Browsing by Author "Sui, Htayni"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Fostering Cultural Humility in Caring for a Returning Traveler: A Pediatric Resident Simulation
    (2022) Hecht, Shaina; Westwater, Molly; Sui, Htayni; Byrne, Bobbi
    Introduction: International travel has become more frequent outside of the current worldwide pandemic. With increased international travel, there is also more opportunity for physicians to encounter illness associated with this travel, including in pediatric patients. Pediatric residents should be well versed in obtaining a detailed travel history, creating a differential diagnosis and launching a treatment plan with the family for management of illness after international travel. Additionally, the concepts of cultural humility and avoiding judgement while caring for families with different cultural backgrounds is an important skill for residents to foster during training. Study Design/Hypothesis: A simulated patient encounter focusing on a pediatric patient with recent international travel was designed as part of a large multi-scenario simulation education event that is held annually for all pediatric residents. We hypothesized that this simulation would increase pediatric resident knowledge in obtaining a travel history as well as improve the residents’ self-perceived cultural humility when caring for international travelers. Methods: We designed a simulation scenario for second year pediatric residents focused on a febrile child who recently returned from international travel. The child’s family originally presented to a local religious leader prior to having the medical assessment. Pre and post simulation, a survey with questions regarding medical knowledge in the preparation of a pediatric patient for international travel as well as assessment of these patients upon return from international travel were included. Additionally, the Multidimensional Cultural Humility Scale (MCHS) was administered to residents to assess their cultural humility pre- and post- simulation. Results: Twenty- seven residents participated in the simulation. Overall, the mean score of the MCHS did not significantly increase after the simulation. After completing the scenario, all participants did agree that they felt more comfortable caring for immigrant children, more prepared to take a travel history, and more comfortable caring for a child who has traveled or will travel internationally. Conclusions: While we did not find statistical significance in overall self- perceived cultural humility after completing the simulation, pediatric residents felt more prepared to care for children after international travel as a result of participating in this educational intervention. Further data is required to determine if statistical significance would be achieved with increased numbers of participants. Based on post-scenario feedback and observations from scenario facilitators, minor adjustments will be made in future iterations of the scenario to better meet the educational objectives outlined for the participating pediatric residents.
  • Thumbnail Image
    Item
    Integrating Cultural Humility Into Infant Safe Sleep Counseling: A Pediatric Resident Simulation
    (Cureus, 2021-12-31) Moore, Chelsea; Hecht, Shaina M.; Sui, Htayni; Mayer, Lisa; Scott, Emily K.; Byrne, Bobbi; McHenry, Megan S.; Pediatrics, School of Medicine
    Introduction: Co-sleeping with infants is a common practice across cultures, but pediatricians may struggle to engage in patient-centered conversations about infant sleep practices with non-native English- speaking families. Cultural humility is a critical skill to utilize when engaging in cross-cultural conversations. We designed a simulation for pediatric residents to counsel on safe sleep and enhance skills in self-perceived cultural humility and preparedness when caring for diverse patient populations. Methods: We created a simulation for the second year and senior pediatric residents at a large academic institution focused on a co-sleeping parent and infant from the Burmese community. The Multidimensional Cultural Humility Scale (MCHS) was administered prior to and after the simulation. We also included additional questions regarding changes in knowledge and preparation in engaging in co-sleeping conversations across cultures. Results: Fifty-seven residents participated. Overall, the mean score of the MCHS significantly increased after the simulation, indicating an increase in self-perceived cultural humility. All participants felt more prepared to have conversations about co-sleeping and to engage in difficult conversations with diverse patient populations, and all learned valuable skills to improve care for future patients. Comments regarding the scenario noted an appreciation for learning more about the Burmese population and understanding new approaches to safe sleep counseling. Discussion: After this simulated scenario, residents reported increased self-perceived cultural humility, preparedness in counseling on co-sleeping, and skills to engage in difficult conversations with diverse patient populations. Topics such as cultural humility can be incorporated into simulation-based medical education to help improve the care of diverse patient populations.
  • Thumbnail Image
    Item
    "Understand us and acknowledge our reasons": Perspectives from Burmese refugee families on interactions with their pediatricians
    (Elsevier, 2023-03-20) Sui, Htayni; Thomas, Melissa; Tial, Biak Len; Roose, Anna; McHenry, Megan S.; Health Policy and Management, School of Public Health
    Introduction: Indianapolis is home to one of the largest Burmese communities in the United States; however, little is known of Burmese families' experiences with medical providers. The complex health history of Burmese refugees, coupled with the necessity of quality childhood care for later development, demonstrates a need for medical residents to better understand their diverse patient populations. This study aimed to understand Burmese families' perspectives on their interactions with their pediatric providers. Material and methods: Semi-structured interviews were conducted with 15 Burmese refugee families, which were audio-recorded, transcribed, and translated. A patient-centered care framework guided interview questions and directed content analysis. Results: Themes that emerged from individual interviews often related with cross-cultural communication, including patient engagement in care, challenges utilizing an interpreter, and concerns about discussing sensitive issues with healthcare workers. Overall, parents had positive perceptions of their child's pediatrician, but some distrusted interpreters and other members of the healthcare staff. Though parents reported a desire to be more involved in their child's care, they felt uncomfortable engaging with sensitive topics. A large barrier to care was lack of time during appointments. Discussion: Through understanding the perspectives of Burmese refugee families, pediatricians and training programs for medical professionals may consider ways to enhance the patient-provider relationship and health outcomes for this population.