Cultural Competency Development Training


Ka'ala Farms – Location of Lo'i Kalo
Lomilomi Demonstration
Setting up the Plants
Surveying the Farm
Through the Wilderness
Hiking one of the trails

Cultural competency efforts supported by NHCOE are led by the C3 (cultural competency curriculum development) team comprised of faculty members of the Department of Native Hawaiian Health, Department of Family Medicine, the School of Social Work, and community members.

C3 team(top left to right): Gregory Maskarenic, Hoʻolea Payton, Dee-Ann Carpenter-Yoshino, Martina Kamaka, Claire Hughes, Malina Kaulukukui.

The C3 integrates national guidelines for cultural competency training paired with results from our own focus group research to deliver innovative teaching methodologies to medical students and residents utilizing Native Hawaiian health as the focus of activities.

Some of our teaching strategies and activities include:

1. Half day workshops utilizing didactic lecture, small group discussion, role play and experiential learning.

2. Problem based learning (PBL) cases

3. Standardized patient experiences tied to a NH PBL case

4. Year-long first year and month long fourth year electives

5. Medical student, residency and faculty cultural immersion weekends

6. Cultural field trips/activities for faculty

7. Introduction to NH health lecture

8. Didactic lecture series for residents

Topics covered by the various activities include: defining cultural competency, self-awareness exercises, NH health disparities (with an emphasis on its relationship to Hawaiʿi’s history), cultural trauma and indigenous healing, Native Hawaiian traditional healing, cultural resources in the community, patient-physician interaction (including establishing rapport, role of the culture of Western medicine), NH cultural practices and values and their role in patient treatment/resource utilization and current research related topics in NH health. Other efforts are focusing on developing collaborative relationships with other indigenous medical programs, assessment strategies and new teaching strategies.