core Curriculum in Ethnogeriatrics. Developed by the Members of the Collaborative on Ethnogeriatric Education, Supported by the Bureau of Health Professions, Health Resources and Services Administration, USDHHS, October 2000 (

Obstetrics and Gynecology

ACOG Committee Opinion. "Cultural Competency in Health Care." No. 201, March 1998. Committee on Health Care for Underserved Women. American College of Obstetricians and Gynecologists. International Journal of Gynaecology and Obstetrics, 1998 Jul, 62(1):96-99.

Psychiatry/Mental Health/Social Work

Garza-Trevino ES, Ruis P, Venegas-Samuels K. "A Psychiatric Curriculum Directed to the Care of the Hispanic Patient," Academic Psychiatry 1997; 21(1):1-10.

Lu FH, Lim RF, Mezzich JE. "Issues in the Assessment and Diagnosis of Culturally Diverse Individuals," in Review of Psychiatry (Vol. 14), eds. JM Oldham and MB Riba, eds., London, England: American Psychiatric Press, 1995, pp. 477-510.

Lu FG. “Cultural Competence and Diversity: An Update for Psychiatric Educators," AADPRT, Winter, 1996.

National Maternal and Child Health Resource Center on Cultural Competency. Cultural Diversity Curriculum Set for Social Workers and Health Practitioners, Austin, Tex: University of Texas, 1998.

Paniagua FA. Assessing and Treating Culturally Diverse Clients: A Practical Guide. Thousand Oaks, CA: Sage Publications, 1994.

Pinderhughes EB. Understanding Ethnicity, Race, and Power: The Key to Efficacy in Clinical Practice. New York: The Free Press, 1989.

Spielvogel AM et al. "A Psychiatric Residency Curriculum About Gender and Women's Issues," Academic Psychiatry 1995; 19:187-201.

Stein TS. "A Curriculum for Learning in Psychiatric Residencies About Homosexuality, Gay Men, and Lesbians," Academic Psychiatry 1994; 18:59-70.

Thompson JW. "A Curriculum for Learning About American Indians and Alaska Natives in Psychiatric Residency Training," Academic Psychiatry 1996; 20:5-14.


Campinha-Bacote J. The Process of Cultural Competence in the Delivery of Healthcare Services, 1998 (Available from Josepha Campinha-Bacote, PhD, RN, CS, CTN, FAAN, President, Transcultural C.A.R.E., Associates, 11108 Huntwicke Place, Cincinnati, OH 45241).

Campinha-Bacote J, ed. Readings and Resources in Transcultural Healthcare and Mental Health (13 th edition), 2002(Available from Josepha Campinha-Bacote, PhD, RN, CS, CTN, FAAN, President, Transcultural C.A.R.E., Associates, 11108 Huntwicke Place, Cincinnati, OH 45241).

Campinha-Bacote J. "A Model and Instrument for Addressing Cultural Competence in Health Care," Journal of Nursing Education 1999;38(5):203-207.

Leininger M. T ranscultural Nursing: Concepts, Theories, and Practices, 2 nd edition, New York: National League for Nursing Press, 1995.

Leininger M, McFarland MR. Transcultural Nursing: Concepts, Theories, Research & Practice, 3 rd edition, New York: McGraw Hill, 2002.

Lipson JG, Dibble SL, Minarik PA. Culture & Nursing Care: A Pocket Guide. San Francisco: UCSF Nursing Press, 1996.

Purnell L, Paulanka B, eds . Transcultural Health Care: A Culturally Competent Approach, Philadelphia: Davis, 1998.

Spector RE. Cultural Diversity in Health & Illness, Fifth Edition, Upper Saddle River: Prentice-Hall, 2000.

Occupational Therapy/Rehabilitation

Wells SA. A Multicultural Education and Resource Guide for Occupational Therapy Educators and Practitioners. Bethesda, MD: American Occupational Therapy Association, 1994.

Wells SA, Black RM. Cultural Competency for Health Professionals. Bethesda, MD: American Occupational Therapy Association, Inc., 2000.

Public Health

Gonzalez VM, Gonzales JR, Freeman V, Howard-Pitney B. Health Promotion for Diverse Cultural Communities. Palo Alto, CA: Stanford Health Promotion Resource Center ( Stanford Center for Research and Disease Prevention), 1991

Huff RM, Kline MV, eds. Promoting Health in Multicultural Populations: A Handbook for Practitioners, Thousand Oaks, CA: SAGE, 1999.

“Diversity Bestsellers”

Byrd, WM, Clayton LA. An American Health Dilemma. Volume 1- A Medical History of African Americans and the Problem of Race; and Volume 2 - Race, Medicine, and Health Care in the United States 1900-2000, New York: Routledge, 2000, 2002.

Fadiman A. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York : Farrar, Straus, and Giroux, 1997.

Hedrick H, ed. Cultural Competence Compendium. Chicago : American Medical Association, 1999.

Helman CG: Culture, Health and Illness, Fourth Edition. Oxford : Oxford University Press, Heinemann, 2000.

Huff RM, Kline MV, eds. Promoting Health in Multicultural Populations: A Handbook for Practitioners, Thousand Oaks , CA : SAGE, 1999.

Like RC (moderator), with Betancourt JR, Kountz DS, Lu FG, Rios E (panelists). A Medical Mosaic: Achieving Cultural Competency in Primary Care. The American Journal of MultiCultural Medicine, Special Edition, Winter 2001/2002 (

McCullough-Zander K, ed. Caring Across Cultures: The Provider's Guide to Cross-Cultural Health, Second Edition, The Center for Cross-Cultural Health, Minneapolis , MN , 2000.

Mutha S, Allen C, Welch M. Toward Culturally Competent Care: A Toolbox for Teaching Communication Strategies, San Francisco , CA : Center for the Health Professions, University of California , San Francisco , 2002.

Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, Institute of Medicine, 2002

Spector RE. Cultural Diversity in Health & Illness, Fifth Edition, Upper Saddle River : Prentice-Hall, 2000.

Movies, Videos, and CD-ROMs

Alexander M. “Cinemeducation: An Innovative Approach to Teaching Multi-Cultural Diversity

in Medicine,” Annals of Behavioral Science and Medical Education 1995; 2(1):23-28.

Communicating Effectively Through an Interpreter (1998) (Available from the Cross Cultural Health Care Program, 2821 Beacon Ave. S., Seattle, Washington 98144;

Phone (206)-860-0334; Website

The Bilingual Medical Interview I (1987), and The Bilingual Medical Interview II: The Geriatric Interview, Section of General Internal Medicine, Boston City Hospital, in collaboration with the Department of Interpreter Services and the Boston Area Health Education Center (Available from the BAHEC, 818 Harrison Ave., Boston, MA 02118; Phone (617)-534-5258).

The Kaiser Permanente Care Actors Cultural Issues Videos are now available for sale to the public for a nominal price, $15.00. The brief but dramatic vignettes are each accompanied by support materials for facilitators and participants which will be sent electronically and are included in the price. The vignettes, scripted with the help of physicians, nurses and medical anthropologists, raise numerous issues around differing health beliefs and practices, values in conflict, stereotyping, overt and covert prejudices and language barriers. The format of the tape allows for pauses for facilitated discussion of each vignette. This format lends itself equally well to a series of short modules (30 minutes) or incorporation into a longer workshop. The video is 70 minutes long and contains 10 vignettes, including:

Series A:  
Diabetic Compliance: Latino. Deals with how not to and how to handle an encounter interpreted by an inexperienced interpreter.Sickle-Cell Case in the E.R. An African American adolescent is in crisis and needs pain medication; the E.R. staff is not so sure.
Pediatric Asthma: A Middle-Eastern doctor and an aggressive mother tangle over the care of a young girl...a values clash.
A Somatic Complaint: Long buried painful memories manifest in diffuse symptoms that are not well understood by this physician.
A Gay Adolescent: An adolescent football player comes out to his family doctor. The doctor deals with the situation both knowledgeably and sensitively.

Series B:

Goes through a day in the life of a young OB/Gyn physician coping with a diverse group of patients. Good advice from another, more experienced physician is at first spurned then sought as the doctor is confronted by special needs and circumstances.

Lesbian Parents: The physician is caught off-guard when she learns that the two women before her are both the prospective parents and have some special concerns.
The Hmong Way : The physician is startled when young woman's mother wishes to incorporate unusual birthing practices in the birthing care of her pregnant daughter.
A Middle Eastern Dilemma: A conversation between the more experienced physician and one of her Middle Eastern patients reveals conflicts and familial concerns around acculturation in an immigrant family.
A Big Baby is Coming: A non-English speaking woman from Mexico is delivering a very large baby with macrosomia. She is diabetic and has lost several babies at birth. Her husband is very uncomfortable in the labor room and a nurse reveals her tendency to stereotype through prejudicial remarks.
A Circumcised Somali Mother in Labor: A by now tired and concerned physician discovers that the woman presenting for childbirth, having had no prenatal care, must have her vaginal opening enlarged in the presence of thick scar tissue or have a C section.

Quality Care for Diverse Populations . Video/CD-ROM/Facilitator's Guide, Contributors:

K. Bullock, L.G. Epstein, E.L. Lewis, R.C. Like, J.E. South Paul, C. Stroebel, et al.) This educational program includes five video vignettes depicting simulated physician-patient visits in an office setting as a means to explore ethnic and sociocultural issues found in today's diverse health care environment. Produced by the American Academy of Family Physicians (AAFP), with partial funding by the Bureau of Primary Health Care, Health Resources and Services Administration, June 2002. (Available from the American Academy of Family Physicians, AAFP Order Dept., 11400 Tomahawk Creek Parkway , Leawood , KS 66211 ; Phone (800)-944-0000; Fax (913)-906-6075).

Community Voices: Exploring Cross-Cultural Care Through Cancer . Video and Facilitator's Guide by Jennie Greene, MS & Kim Newell, MD (Available from the Harvard Center for Cancer Prevention, Harvard School of Public Health, 665 Huntington Avenue, Bldg 2, Rm 105, Boston, MA 02115; Phone (617) 432-0038; Fax: (617)-432-1722;, or Fanlight Productions,

The Angry Heart: The Impact of Racism on Heart Disease Among African Americans . By Jay Fedigan. (Available from Fanlight Productions,

The Culture of Emotions: A Cultural Competence and Diversity Training Program . Harriet Koskoff, Producer/Co-Coordinator, 415 Noe Street, #5 , San Francisco , CA 94114 ; Phone 415-864-0927; Fax 415-621-8969 (to be distributed by the American Psychiatric Association).

"Where's Shirley?" A Video Production About Breast Cancer (Available from the Women's Cancer Screening Project, 3 Cooper Plaza, Suite 220, Camden, New Jersey 08103 ; Phone (609) 968-7324; Fax (609) 338-0628).

Lipson JG, Dibble S, and Minarik P, eds. Culture and Nursing Care: A Pocket Guide (CD-ROM and Book Versions), San Francisco , CA : UCSF Nursing Press, 1996. Ohio Department of Health and Medical College of Ohio . Cultural Competence in Breast Cancer Care (CD-ROM), 2000.

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