Cultural differences between physicians and patients lead to confrontation with and discrimination against patients. The differences hinder access to,
and effectiveness of health services in multicultural settings,
leading to health disparities. 1 Fig. 1
the government provides health services solely based on Western biomedical model.
more than 40% of Colombians use traditional medicine. 2 The resulting gap between community needs and physicians’ skills could be better bridged if medical training included cultural safety. At present Colombian medical schools provide no cultural safety training. Fig. 2
Engaging medical students in cultural safety is challenging. Studies of game-based medical education have suggested increased effectiveness and engaging capacity in medical training. 3 AIM: To foster cultural safety in research and clinical practice through game-based education of medical students in Colombia.
Multi-phase mixed-methods participatory research study comprised of four phases: 1) a scoping review will summarize the current situation on cultural safety in medical education with a focus on game-based learning. 2) a co-design exercise including key informant interviews,
and expert panels with the stakeholders,
will define a co-designed curriculum of cultural safety in medical education. 3) A parallel group RCT and narrative-based techniques will compare a game learning...
Initiative time period: September 2016 – December 2020 Location: Colombia Stakeholders: Medical students,
family medicine residents,
and traditional medicine from Colombia.
Intercultural health experts from Colombia and Canada
This research project should: Provide evidence to support cultural safety in medical education. Develop participatory methods in game learning. Improve cultural safety skills for medical students,
and the quality of health services. The project integrates the perspectives of traditional medicine users,
and cultural safety experts. The results will be transferable to other multicultural settings,
such as Canada and the US.
(1) Betancourt JR,
Emilio Carrillo J,
Cultural competence and health care disparities: Key perspectives and trends.
499–505. (2) World Health Organization.
WHO Traditional Medicine Strategy 2002–2005.
Switzerland; 2002. (3) Akl EA,
The effect of educational games on medical students’ learning outcomes: A systematic review: BEME Guide No 14.
Short Bio (max. 100 words or less)
Juan Pimentel is a Colombian physician and epidemiologist.
he is an assistant professor in family medicine at La Sabana University,
a research associate at the Research Group on Traditional Health Systems at Del Rosario University,
and the head of Intercultural Medical Education at the Center for Intercultural Medical Studies in Colombia.
He is now pursuing a PhD in Family Medicine at McGill University,
with an aim of promoting cultural safety in medical education through...